Patient Services Representative II Float, Registration

Atrium Health; Winston-Salem (NC); On-site; USD 30,000 - 50,000; Part time

Job summary

An established healthcare provider is seeking a dedicated Patient Service Representative II Float to enhance patient registration processes. This role is crucial in ensuring accurate patient data collection and delivering exceptional service in a fast-paced environment. The ideal candidate will possess strong customer service skills, critical thinking abilities, and a thorough understanding of insurance plans and compliance requirements. Join a team committed to improving patient experiences and operational efficiency while navigating a variety of responsibilities that contribute to the overall success of the organization.

Qualifications

• 3+ years in customer service in a fast-paced environment.
• Expertise in patient access services and revenue cycle.

Responsibilities

• Facilitate patient registration and collect necessary information.
• Verify insurance coverage and process referrals.

Skills

Customer Service

Critical Thinking

Communication Skills

HIPAA Compliance

Insurance Knowledge

Education

High School Diploma or Equivalent

Tools

EPIC Cadence

Microsoft Office Suite

Internet Explorer

Job description

Overview

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.