Patient Service Representative Hospital

13549 Enterprise Revenue Cycle - Floyd Medical Center GA Arrival Guest Services

Status: Part time

Benefits Eligible: No

Hours Per Week: 0

Schedule Details/Additional Information:

PRN Hours Varied

Pay Range

$20.80 - $31.20

• Creates theinitialelectronic health record that serves as the foundation of the patient medical record that isutilizedby all members of the healthcare team. Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with the mandate of the organization’s accrediting bodies to use identifiers to positivelyidentifya patient prior to the delivery of patient care to ensure patient safety.
• Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtainingaccurateinformation at the point of registration helps ensuretimelypayment to the organization and prevents billing issues and patient complaints. Maintains complete confidentialityregardingpatient personal/financial information and medical recordsin accordance withthe Health Insurance Portability and Accountability Act (HIPAA).
• Knows insurance basics and recognizes commercial and government plans. Understands which plans Advocate Health contracts with and when a statement of financial responsibilityis needed. Understands and discusses financial information and obligations with patients.
  
  Knowshow and when to refer patients to Financial Advocates.
• Has knowledge of which rules, forms and questions must be enforced to make sure Advocate Healthremainscompliant with government agencies and regulations. Examples are HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN).
  
  Obtains patient orguarantorsignatures as required.
• May schedule patient appointments: may also coordinate cancellations, reschedules, wait list requests, and recall requests. Provides accurate, detailed informationregardingtest preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc.
• Creates a welcoming and professional environment for our patients and visitors bydemonstratingextraordinary customer service. Greets patients and visitors andrespondsto routine requests for information. Answers telephone,screens calls, and takes messages. Offers variousassistanceto patients to include arranging transportation needs, providing directions,locatinga wheelchair, coordinating interpreter services, etc.
• Monitors and works assigned electronic health record work queues, following the department’s approved process.

• None

• High School Graduate.

• None

• Demonstrate the Advocate Health purpose,valuesand behaviors.
• Ability to work in a high profile and high stress area, working independently to set and meet deadlines,multitask and prioritize work. Must be able to handle large workloads with many interruptions in a fast-paced environment without direct supervision.
• Strong attention to detail and accuracy.
• Excellent customer service skills in a variety of situations. Must have excellent service recovery skills.
• Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns.
• Excellent communication (written & verbal), customer service and interpersonal skills, ability to effectively communicate with a variety of patients, visitors, staff and physicians in a pleasant professional demeanor.
• Educate patients on the insurance coverage aspect of their care including managing the discussion for services that will not or may not be paid by their health plan.
• Interact with physicians and their staff to resolve issues related to patient care.
• Collect and manage payments including cash payments and follow security related to cash handling.
• Strong understanding and comfort level with computer systems. Demonstrated technicalproficiencyincluding experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, internetbrowserand phone technology.
• Understanding ofbasic medical and insurance terms and abbreviations typically used in the patient scheduling and registration process.
• HIPAA-compliant and knowledgeable of applicable state and federal rules/regulations. Ability to handle sensitive and confidential information according to internal policies.
• General understanding of health insurance:
  Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of…