Patient Services Representative
Company: Atrium Health
Location: High Point
Posted on: November 16, 2023
|
|
Job Description:
Job Description
LOCATION: High Point (1814 Westchester Dr)
JOB SUMMARY:
The Patient Services Representative (PSR) is responsible for
completing patient registration duties including but not limited to
collecting and validating accurate patient demographic and
insurance information, obtaining pre-certification or authorization
as required, and entering all necessary information into Wake
Forest Baptist Medical Center (WFBMC) ADT system. The PSR is
responsible for informing the patient of their estimated liability,
collecting patient liabilities, identifying patients in need of
financial assistance and referring patients to financial counseling
as necessary. This position requires multi-tasking and effective
problem solving skills. It is expected that the PSR will foster
positive relationships with all patients in an effort to provide
quality service.
EDUCATION/EXPERIENCE:
High school diploma or GED required.
Patient access (scheduling, registration and financial clearance),
insurance verification, billing or certified medical assistant
experience preferred.
ESSENTIAL FUNCTIONS:
1. Greets patients arriving for their appointments. Monitors
patient flow to ensure patients are cared for in the most efficient
and courteous manner.
2. Ensures all patient demographic and insurance information is
complete and accurate
3. Completes the registration process on walk-in patients, verifies
and / or updates patient demographic and insurance information if
changes or additions have occurred
4. Verifies insurance benefits. Obtains, calculates and collects
the patients out of pocket financial liability. Requests and
collects past due and present balances or estimates due
5. Follows the Financial Clearance policy for non-urgent patient
services if financial clearance has not been completed or
authorization has not been obtained, when appropriate
6. Identifies patients in need of financial assistance and refers
patients to Financial Counselor
7. Performs visit closure, including but not limited to checking
out patients, scheduling follow-up appointment(s), collecting
additional patient responsibility (when applicable) and providing
patient with appropriate documents.
8. Maintains knowledge of and reference materials of the following:
Medicare, Medicaid and third-party payer requirements, guidelines
and policies, insurance plans requiring pre-authorization/referral
and a list of current accepted insurance plans.
9. Proactively communicates issues involving customer service and
process improvement opportunities to management
10. Meets productivity requirements to ensure excellent service is
provided to customers
11. Meets or exceeds performance expectations of 98% accuracy rate
and established department productivity measurements.
12. Maintains excellent public relations with patients, families,
and clinical staff as well as demonstrates a willingness and
ability to work collaboratively with others for concise and timely
flow of information
SKILLS & QUALIFICATIONS:
Ability to identify and understand issues and problems. Examines
data and draws logical conclusions based on information available
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; presents
a pleasant, professional demeanor and image during telephone
conversation Ability to handle sensitive and confidential
information according to internal policies Ability to read and
interpret documents such as safety rules, operating and maintenance
instructions, and procedure manuals Experience with Microsoft
Outlook, Word and Excel and ADT software Ability to write routine
correspondence, calculate figures and amounts such as discounts and
percentages Must be able to work with minimal supervision, to
problem solve in a high profile and high stress area and interact
positively with all internal and external customers while
possessing the ability to determine priority of work.
WORK ENVIRONMENT:
Exposed to a normal office environment.
Must be able to sit the majority of the workday.
Occasionally lifts up to 10 lbs.
Operates all equipment necessary to perform the job.
#patientservicereprensatative
About Us
Atrium Health Wake Forest Baptist is a pre-eminent academic health
system based in Winston-Salem, North Carolina. Atrium Health Wake
Forest Baptist is part of Advocate Health, which is headquartered
in Charlotte, North Carolina, and is the fifth-largest nonprofit
health system in the United States, created from the combination of
Atrium Health and Advocate Aurora Health. Atrium Health Wake Forest
Baptist's two main components are an integrated clinical system -
anchored by Atrium Health Wake Forest Baptist Medical Center, an
885-bed tertiary-care hospital in Winston-Salem - that includes
Brenner Children's Hospital, five community hospitals, more than
300 primary and specialty care locations and more than 2,700
physicians; and Wake Forest School of Medicine, the academic core
of Atrium Health Enterprise and a recognized leader in experiential
medical education and groundbreaking research that includes Wake
Forest Innovations, a commercialization enterprise focused on
advancing health care through new medical technologies and
biomedical discovery.
Wake Forest Baptist Health, Wake Forest University School of
Medicine and Atrium Health have joined forces in a strategic
combination that will enhance care, transform medical education and
create economic opportunity for countless lives in North Carolina
and beyond. As a part of that combination, the two health systems
will be integrating technology and platforms, including our career
sites.
This means that although you are applying on the Wake Forest
Baptist Health Career Site, you receive communications from the
Atrium Health Recruitment Team. Please know that this is an
expected process, and thanks in advance for your flexibility.
About the Team
Mission, Vision and Culture Commitments
Mission
To improve health, elevate hope and advance healing - for all.
Vision
To be the first and best choice for care.
Culture Commitments
We create a space where all Belong
We Work as One to make great things happen
We earn Trust in all we do
We Innovate to better the now and create the future
We drive for Excellence - always
Keywords: Atrium Health, High Point , Patient Services Representative, Sales , High Point, North Carolina
Click
here to apply!
|