Patient Service Representative

Patient Service Representative

Location
:
Winston‑Salem, NC

Employment Type
:
Part time

Pay Range
: $20.40 - $30.60 per hour

Hours per Week
: 20

Education
:

• High school diploma or GED required.
• Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.

• Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
• Ensures all patient demographic and insurance information is complete and accurate.
• Completes the registration process on walk‑in patients, verifies and/or updates patient demographic and insurance information if changes or additions have occurred.
• Verifies insurance benefits. Obtains, calculates and collects the patient’s out‑of‑pocket financial liability. Requests and collects past‑due and present balances or estimates due.
• 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.
• Identifies patients in need of financial assistance and refers patients to Financial Counselor.
• 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.
• 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.
• Proactively communicates issues involving customer service and process improvement opportunities to management.
• Meets productivity requirements to ensure excellent service is provided to customers.
• Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
• 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.

• Ability to identify and understand issues and problems; examine data and draw 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.

• Base compensation listed within the pay range based on qualifications, skills, relevant experience, and/or training.
• Premium pay such as shift, on‑call, and more based on job requirements.
• Incentive pay for select positions.
• Opportunity for annual increases based on performance.

• Paid Time Off programs.
• Health and welfare benefits such as medical, dental, vision, life, and short‑ and long‑term disability.
• Flexible…