Patient Service Representative (PSR) - Pediatrics and Adult Specialty Clinic

Advocate Health; Greenfield (WI); Vor Ort; USD 27.000 - 41.000; Vollzeit

Benefits dieser Stelle

Paid Time Off

Health and welfare benefits

Flexible Spending Accounts

Adoption assistance

Retirement plan

Educational Assistance Program

Zusammenfassung

Advocate Health in Greenfield, WI seeks a Front End Staff to greet patients, register walk-ins, verify demographics and insurance, and process registrations. You will monitor patient flow and ensure courteous service.

You will use ADT software, Outlook, and Excel, handle pre-certification requirements, collect balances, and refer to Financial Counselor as needed. Excellent communication and attention to detail are essential.

Qualifikationen

• High school diploma or GED required; patient access, scheduling, registration and financial clearance experience preferred.
• Able to identify and understand issues; analyzes data and draws logical conclusions.
• Knowledge of Medicare, HIPAA and EMTALA rules; keeps up-to-date with insurance pre-certification requirements.
• Strong numerical aptitude and ability to communicate clearly, both verbally and in writing.
• Experience with Microsoft Outlook, Word and Excel; familiarity with ADT software.

Aufgaben

• Greet patients arriving for appointments and monitor patient flow for efficient service.
• Verify and update patient demographics and insurance information as needed.
• Register walk-in patients and complete financial clearance and insurance verification processes.
• Obtain, calculate and collect patient out-of-pocket liability; request and collect balances.
• Refer patients to Financial Counselor for assistance when needed; explain benefits clearly.

Kenntnisse

Communication skills

Medicare knowledge

HIPAA knowledge

Analytical thinking

Customer service

Adaptability

Written communication

Ausbildung

High school diploma or GED

Tools

ADT software

Microsoft Outlook

Microsoft Word

Excel

Jobbeschreibung

Department:

09122 AMG Greenfield 84 South - Front End Staff

Status:

Full time

Benefits Eligible:

Yes

Hou** rs Per Week:

40

Schedule Details/Additional Information:

Schedule: Monday through Friday, 8:00 a.m. to 4:30 p.m.

Flexibility: Hours may vary based on clinic operational needs, including:

• 7:00 a.m. to 3:30 p.m. when opening the clinic
• 8:30 a.m. to 5:00 p.m. when closing the clinic or covering for team members

Pay Range:

$19.80 - $29.70

Major Responsibilities:

• Greetspatients arriving for their appointments.Monitors patientflow to ensure patients are cared for in the most efficient and courteous manner.
• Ensures all patient demographic and insurance information is complete andaccurate
• 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,calculatesand collects the patient’sout of pocketfinancial liability.Requests and collects past due and present balances or estimates due
• Follows the Financial Clearance policy for non-urgent patient services if financialclearance hasnot been completed or authorization has not been obtained, when appropriate
• patients in need of financialassistanceand refers patients to Financial Counselor
• Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collectingadditionalpatient responsibility (when applicable) and providing patient withappropriate documents.
• Maintains knowledge of and reference materials of the following: Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plansrequiringpre-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 asdemonstratesa willingness and ability to work collaboratively with others for concise andtimelyflow 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
• Understanding ofbasic 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 whilepossessingthe 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.

Our CommitmenttoYou:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training

• Premium pay such as shift, on call, and more based on a teammate’s job

• Incentive pay for select positions

• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs

• Health and welfare benefits such as medical, dental, vision, life, andShort- and Long-Term Disability

• Flexible Spending Accounts for eligible health care and dependent care expenses

• Family benefits such as adoption assistance and paid parental leave

• Defined contribution retirement plans with employer match and other financial wellness programs

• Educational Assistance Program

Note: Eligibility for programs listed above may depend on your FTE or status (e.g., full-time, part-time, per diem, temporary, etc.); please ask a Recruiter for more information during an interview.

About Advocate Health

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.