Patient Service Representative I

Atrium Health; Advance (NC); Vor Ort; USD 35.000 - 55.000; Vollzeit

Zusammenfassung

Atrium Health is seeking a detail-oriented Patient Access Clerk to welcome patients, collect demographic and insurance information, and complete registration for walk-ins and scheduled visits. You will verify coverage, explain balances, and help patients navigate financial clearance.

The role requires a high school diploma or GED, strong communication, familiarity with Medicare/Medicaid basics, HIPAA compliance, and ability to work under pressure in a fast-paced office environment.

Qualifikationen

• High school diploma or GED required; patient access experience preferred.
• Knowledge of Medicare, HIPAA, EMTALA rules and insurance pre-certification requirements.
• Strong numerical and problem-solving abilities; attention to detail.
• Excellent verbal and written communication; professional demeanor.
• Ability to handle confidential information per internal policies.

Aufgaben

• Greet patients and manage flow to ensure courteous, efficient service.
• Complete registration for walk-ins and update demographics/insurance.
• Verify benefits, calculate and collect patient liabilities, and collect balances.
• Ensure financial clearance per policy when needed and refer to Financial Counselor as required.
• Provide documents and schedule follow-up appointments; support service improvements.

Kenntnisse

Issue identification

Data analysis

Medicare/HIPAA/EMTALA knowledge

Communication skills

Anatomy/basic medical terminology

Customer interaction (phone/in person)

Confidentiality handling

Reading/comprehension of docs

Microsoft Outlook/Word/Excel

AD T software

Basic arithmetic for discounts

Problem solving under pressure

Ausbildung

High school diploma or GED

Tools

Microsoft Outlook

Microsoft Word

Microsoft Excel

ADT software

Jobbeschreibung

EDUCATION/EXPERIENCE

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

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