Patient Service Representative Float Pool

Atrium Health; Elkin (NC); On-site; USD 32,000 - 42,000; Full time

Job summary

Atrium Health in North Carolina is seeking a Patient Access Specialist to support scheduling, registration and financial clearance for patients, ensuring complete demographics and accurate insurance information. You will verify benefits, collect out-of-pocket liabilities, and coordinate with Financial Counselors while maintaining strong patient relations and striving for 98% accuracy.

This role emphasizes teamwork, compliance with Medicare/Medicaid rules and EMTALA, and the ability to handle

Qualifications

• High school diploma or GED required; experience in patient access, scheduling, registration and financial clearance preferred.
• Knowledge of Medicare, HIPAA, EMTALA rules and insurance pre-certification requirements.
• Proficiency with Microsoft Outlook, Word and Excel; strong communication and critical thinking skills.

Responsibilities

• Greets patients and manages patient flow for efficient service.
• Verifies demographics and insurance information for accuracy.
• Completes registration for walk-in patients; updates information as needed.
• Verifies benefits; collects out-of-pocket liabilities and balances.
• Follows Financial Clearance policy for non-urgent services when appropriate.
• Identifies patients needing financial assistance and refers to Financial Counselor.
• Performs visit closure and schedules follow-up appointments.
• Maintains knowledge of Medicare/Medicaid and payer requirements.
• Proactively communicates issues to management for process improvements.
• Meets productivity and accuracy targets and maintains professional conduct.

Skills

Customer service

HIPAA compliance

Medicare/Medicaid knowledge

Microsoft Office (Outlook/Word/Excel)

ADT software

Communication skills

Problem solving

Attention to detail

Education

High school diploma or GED

Tools

ADT software

Job description

EDUCATION/EXPERIENCE

High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.

REPORTS TO

Supervisor or Manager

LICENSURE, CERTIFICATION, and/or REGISTRATION

N/A

ESSENTIAL FUNCTIONS

• Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
• Ensures all patient demographic and insurance information is complete and accurate
• Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred
• Verifies insurance benefits. Obtains, calculates and collects the patient?s out of pocket financial liability. Requests and collects past due and present balances or estimates due
• Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate
• Identifies patients in need of financial assistance and refers patients to Financial Counselor
• Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collecting additional patient responsibility (when applicable) and providing patient with appropriate documents.
• Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to management
• Meets productivity requirements to ensure excellent service is provided to customers
• Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
• Maintains excellent public relations with patients, families, and clinical staff as well as demonstrates a willingness and ability to work collaboratively with others for concise and timely flow of information.

SKILLS & QUALIFICATIONS

Ability to identify and understand issues and problems. Examines data and draws logical conclusions based on information available Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations and comply with updates on insurance pre-certification requirements Mathematical aptitude, effective oral and written communication skills and critical thinking skills Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral, pre-certification and authorization processes. Ability to speak effectively to customers or employees of the organization; presents a pleasant, professional demeanor and image during telephone conversation Ability to handle sensitive and confidential information according to internal policies Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals Experience with Microsoft Outlook, Word and Excel and ADT software Ability to write routine correspondence, calculate figures and amounts such as discounts and percentages Must be able to work with minimal supervision, to problem solve in a high profile and high stress area and interact positively with all internal and external customers while possessing the ability to determine priority of work

WORK ENVIRONMENT

Exposed to a normal office environment. Must be able to sit the majority of the workday. Occasionally lifts up to 10 lbs. Operates all equipment necessary to perform the job