Patient Service Representative I Hospital

Department: 10368 Enterprise Revenue Cycle - Summit WI Arrival

Status: Part time

Benefits Eligible: Yes

Hours Per Week: 24

Schedule:
Week 1 (24 hours):
Sun, Wed, Thu 10:30pm-7:00am
Week 2 (24 hours):
Wed, Thu, Sat 10:30pm-7:00am
Every other weekend and rotating holidays

Pay Range: $20.80 - $31.20

• Creates the initial electronic health record that serves as the foundation of the patient medical record utilized by all members of the healthcare team. Prevents the creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with mandatory mandate of the organization’s accrediting bodies to use identifiers to positively identify a patient prior to 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 responsibilities. Obtaining accurate information at the point of registration helps ensure timely payment to the organization and prevents billing issues and patient complaints. Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with the 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 responsibility is needed. Understands and discusses financial information and obligations with patients. Knows when and how to refer patients to Financial Advocates.
• Has knowledge of which rules, forms and questions must be enforced to ensure Advocate Health remains compliant with government agencies and regulations, including HIPAA, EMTALA, Consent for Treatment, Patient Rights and Responsibilities, Medicare Mandatory Mandatory Mandatory, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN). Obtains patient guarantor signatures as required.
• May schedule patient appointments; may also coordinate cancellations, reschedules, wait‑list requests, and recall requests. Provides accurate, detailed information regarding test 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 by demonstrating extraordinary customer service. Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Offers various assistance to patients including arranging transportation needs, providing directions, locating a 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, values, and behaviors.
• Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work. Must 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 patients, visitors, staff, and physicians in a pleasant professional demeanor.
• Educate patients on insurance coverage aspects of their care including managing the discussion for services that 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 protocols related to cash…