Patient Service Specialist I PFS

Responsibilities

• Collects patient critical data elements, registration information, and completes documents, prioritizing workload.
• Ensures accurate patient identification and addresses sensitive information with confidentiality.
• Obtains authorizations, pre-certs, documentation when applicable, referrals, reviews and requests medical record information as necessary.
• Communicates insurance benefits and liabilities with customers.
• Collects past, current and future payments due and advises customers of financial responsibility and resources.
• Provides excellent customer service through all interactions and resolves complaints promptly.
• Works well independently and as part of a team.
• Accesses hospital systems, office technology, payer websites and other resources for assigned responsibilities.
• Adheres to the Medical Center's Values and policies while meeting departmental productivity goals and standards.
• Communicates effectively with various internal and external healthcare team members.
• Attends required training classes, seminars and meetings.
• Performs additional tasks and responsibilities as requested by department management.

Qualifications

• High School diploma or GED equivalent.
• Work experience in a healthcare setting (receptionist, registration, financial assistance, etc.) preferred.
• Working knowledge of applicable rules, regulations and guidelines governing insurance payers and reimbursement preferred.
• Bilingual (Spanish) strongly preferred.
• Computer skills to include word processing required.

Skills

• Evidence of good interpersonal skills with customer service focus
• Effective communication skills (oral and written) and creative problem solving
• Ability to work with Web-based programs to review insurance eligibility and benefits
• Ability to multi-task
• Strong math and analytical skills
• Attention to detail

Work Environment

Clinical and office environment; regular exposure to the risk of blood-borne diseases, infectious, and contagious diseases; contact with patients, family members, visitors, co-workers, and medical staff under a wide variety of circumstances; subject to multiple interruptions; requires working under stressful conditions with providers and patients; handles complaints, settles disputes, and resolves grievances and conflicts; occasionally works irregular hours.

Benefits

Benefits eligible (full-time). Advocate Health offers a comprehensive suite of Total Rewards: compensation base within the listed pay range, premium pay (shift, on‑call, etc.), incentive pay for select positions, opportunity for annual increases based on performance, Paid Time Off programs, health and welfare benefits (medical, dental, vision, life, 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, Educational Assistance Program