Patient Service Representative, Float Pool

• Greet patients arriving for appointments
• Monitor patient flow to ensure efficient and courteous care
• Complete and maintain accurate patient demographic and insurance information
• Register walk-in patients and update information as needed
• Verify insurance benefits and calculate and collect patient financial liability
• Request and collect past-due and present balances or estimates
• Follow financial clearance policies for non-urgent patient services
• Identify patients needing financial assistance and refer them to a Financial Counselor
• Perform visit closure, including checking out patients and scheduling follow-up appointments
• Provide patients with appropriate documents
• Maintain knowledge of Medicare, Medicaid, third-party payer requirements, insurance plans, pre-authorization/referral requirements, and accepted insurance plans
• Communicate customer service and process improvement issues to management
• Meet productivity requirements and department accuracy standards
• Maintain public relations with patients, families, and clinical staff
• Work collaboratively to support concise and timely information flow
• Report to a Supervisor or Manager

• High school diploma or GED required
• Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred
• Ability to travel/float to Elkin, Mt. Airy, Statesville, and Wilkesboro
• Knowledge of Medicare, HIPAA, EMTALA rules and regulations, and insurance pre-certification requirements
• Mathematical aptitude, effective oral and written communication skills, and critical thinking skills
• Understanding of basic human anatomy, medical terminology, and medical procedures
• Ability to handle sensitive and confidential information according to internal policies
• Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals
• Experience with Microsoft Outlook, Word, Excel, and ADT software
• Ability to write routine correspondence and calculate figures, discounts, and percentages
• Ability to work with minimal supervision and determine work priorities

Demonstrates expertise in patient access processes, including scheduling, registration, and financial clearance, while maintaining compliance with Medicare, Medicaid, and HIPAA regulations. Proficient in managing patient information and financial transactions with a focus on customer service and process improvement.

• Patient Access Management
• Insurance Verification
• Financial Clearance
• Knowledge of Medicare and Medicaid
• Effective Communication Skills

• Patient Registration
• Insurance Verification
• Financial Liability Calculation
• Medical Terminology
• Mathematical Aptitude

• Effective Oral Communication
• Critical Thinking
• Customer Service
• Collaboration
• Attention to Detail

• HIPAA Compliance
• EMTALA Regulations
• Patient Flow Management
• Pre-Authorization Requirements
• Confidential Information Handling

• Microsoft Outlook
• Microsoft Word
• Microsoft Excel
• ADT Software