Patient Service Rep 1

About the role

The Department 02250 HC Rome Women's Center at Advocate Health 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 demographic and insurance information.
• Calculates and collects patient’s out-of-pocket financial liability.
• Requests and collects past due and present balances or estimates due.
• Fulfills the Financial Clearance policy for non-urgent patient services.
• Refers patients to Financial Counselors for those in need of financial assistance.
• Performs visit closure, including checking out patients, scheduling follow-up appointments, collecting additional patient responsibility, and providing appropriate documents.
• Maintains knowledge of and references materials regarding Medicare, Medicaid, and third-party payer requirements, guidelines, and policies.
• Communicates issues involving customer service and process improvement opportunities to management.
• Maintains a 98% accuracy rate and meets established department productivity measurements.
• Maintains excellent public relations with patients, families, and clinical staff.
• Communicates effectively with customers or employees of the organization, presenting a pleasant and professional demeanor.
• Handles sensitive and confidential information according to internal policies.
• Writes routine correspondence, calculates figures and amounts such as discounts and percentages.
• Works with minimal supervision, solves problems in a high-profile and high-stress area, and interacts positively with all internal and external customers.

Requirements

• High school diploma or GED.
• Patient access (scheduling, registration, and financial clearance), insurance verification, billing, or certified medical assistant experience preferred.
• Ability to identify and understand issues and problems, examine data, and draw logical conclusions based on available information.
• 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, solve problems in a high-profile and high-stress area, and interact positively with all internal and external customers.

Qualifications

• Exposure to a normal office environment.
• Must be able to sit for the majority of the workday.
• Occasionally lift up to 10 lbs.
• Operates all equipment necessary to perform the job.

Skills

• Identify and understand issues and problems.
• Examine data and draw logical conclusions based on available information.
• Articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations.
• Calculate figures and amounts such as discounts and percentages.
• Write routine correspondence.
• Handle sensitive and confidential information according to internal policies.
• Speak effectively to customers or employees of the organization.
• Operate Microsoft Outlook, Word, and Excel and ADT software.
• Work with minimal supervision, solve problems in a high-profile and high-stress area, and interact positively with all internal and external customers.

Benefits

This position offers a comprehensive suite of Total Rewards, including:

• Compensation
• Paid Time Off programs
• Health and welfare benefits
• Family benefits
• Defined contribution retirement plans with employer match
• Other financial wellness programs
• Education Assistance Program

Note: 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

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. We are committed to providing equitable care for all and offer one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.