Patient Services Representative II Float, Registration

Atrium Health Wake Forest Baptist & Wake Forest University School of Medicine; North Carolina; On-site; USD 35,000 - 55,000; Part time

Job summary

An established industry player is seeking a dedicated Patient Service Representative II Float to enhance patient experiences and streamline registration processes. This role involves interviewing patients, verifying insurance, and ensuring compliance with health regulations. The ideal candidate will thrive in a fast-paced environment, possessing excellent communication and critical thinking skills. Join a forward-thinking organization that values teamwork and innovation, contributing to a mission of improving health and advancing healing for all. If you are passionate about patient care and eager to make a difference, this opportunity is for you.

Qualifications

• 3+ years of experience in a customer service role in a fast-paced environment.
• Expert knowledge of patient access services and revenue cycle effects.

Responsibilities

• Facilitate patient registration and verify insurance coverage.
• Assist team members and handle escalated issues.

Skills

Customer Service

Communication Skills

Critical Thinking

HIPAA Compliance

Education

High School Diploma or Equivalent

Tools

EPIC Cadence

Microsoft Office Suite

Internet Explorer

Job description

JOB DESCRIPTION

Patient Service Representative II Float

Position Highlights:

• Shift Schedule: Part Time (4 hours), variable shift
• Department: Registration
• Location: Atrium Health Wake Forest Baptist in Winston-Salem, NC

What You'll Do: The Patient Services Representative III Float facilitates all components of patient registration by accurately and efficiently handling the day-to-day operations relating to a patient's scheduled appointment. This includes obtaining all necessary demographic and financial information to ensure that the most accurate patient data is obtained and populated into the patient record. This role is also responsible for creating a positive patient experience and representing Atrium Health Wake Forest Baptist and partner organizations in a professional manner.

1. Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems. Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
2. Verify insurance coverage and obtains authorization for all services requiring pre-certification.
3. Process internal and out-going referrals, as needed, per department procedures
4. Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
5. Collect and process upfront deposits or set-up payment arrangements, as required.
6. Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
7. Assist other team members where necessary
8. Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
9. Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
10. The Patient Services Representative III Float is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
11. Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
12. Participate in departmental performance improvement initiatives
13. Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
14. Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served

What You'll Need:

• High school diploma or equivalent
• Three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience

The ideal candidate will also possess the following skills:

• EPIC Cadence experience preferred.
• Expert knowledge of patient access services and the overall effect on the revenue cycle.
• A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology.
• Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
• Demonstrated proficiency in communicating effectively with a customer and simplifying complex information.
• Demonstrated ability of critical thinking skills and adhering to compliance protocols.
• Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert.
• Ability to navigate Internet Explorer and Microsoft Office Suite of applications.
• Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
• Demonstrated ability to meet or exceed performance metrics.
• Ability to handle sensitive information and maintain HIPAA compliance.

About Us

Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina. Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond. As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team. Please know that this is an expected process, and thanks in advance for your flexibility.

About the Team

Mission, Vision and Culture Commitments

Mission

To improve health, elevate hope and advance healing - for all.

Vision

To be the first and best choice for care.

Culture Commitments

We create a space where all Belong

We Work as One to make great things happen

We earn Trust in all we do

We Innovate to better the now and create the future

We drive for Excellence - always