Patient Services Representative II

We need to output HTML fragment with headings

for sections: About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule. Only include sections that have real specific content. Must not repeat job title. Must not include Job ID etc. Remove boilerplate. Must preserve all substantive info. We need to parse the posting. Let's extract sections: - About the role: maybe description of role. The posting includes: "The Patient Services Representative III facilitates all components of patient registration by accurately and efficiently handling the day-to-day operations relating to a patient's scheduled appointment. This includes obtaining all necessary demographic and financial information to ensure that the most accurate patient data is obtained and populated into the patient record. This role is also responsible for creating a positive patient experience and representing Advocate Health Wake Forest Baptist and partner organizations in a professional manner." Also earlier: "Department 70000 WFBMG University Group Practice: WFBMC Main - Administration: Ambulatory Services Status Full time Benefits Eligible Yes Hours Per Week 40 Schedule Details/Additional Information Monday- Friday 8:00 am-5:00 pm Pay Range $21.85 - $32.80 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 need to separate sections: About the role (description), Responsibilities (essential functions), Requirements (education/experience?), Qualifications (maybe licensure?), Skills & Qualifications (list of skills), Benefits (Our Commitment to You), Pay (Pay Range), Schedule (Hours per week and schedule details). Also maybe "Work Environment", "Physical Requirements" but those are not in allowed headings; we could incorporate into Responsibilities or maybe not include as separate sections because not in list. The instruction: Use

for section headings (e.g. About the role, Responsibilities, Requirements, Qualifications, Skills, Benefits, Pay, Schedule). So we should only use those headings. If content doesn't fit, we could omit or put under appropriate heading. We must not create sections with filler like "commensurate with experience". So we need to ensure each heading has substantive content. Let's gather content: **About the role**: The paragraph describing role purpose. **Responsibilities**: Essential functions list (bulleted). The posting includes many essential functions: 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. We can list these as

• . **Requirements**: 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". Also maybe "Reports To Supervisor, Clinic Registration" but that's not a requirement. Could include "Reports to Supervisor, Clinic Registration" as metadata but not needed. We'll keep requirement as that. **Qualifications**: Licensure/Certification/Registration: "N/A". That's not substantive; we should not create a Qualifications section if only N/A. So we skip Qualifications heading. **Skills**: The "Skills & Qualifications" section includes many bullet-like statements: 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. We can put these under Skills heading as
  • . **Benefits**: "Our 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: Compensation Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training Premium pay such as shift, on call, and more based on a teammate's job Incentive pay for select positions Opportunity for annual increases based on performance Benefits And More 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 Educational 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." We need to extract substantive benefits: Paid Time Off programs, Health and welfare benefits (medical, dental, vision, life, short- and long-term disability), Flexible Spending Accounts, Family benefits (adoption assistance, paid parental leave), Defined contribution retirement plans with employer match, Educational Assistance Program. Also mention competitive compensation, generous retirement offerings, programs that invest in career development. We'll list as bullet points. **Pay**: Pay Range $21.85 - $32.80. Also maybe mention base compensation within range. We'll put Pay heading with that. **Schedule**: Hours Per Week 40, Schedule Details/Additional Information Monday- Friday 8:00 am-5:00 pm. So schedule: Full-time, 40 hours per week, Monday-Friday 8am-5pm. We also have "Benefits Eligible Yes". Could include under Benefits or maybe not needed. We must not include boilerplate like "Our Commitment to You" heading? We'll use Benefits heading. Now produce HTML fragment:

    About the role

    The Patient Services Representative III facilitates all components of patient registration by accurately and efficiently handling the day-to-day operations relating to a patient's scheduled appointment. This includes obtaining all necessary demographic and financial information to ensure that the most accurate patient data is obtained and populated into the patient record. This role is also responsible for creating a positive patient experience and representing Advocate Health Wake Forest Baptist and partner organizations in a professional manner.

    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.

    Requirements

    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.

    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.
    • 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.

    Benefits

    • 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: adoption assistance and paid parental leave.
    • Defined contribution retirement plans with employer match and other financial wellness programs.
    • Educational Assistance Program.
    • Competitive compensation and generous retirement offerings.
    • Programs that invest in career development.

    Pay

    Pay range: $21.85 – $32.80 per hour.

    Schedule

    Full‑time, 40 hours per week,