Patient Service Rep 1

About the role

The Department 02250 HC Rome Women's Center is seeking a Patient Services Representative I (PSR) to join our team. This is a full-time position with benefits eligibility.

Responsibilities

• Greets patients arriving for their appointments.
• Maintains patient flow to ensure efficient and courteous service.
• Completes the registration process on walk-in patients, verifying and updating patient information.
• Collects and validates patient demographic and insurance information.
• Verifies and updates insurance information if changes or additions have occurred.
• Calculates and collects patient’s out-of-pocket financial liability.
• Requests and collects past due and present balances or estimates due.
• Follows the Financial Clearance policy for non-urgent patient services.
• Refers patients to Financial Counselor for those in need of financial assistance.
• Performs visit closure, including checking out patients, scheduling follow-up appointments, collecting additional patient responsibility (when applicable), and providing patient with appropriate documents.
• Maintains knowledge of and reference materials regarding Medicare, Medicaid, and third-party payer requirements, guidelines, and policies.
• Communicates issues involving customer service and process improvement opportunities to management.
• Maintains excellent public relations with patients, families, and clinical staff.
• Works collaboratively with others to ensure a smooth flow of information.
• Maintains a 98% accuracy rate and meets established department productivity measurements.
• Exhibits a pleasant, professional demeanor and image during telephone conversations.
• Handles sensitive and confidential information according to internal policies.
• Writes routine correspondence, calculates figures and amounts such as discounts and percentages.
• Operates all equipment necessary to perform the job.

Requirements

Licenses, registrations, and certifications are not required.

• High school diploma or GED required.
• Patient access (scheduling, registration, and financial clearance) experience preferred.

Qualifications

• Ability to identify and understand issues and problems.
• Knowledge 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 skills.
• Understanding 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.
• Experience with Microsoft Outlook, Word, and Excel and ADT software.
• Able to work with minimal supervision, problem solve in a high-profile and high-stress area, and interact positively with all internal and external customers.

Skills

• Proactive communication.
• Effective problem-solving skills.
• Excellent public relations skills.
• Positive interpersonal skills.

Benefits

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and Short- 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.
• Education Assistance Program.

About Advocate Health

Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience, and value-based care. We offer a comprehensive suite of Total Rewards, including competitive compensation, generous retirement offerings, programs that invest in your career development, and much more. We are committed to providing equitable care for all and offer over $6 billion in annual community benefits.