Patient Services Representative Pediatric Behavioral Health

Spectrum Health; Grand Rapids (MI); On-site; USD 37,000 - 46,000; Full time

Job summary

Corewell Health in Grand Rapids is seeking a Patient Services Representative to join a team delivering registration, concierge and clerical services to patients. You will register patients, assist with appointments, referrals and in-office procedures, and review medical records for referrals, ensuring accurate data entry and smooth patient flow.

Key responsibilities include obtaining insurance authorizations, handling prior authorizations/appeals, performing EMR/EHR scanning and secure document

Qualifications

• High School Diploma or equivalent.
• 2 years of relevant experience in insurance billing, access management, patient financial services, electronic health records, lab service support or other related fields.

Responsibilities

• Register patients in treatment rooms with careful discernment.
• Handle administrative tasks: check-out, schedule appointments, referrals, and in-office procedures.
• Verify insurance authorizations and manage prior authorizations/appeals.
• Process EMR/EHR scanning and Right Fax uploads to EPIC.
• Train new teammates on standard work and participate in safety initiatives.

Skills

Problem solving

Administrative tasks

Education

High School Diploma or equivalent

Job description

Shift and status Full time, 8:30 a.m. to 5:00 p.m., no weekends

Job Summary As a Patient Services Representative with Corewell Health, you'll play a vital role in delivering top-notch healthcare service to our patients. You'll work as part of a team to provide registration, concierge, and clerical services. The service you provide in the role will make a real difference in the lives of those we serve.

Essential Functions Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms. Performs administrative functions, including, but not limited to: assists with patient check-out; schedules patient appointments, incoming/outgoing referrals, in office procedures, surgeries and tests, including medical record review of incoming referrals; maintains and modifies provider template; navigates external patient referral portals; reconciles multidepartment deposit. Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals. Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC. Assists with training new team members utilizing standard work. Ability to perform the role of Patient Services Representative, Associate when necessary. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis. Performs other duties as assigned.

Qualifications

• High School Diploma or equivalent
• 2 year of relevant experience in insurance billing, access management, patient financial services, electronic health records, lab service support or other related fields

As part of our hiring process, you may be invited to complete an initial screening using an AI-enabled voice agent. This screening focuses on job-related qualifications and is reviewed by our hiring team as one part of the overall evaluation process. The voice agent provides the opportunity for applicants to respond at a time that works best for them. The voice agent works 24/7 - just like healthcare!

About Corewell Health

As a team member at Corewell Health, you will play an essential role in delivering personalized health care to our patients, members, and our communities. We are committed to cultivating and investing in YOU. Our top-notch teams are comprised of collaborators, leaders and innovators that continue to build on one shared mission statement - to improve health, instill humanity and inspire hope. Join a nationally recognized health system with an ambitious vision of continued advancement and excellence.

How Corewell Health cares for you

• Comprehensive benefits package to meet your financial, health, and work/life balance goals. Learn more here.
• On-demand pay program powered by Payactiv
• Discounts directory with deals on the things that matter to you, like restaurants, phone plans, spas, and more!
• Optional identity theft protection, home and auto insurance
• Traditional and Roth retirement options with service contribution and match savings
• Eligibility for benefits is determined by employment type and status

Primary Location SITE - 25 Michigan St NE - Grand Rapids Department Name Peds Behavioral Health HDVCH - Medical Group West Employment Type Full time Shift Day (United States of America) Weekly Scheduled Hours 40 Hours of Work 8:30 a.m. to 5:00 p.m. Days Worked Monday to Friday Weekend Frequency N/A

Corewell Health grants equal employment opportunity to all qualified persons without regard to race, color, national origin, sex, disability, age, religion, genetic information, marital status, height, weight, gender, pregnancy, sexual orientation, gender identity or expression, veteran status, or any other legally protected category.

An interconnected, collaborative culture where all are encouraged to bring their whole selves to work, is vital to the health of our organization. As a health system, we advocate for equity as we care for our patients, our communities, and each other. From workshops that develop cultural intelligence, to our inclusion resource groups for people to find community and empowerment at work, we are dedicated to ongoing resources that advance our values of diversity, equity, and inclusion in all that we do.

People are at the heart of everything we do, and the inspiration for our legacy of outstanding outcomes, innovation, strong community partnerships, philanthropy and transparency.

Corewell Health is a not-for-profit health system that provides health care and coverage with an exceptional team of 60,000+ dedicated people- including more than 11,500 physicians and advanced practice providers and more than 15,000 nurses providing care and services in 22 hospitals, 300+ outpatient locations and several post-acute facilities—and Priority Health, a provider-sponsored health plan serving more than 1.2 million members. Through experience and collaboration, we are reimagining a better, more equitable model of health and wellness.