Patient Services Representative I
Atrium Health · Winston-Salem, NC · 3 wk ago
OTHRFull-time
We need to output HTML fragment with sections: headings for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real content. The posting includes: Education/Experience, Reports To, Licensure, Essential Functions (list), Skills & Qualifications (list), Work Environment, Physical Requirements (list). No explicit Benefits, Pay, Schedule. So we should not create those sections.
We need to use
for sections like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections with real content. The posting includes: Education/Experience, Reports To, Licensure, Essential Functions (list), Skills & Qualifications (list), Work Environment, Physical Requirements (list). No explicit Benefits, Pay, Schedule. So we should not create those sections.
We need to use for each section heading. Use - for any list of duties/requirements/benefits. Use
for prose.
We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. There's none.
We need to format Education/Experience as maybe a section "Education and Experience". Could be "Qualifications"? The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can choose appropriate headings. Likely "Qualifications" for education/experience. "Responsibilities" for essential functions. "Skills" for skills & qualifications. "Work Environment" and "Physical Requirements" maybe as separate sections? Not in list but we can still use
for them? The instruction says use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., implying those are examples but we can use other headings if needed? Probably we should stick to those headings; but we have content that doesn't fit exactly: Work Environment and Physical Requirements. Could we put them under "Requirements"? Or maybe "About the role"? Better to create sections for them using even if not listed? The instruction: "use for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It suggests those are typical but not exclusive? It says "use for section headings (e.g. ...)" meaning we should use h3 for any section headings we create. It doesn't forbid other headings. So we can create headings like Work Environment and Physical Requirements.
We must not repeat job title as heading. No Job ID.
We need to preserve all substantive information. Let's extract:
Education/Experience: "High school diploma or equivalent and three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience"
Reports To: "Supervisor, Clinic Registration"
LICENSURE, CERTIFICATION, And/or REGISTRATION: "N/A" (we should drop as it's N/A, no substantive content). So we can omit.
Essential Functions: list of duties:
- Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems.
- Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
- Verify insurance coverage and obtains authorization for all services requiring pre-certification.
- Process internal and out-going referrals, as needed, per department procedures
- Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
- Collect and process upfront deposits or set-up payment arrangements, as required.
- Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
- Assist other team members where necessary
- Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
- Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
- The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
- Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
- Participate in departmental performance improvement initiatives
- Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
Skills & Qualifications: list:
- EPIC Cadence experience preferred.
- Expert knowledge of patient access services and the overall effect on the revenue cycle.
- A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology.
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
- Demonstrated proficiency in communicating effectively with a customer and simplifying complex information.
- Demonstrated ability of critical thinking skills and adhering to compliance protocols.
- Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert.
- Ability to navigate Internet Explorer and Microsoft Office Suite of applications.
- Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
- Demonstrated ability to meet or exceed performance metrics.
- Ability to handle sensitive information and maintain HIPAA compliance.
Work Environment: "Clean, indoor environment Minimal travel to clinic locations where assistance is needed"
Physical Requirements: a weird formatted list: "Amount of time spent performing the following activities: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum"
We need to interpret: It seems they attempted a table but got garbled. We need to preserve substantive information: The activities and percentages? The text is messy. Let's try to parse: "Amount of time spent performing the following activities: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum"
Probably they meant columns: Activity, % of time? The pattern: 0%35%65% tototo 35%65%100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X20 lbs. maximum X50 lbs. maximum X100 lbs. maximum
Maybe they intended: Activity: Standing, Walking, Sitting, Bending, Reaching with arms, Finger and hand dexterity, Talking, Hearing, Seeing. And then Lifting etc with max weights.
The percentages maybe: 0%? 35%? 65%? Not clear. Since it's garbled, we should preserve as is? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. So we should keep the text as given, but maybe we can format it as a
preserving the exact string? However it's nonsensical. Could we clean it up to make sense? That would be summarizing/inventing. Better to keep the raw text as a paragraph.
Thus Physical Requirements section:
Amount of time spent performing the following activities: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum
But maybe we should break into list? The instruction: Use - for any list of duties/requirements/benefits. This is not a list but a description. So
is fine.
Now we need to decide sections:
- Qualifications (Education/Experience)
- Responsibilities (Essential Functions)
- Skills (Skills & Qualifications)
- Work Environment
- Physical Requirements
We could also include "Reports To" maybe as a short
under Qualifications or separate? Could be part of Qualifications. But we can include a short
under Qualifications: "Reports To: Supervisor, Clinic Registration". However the instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Reports To is minor metadata, we can fold into a short
.
Thus under Qualifications section we can have a
for Education/Experience and another
for Reports To.
Alternatively we could have a section "About the role" but not needed.
Let's structure:
Qualifications
High school diploma or equivalent and three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience.
Reports To: Supervisor, Clinic Registration
Responsibilities
- Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems.
- Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
- Verify insurance coverage and obtains authorization for all services requiring pre-certification.
- Process internal and out-going referrals, as needed, per department procedures
- Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
- Collect and process upfront deposits or set-up payment arrangements, as required.
- Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
- Assist other team members where necessary
- Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
- Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
- The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
- Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
- Participate in departmental performance improvement initiatives
- Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
Skills
- EPIC Cadence experience preferred.
- Expert knowledge of patient access services and the overall effect on the revenue cycle.
- A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology.
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
- Demonstrated proficiency in communicating effectively with a customer and simplifying complex information.
- Demonstrated ability of critical thinking skills and adhering to compliance protocols.
- Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert.
- Ability to navigate Internet Explorer and Microsoft Office Suite of applications.
- for any list of duties/requirements/benefits. Use
for prose. We must preserve all substantive information, not invent or summarize away detail. Remove boilerplate: cookie/navigation/legal/EEO/equal-opportunity/scam-warning, duplicated lines, application instructions. There's none. We need to format Education/Experience as maybe a section "Education and Experience". Could be "Qualifications"? The instruction says use headings like About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. We can choose appropriate headings. Likely "Qualifications" for education/experience. "Responsibilities" for essential functions. "Skills" for skills & qualifications. "Work Environment" and "Physical Requirements" maybe as separate sections? Not in list but we can still use
for them? The instruction says use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). It says e.g., implying those are examples but we can use other headings if needed? Probably we should stick to those headings; but we have content that doesn't fit exactly: Work Environment and Physical Requirements. Could we put them under "Requirements"? Or maybe "About the role"? Better to create sections for them using
even if not listed? The instruction: "use
for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule)." It suggests those are typical but not exclusive? It says "use
for section headings (e.g. ...)" meaning we should use h3 for any section headings we create. It doesn't forbid other headings. So we can create headings like Work Environment and Physical Requirements. We must not repeat job title as heading. No Job ID. We need to preserve all substantive information. Let's extract: Education/Experience: "High school diploma or equivalent and three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience" Reports To: "Supervisor, Clinic Registration" LICENSURE, CERTIFICATION, And/or REGISTRATION: "N/A" (we should drop as it's N/A, no substantive content). So we can omit. Essential Functions: list of duties: - Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems. - Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures. - Verify insurance coverage and obtains authorization for all services requiring pre-certification. - Process internal and out-going referrals, as needed, per department procedures - Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning. - Collect and process upfront deposits or set-up payment arrangements, as required. - Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral. - Assist other team members where necessary - Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties - Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations. - The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms - Assists team with escalated issues, trains other team members as needed and is a subject matter expert. - Participate in departmental performance improvement initiatives - Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments - Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served. Skills & Qualifications: list: - EPIC Cadence experience preferred. - Expert knowledge of patient access services and the overall effect on the revenue cycle. - A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology. - Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served. - Demonstrated proficiency in communicating effectively with a customer and simplifying complex information. - Demonstrated ability of critical thinking skills and adhering to compliance protocols. - Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert. - Ability to navigate Internet Explorer and Microsoft Office Suite of applications. - Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics. - Demonstrated ability to meet or exceed performance metrics. - Ability to handle sensitive information and maintain HIPAA compliance. Work Environment: "Clean, indoor environment Minimal travel to clinic locations where assistance is needed" Physical Requirements: a weird formatted list: "Amount of time spent performing the following activities: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum" We need to interpret: It seems they attempted a table but got garbled. We need to preserve substantive information: The activities and percentages? The text is messy. Let's try to parse: "Amount of time spent performing the following activities: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum" Probably they meant columns: Activity, % of time? The pattern: 0%35%65% tototo 35%65%100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X20 lbs. maximum X50 lbs. maximum X100 lbs. maximum Maybe they intended: Activity: Standing, Walking, Sitting, Bending, Reaching with arms, Finger and hand dexterity, Talking, Hearing, Seeing. And then Lifting etc with max weights. The percentages maybe: 0%? 35%? 65%? Not clear. Since it's garbled, we should preserve as is? The instruction: preserve ALL substantive information; do NOT invent or summarize away detail. So we should keep the text as given, but maybe we can format it as a
preserving the exact string? However it's nonsensical. Could we clean it up to make sense? That would be summarizing/inventing. Better to keep the raw text as a paragraph. Thus Physical Requirements section:
Amount of time spent performing the following activities: 0%35%65%tototo35%65%100%N/AActivityXStandingXWalkingXSittingXBendingXReaching with armsXFinger and hand dexterityXTalkingXHearingXSeeingLifting, carrying, pushing and or pulling:X20 lbs. maximumX50 lbs. maximumX100 lbs. maximum
But maybe we should break into list? The instruction: Use- for any list of duties/requirements/benefits. This is not a list but a description. So
is fine. Now we need to decide sections: - Qualifications (Education/Experience) - Responsibilities (Essential Functions) - Skills (Skills & Qualifications) - Work Environment - Physical Requirements We could also include "Reports To" maybe as a short
under Qualifications or separate? Could be part of Qualifications. But we can include a short
under Qualifications: "Reports To: Supervisor, Clinic Registration". However the instruction: do NOT put Job ID / requisition numbers as headings — fold minor metadata into a short
or drop it. Reports To is minor metadata, we can fold into a short
. Thus under Qualifications section we can have a
for Education/Experience and another
for Reports To. Alternatively we could have a section "About the role" but not needed. Let's structure:
Qualifications
High school diploma or equivalent and three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience.
Reports To: Supervisor, Clinic Registration
Responsibilities
- Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems.
- Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
- Verify insurance coverage and obtains authorization for all services requiring pre-certification.
- Process internal and out-going referrals, as needed, per department procedures
- Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
- Collect and process upfront deposits or set-up payment arrangements, as required.
- Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
- Assist other team members where necessary
- Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
- Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
- The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
- Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
- Participate in departmental performance improvement initiatives
- Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
Skills
- EPIC Cadence experience preferred.
- Expert knowledge of patient access services and the overall effect on the revenue cycle.
- A thorough understanding of commercial and government insurance plans, payer networks, government resources and medical terminology.
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.
- Demonstrated proficiency in communicating effectively with a customer and simplifying complex information.
- Demonstrated ability of critical thinking skills and adhering to compliance protocols.
- Demonstrated ability to handle escalated issues, train/mentor other team members and viewed as a subject matter expert.
- Ability to navigate Internet Explorer and Microsoft Office Suite of applications.
- for any list of duties/requirements/benefits. This is not a list but a description. So