Patient Service Representative I, Winston-Salem, Clemmons, Davie & Bermuda Run

Department:Status: Full timeBenefits Eligible:YesHours Per Week:40Schedule Details/Additional Information:Monday - FridayWeekend rotation for select areasPay Range$20.80 - $31.20Patient Service Representative ILocations: Winston-Salem, Clemmons, Davie & Bermuda Run ClinicsJOB SUMMARY: The Patient Services Representative (PSR) is responsible for completing patient registration duties including but not limited to collecting and validating accurate patient demographic and insurance information, obtaining pre-certification or authorization as required, and entering all necessary information into Atrium Health Wake Forest Baptist (AHWFB) ADT system. The PSR is responsible for informing the patient of their estimated liability, collecting patient liabilities, identifying patients in need of financial assistance and referring patients to financial counseling as necessary. This position requires multi-tasking and effective problem-solving skills. It is expected that the PSR will foster positive relationships with all patients in an effort to provide quality service.EDUCATION/EXPERIENCE: High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A ESSENTIAL FUNCTIONS: 1. Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.2. Ensures all patient demographic and insurance information is complete and accurate3. Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred4. Verifies insurance benefits. Obtains, calculates and collects the patient's out of pocket financial liability. Requests and collects past due and present balances or estimates due5. Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate6. Identifies patients in need of financial assistance and refers patients to Financial Counselor7. 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.8. 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.9. Proactively communicates issues involving customer service and process improvement opportunities to management10. Meets productivity requirements to ensure excellent service is provided to customers11. Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.12. 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 informationSKILLS & QUALIFICATIONS:Ability to identify and understand issues and problems.Examines data and draws logical conclusions based on information availableKnowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations and comply with updates on insurance pre-certification requirements Mathematical aptitude, effective oral and written communication skills and critical thinking skillsUnderstanding of basic human anatomy, medical terminology and procedures for application in the patient referral, pre-certification and authorization processes.Ability to speak effectively to customers or employees of the organization; presents a pleasant, professional demeanor and image during telephone conversationAbility to handle sensitive and confidential information according to internal policiesAbility to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manualsExperience with Microsoft Outlook, Word and Excel and ADT softwareAbility to write routine correspondence, calculate figures and amounts such as discounts and percentagesMust be able to work with minimal supervision, to problem solve in a high profile and high stress area and interact positively with all internal and external customers while possessing the ability to determine priority of workWORK ENVIRONMENT:Exposed to a normal office environment.Must be able to sit the majority of the workday.Occasionally lifts up to 10 lbs.Operates all equipment necessary to perform the jobOur Commitment to You: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:CompensationBase compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or trainingPremium pay such as shift, on call, and more based on a teammate's jobIncentive pay for select positionsOpportunity for annual increases based on performanceBenefits and morePaid Time Off programsHealth and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term DisabilityFlexible Spending Accounts for eligible health care and dependent care expensesFamily benefits such as adoption assistance and paid parental leaveDefined contribution retirement plans with employer match and other financial wellness programsEducational Assistance ProgramNote: 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 Advoca