Patient Services Representative Rehab - Hiram, GA (Part-Time)

How would you like to work in a place where your contributions and ideas are valued? A place where you can serve with compassion, pursue excellence and honor every voice? At Wellstar, our mission is simple, yet powerful: to enhance the health and well-being of every person we serve. We are proud to have become a shining example of what's possible when the brightest professionals dedicate themselves to making a difference in the healthcare industry, and in people's lives.

Schedule

Work Shift: Evening (United States of America)

• Monday: 1pm-7pm
  Tuesday: 12pm-5pm
  Thursday: 12pm-5pm
• Or Monday: 2pm-7pm
  Tuesday: 12pm-5pm
  Thursday: 12pm-6pm

Responsibilities

• Functions at a professional level during interaction with all customers and co-workers.
• Receives requests for appointments from physician’s offices and/or employers and makes the necessary pre-admission arrangements, referring to lists of dates allotted for scheduling, and advising physicians’ office staff and patients of available dates.
• Greets all guests with a positive and professional attitude.
• Arranges to have patients escorted to procedure areas and/or assigned rooms.
• Maintains confidentiality of patient information in accordance with WellStar policy and HIPAA regulations.
• Presents a well-groomed and professional image. Must follow WellStar and Outpatient Rehab Dress Code Policy.
• Answers incoming phone calls and routes to appropriate parties or addresses issues as directed.
• Assists physicians (and their office staff) as well as patients to expedite scheduling, pre-registration, pre-certification and/or prior authorizations.
• Maintains courteous and cooperative working relationships with patients/families, co-workers, management, physicians, other professionals, and the general public.
• Demonstrates the ability to tactfully handle difficult situations.
• Completes registration process per WellStar policy and regulatory standards.
• Interviews each patient or representative in order to obtain complete and accurate demographic, financial, and insurance information, and accurately enters all patient information into the registration system.
• Reads physician’s orders to determine services requested and to assure order validity.
• Obtains new medical record numbers for all new patients.
• Obtains all necessary signatures and is knowledgeable regarding any special forms that may be required by patient’s third-party payor.
• Documents thorough explanatory notes on patient accounts concerning any non-routine circumstances clarifying special billing processes.
• Re-verifies all information at time of registration process.
• Understands and applies WellStar philosophy and objectives and Rehab and PAS policies and procedures, as related to assigned duties.
• Understands the outpatient registration processes.
• Works with IT/EMR on troubleshooting registration interface errors.
• Maintains a working knowledge of the process to verify insurance coverage and benefits. Assists in verifying benefits as needed and for all patients at the end of the year.
• Provides professional and knowledgeable communication to patients regarding benefits.
• Completes all revenue collection efforts according to WellStar and PAS policy.
• Contacts patients prior to initial visit to discuss co-pay and/or self-pay arrangements.
• Collects the co-pay amount at each visit and provides a receipt to the patient.
• Balances collection log and receipts at the end of each business day.
• Explains prompt payment discount policies to self-pay patients.
• Routes self-pay patients to financial counselor for financial arrangements of self-pay balances, as indicated.
• Makes corrections and updates patient account information in the computer as necessary.
• Documents concise and understandable notes regarding self-pay and co-pay collection activity as indicated.
• Timely communicates on all charge addendums.
• Works efficiently and accurately within designated time frame to ensure continuity of information and patient flow.
• Prepares charts for the clinic in a timely manner.
• Consistently demonstrates the ability to organize work, recognize and establish appropriate work priorities, and complete work in a productive manner, without creating backlogs.
• Maintains proficiency and accuracy in data entry skills.
• Maintains a working knowledge of available information system capabilities and performs all system applications that are required.
• Faxes, mails, or otherwise provides medical information to referring physicians in a timely manner, as per departmental process.
• Accurately provides information to medical record company as requested for review of claims, as per departmental process.
• Effectively utilizes and daily maintains all office equipment, phone system, intercom system, and PC.
• Keeps management (Lead PSR, Clinic Supervisor, Admin) informed of all necessary information; reaches out for assistance as needed.
• Tracks financial/clinical statistical data as per departmental requirements, and functions in a clerical support role for the department.
• Works EPIC work queues and reports daily per demands.
• Applies analytical skills to effectively complete all denials in a timely manner, collaborating with other departments as needed.
• Prepares and maintains accurate statistics consisting of visits, new patients, procedures, revenue, patient satisfaction, etc. for the department.
• Submits daily, weekly, and/or monthly reports of statistical information to administration.
• Utilizes Lawson or other method appropriately to maintain departmental ordering/inventory process.
• Provides secretarial support to manager and clinical staff in a timely manner, maintaining appropriate confidentiality.
• Records and maintains minutes of monthly departmental meetings.
• Maintains educational records for the department, including entering educational information into Kronos Timekeeper.
• Creates charts, forms, reports, and other documents on PC.

Requirements

• High school diploma or equivalent.
• Previous employment record reflects work stability, as indicated by an average work tenure for previous jobs of at least one (1) year.
• Minimum 2 years of related experience in a healthcare work setting, with exposure to front office responsibilities, insurance verification, and insurance authorizations.

Skills

• Typing and data entry competency.
• Ability to work with minimal direction after training.
• Basic computer skills.
• Insurance terminology and knowledge, pre-certification/authorization process, medical terminology, and ICD 10 knowledge preferred.
• Familiarity with routine office equipment and Microsoft Office.
• Demonstrated professionalism, effective communication skills, and active listening.