Patient Service Representative I FT

Advocate Health; Cartersville (GA); Presencial; USD 19.000 - 26.000; Jornada completa

Descripción de la vacante

Advocate Health is seeking a Patient Access representative to warmly greet patients, verify demographics and insurance, and complete registrations for walk-ins. You will help manage patient flow and collect appropriate charges.

This role requires knowledge of Medicare, Medicaid, HIPAA and EMTALA rules, strong communication, and the ability to work under pressure while maintaining confidentiality and delivering courteous service. Proficiency in Outlook, Word, Excel and ADT software is preferred.

Formación

• Ability to identify and understand issues; examines data and draws conclusions.
• Understand Medicare, HIPAA, EMTALA rules and updates on pre-certification requirements.
• Mathematical aptitude, strong verbal and written communication, and critical thinking.
• Knowledge of anatomy, medical terminology and referral/authorization processes.
• Ability to communicate professionally with customers by phone.
• Handle confidential information per internal policies.
• Ability to read and interpret safety rules and procedure manuals.
• Experience with Outlook, Word, Excel and ADT software.
• Write routine correspondence and calculate discounts or percentages.
• Work independently, prioritize tasks in a high-stress environment.

Responsabilidades

• Greet patients and manage flow to ensure efficient, courteous care.
• Verify and update patient demographic and insurance information.
• Complete registrations for walk-in patients and update information as needed.
• Obtain and collect patient financial responsibility and balances.
• Refer patients to Financial Counselor when financial clearance is needed.
• Close visits, schedule follow-ups and provide necessary documents.
• Maintain knowledge of Medicare/Medicaid and payer requirements.
• Communicate issues to management for process improvement.
• Meet productivity and accuracy targets and maintain professional demeanor.
• Maintain excellent relations with patients, families and staff.

Conocimientos

Analytical thinking

Communication skills

Problem solving

HIPAA awareness

Data interpretation

Customer service mindset

Educación

High school diploma or GED

Herramientas

ADT software

Microsoft Outlook

Microsoft Word

Microsoft Excel

Descripción del empleo

Major Responsibilities:

• 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
• 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
• 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

Licensure, Registration, and/or Certification Required:

• NA

Education Required:

• High school diploma or GEDrequired. Patient access (scheduling,registrationand financial clearance), insurance verification, billing or certified medical assistant experience preferred.

Work Experience Required:

• NA

Knowledge, Skills & Abilities Required:

• Ability toidentifyand 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 andcomply withupdates on insurance pre-certification requirements
• Mathematical aptitude, effective oral and written communicationskillsand critical thinking skills
• Understandingofbasic human anatomy, medicalterminologyand procedures for application inthe patientreferral, pre-certificationand 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,operatingand 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, toproblem solvein a high profile and high stress area and interact positively with all internal and external customers whilepossessing the ability todeterminepriority of work

Physical Requirements and Working Conditions:

• Exposed to a normal office environment.
• Must be able tositthe majority ofthe workday.
• Occasionallylifts upto 10 lbs.
• Operates all equipment necessary to perform the job

This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.