patient service representative

Summit Health

<div><h1 class="jobSectionHeader">About Our Company</h1>
We&rsquo;re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.
Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical, Village Medical at Home, Summit Health, CityMD, and Starling Physicians.
When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all. We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.
Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.<h1 class="jobSectionHeader">
Job Description</h1>
Essential Job functions:<ul><li>
Greets visitors, patients, and families in a friendly professional manner and directs them appropriately.</li><li>
Maintains an efficient patient flow through the registration process and provides excellent customer service to patients/families.</li><li>
Promptly answers the telephone, directs all calls appropriately, takes an accurate message and delivers to the appropriate individual/demonstrates appropriate etiquette.</li><li>
Informs patients of delay in physician schedules, assists with patient comfort while delayed.</li><li>
Posts all self pay charges, collects payments, and provides patient with receipt. Accurately reconciles daily payments.</li><li>
Opens and closes batches properly, accurately reconciles collections, prepares deposits and documents corrections.</li><li>
Scans the insurance card, processes insurance verifications utilizing the on-line system, and updates the patient account. Updates patient information including demographics, insurance, HIPAA forms and financial waivers.</li><li>
Schedules appointments accurately according to department guidelines; using waitlist when applicable. Confirms future appointments as needed. Review Eligibility and Phone report.</li><li>
Schedules and enters orders for diagnostic tests, and procedures, following all appropriate workflows.</li><li>
Reconciles billing slips to daily schedule.</li><li>
Works cooperatively with Patient Care Resources and clinical staff to ensure timely pre-authorizations.</li><li>
Completes referrals according to departmental guidelines and properly enters into the appropriate system.</li><li>
Effectively communicates problems, concerns, or issues to the Office Supervisor / Manager appropriately and promptly</li><li>
Effectively communicates problems, concerns, or issues to the Office Supervisor / Manager appropriately and promptly.</li><li>
Performs various clerical duties such as faxing, photocopying, scanning, filing and mailings.</li><li>
Demonstrates flexibility with various work schedules, covers for other staff when asked including other office locations.</li><li>
Demonstrates the ability to adequately follow downtime procedures.</li></ul>
General Job functions:<ul><li>
Maintains schedule for the PSR/Regs in the dept. Works with the office supervisor and staffing coordinator to obtain coverage as needed.</li><li>
Updates the provider on call schedule on the intranet and forwards this schedule to any outside answering service and communicates any changes to the outside answering service.</li><li>
Trains all new PSR's to the dept.</li><li>
Ensures the buckets in Athena are maintained by staff.</li><li>
Is the contact person to the office for all non clinical issues i.e. facilities, materials management, business office (coding, billing, finance.) and updates office supervisor and provider of any changes, updates, maintenance issues.</li><li>
Collaborates with the office supervisor on performance evaluation for other PSR's</li></ul>
Physical Job Requirements:<ul><li>
Pushing and pulling, taking frequency and weight into consideration.</li><li>
Physical strength to lift heavy objects, carts, or items, taking frequency and weight into consideration.</li><li>
Physical mobility, which includes movement from place to place on the job, taking distance and speed into account.</li><li>
Physical agility, which includes ability to maneuver body while in place.</li><li>
Dexterity of hands and fingers.</li><li>
Balance is maintained during climbing, bending and/or reaching</li><li>
 Endurance (e.g. continuous typing, prolonged standing/bending, walking).</li></ul>
Education, Certification, Computer and Training Requirements:<ul><li>
High School Graduate or GED. Bachelor&rsquo;s/ Associate Degree preferred.</li><li>
Heartsaver within 60 days of hire.</li><li>
Previous PSR experience preferred.</li><li>
Ability to communicate in English, both orally and in writing.</li><li>
Must have excellent customer service skills.</li><li>
Must have accurate computer data entry skills.</li><li>
Must have the ability to organize and perform multiple tasks in a timely manner.</li><li>
Knowledge of medical office and terminology preferred.</li><li>
Previous experience with Standard Office Technology in a Window based environment.</li><li>
Previous office and computer experience preferred.</li><li>
Experience with EHR, Practice Management System and Departmental/Ancillary Systems preferred.</li></ul>
Travel:<ul><li>
Ability to commute to satellite offices as needed.*</li></ul>
Pay Range: $17.55 - $21.30 Hourly
The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.<h1 class="jobSectionHeader"> 
About Our Commitment</h1><h2 class="jobSectionHeader">
Total Rewards at VillageMD</h2>
Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD&rsquo;s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.<h2 class="jobSectionHeader">
Equal Opportunity Employer</h2>
Our Company provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.<h2 class="jobSectionHeader">
Safety Disclaimer</h2>
Our Company cares about the safety of our employees and applicants. Our Company does not use chat rooms for job searches or communications. Our Company will never request personal information via informal chat platforms or unsecure email. Our Company will never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at select Our Company locations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/.</div>

Patient Service Representative - Urology

Atrium Health

<div>Department:
10422 Enterprise Revenue Cycle - Patient Access 
Status:
Part time 
Benefits Eligible:
No 
Hours Per Week:
12 
Schedule Details/Additional Information:
PRN as needed for ER and OP
Pay Range
$17.65 - $26.50
Major Responsibilities:<ul><li>
Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our &quot;AIDET&quot; standards<ul><li>
 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.</li><li>
 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.</li><li>
 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.</li><li>
 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.</li><li>
 5)Hand-patients off to the next area with a clear &quot;thank you.&quot;</li></ul></li><li>
When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.<ul><li>
 4)Collecting appropriate out of pocket expenses in accordance with policy.</li><li>
 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.</li><li>
 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.</li><li>
 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.</li></ul></li><li>
Responsible for security authorization and precertification of inpatient and outpatient services.<ul><li>
 5)Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation</li><li>
 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.</li><li>
 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians</li><li>
 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians</li><li>
 8)Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services</li><li>
 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines</li><li>
 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.</li><li>
 2)Stays current of all Federal and State regulations regarding billing.</li><li>
 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.</li><li>
 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk</li></ul></li><li>
Responsible the pre-registration and registration accuracy.<ul><li>
 6)Maintains knowledge of State &amp; Federal regulations governing Medicare, Medicaid and Mental Health registrations.</li><li>
 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data</li><li>
 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.</li><li>
 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.</li><li>
 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients</li><li>
 5)Generates, assembles and processes all required documents for completion of each registration.</li></ul></li><li>
Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.<ul><li>
 1)Contributes to the quality initiatives and mission by participating in team projects.</li><li>
 2)Attends all required departmental in-services to stay current of all job changes and responsibilities.</li><li>
 3)Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.</li></ul></li></ul> 
Education/Experience Required:<ul><li>
High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience</li></ul> 
Knowledge, Skills &amp; Abilities Required:<ul><li>
Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry</li><li>
N/A</li></ul> 
Physical Requirements and Working Conditions:<ul><li>
Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member</li><li>
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.</li><li>
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.</li><li>
Must be able to push/pull up to 50 lbs. with assistance.</li><li>
Must have functional speech and hearing.</li><li>
Must be able to use hands with fine motor skills for keyboard data entry.</li><li>
Exposed to a normal office environment.</li><li>
Operates all equipment necessary to perform the job.</li><li>
Must be able to work a flexible schedule to support the needs of the department.</li></ul> 
Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. &ndash; I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient&rsquo;s results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed. 
 
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:
Compensation<ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul>
Benefits and more<ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul> 
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
To provide a range of services required to complete the registration activities of scheduled and walk-in patients seeking services in a variety of hospital inpatient, and outpatient settings including but not limited to the emergency room, diagnostic testing and procedures, and admissions to nursing units. Assist patients from time of presenting for care until hand-off to clinical staff for services.</div>

Patient Service Representative I Hospital

<div>Department:
10326 Enterprise Revenue Cycle - Financial Clearance 
Status:
Full time 
Benefits Eligible:
Yes 
Hours Per Week:
40 
Schedule Details/Additional Information:
Monday - Friday
Pay Range
$17.65 - $26.50
Major Responsibilities:<ul><li>
Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our &quot;AIDET&quot; standards<ul><li>
 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.</li><li>
 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.</li><li>
 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.</li><li>
 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.</li><li>
 5)Hand-patients off to the next area with a clear &quot;thank you.&quot;</li></ul></li><li>
When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.<ul><li>
 4)Collecting appropriate out of pocket expenses in accordance with policy.</li><li>
 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.</li><li>
 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.</li><li>
 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.</li></ul></li><li>
Responsible for security authorization and precertification of inpatient and outpatient services.<ul><li>
 5)Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation</li><li>
 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.</li><li>
 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians</li><li>
 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians</li><li>
 8)Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services</li><li>
 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines</li><li>
 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.</li><li>
 2)Stays current of all Federal and State regulations regarding billing.</li><li>
 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.</li><li>
 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk</li></ul></li><li>
Responsible the pre-registration and registration accuracy.<ul><li>
 6)Maintains knowledge of State &amp; Federal regulations governing Medicare, Medicaid and Mental Health registrations.</li><li>
 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data</li><li>
 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.</li><li>
 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.</li><li>
 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients</li><li>
 5)Generates, assembles and processes all required documents for completion of each registration.</li></ul></li><li>
Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.<ul><li>
 1)Contributes to the quality initiatives and mission by participating in team projects.</li><li>
 2)Attends all required departmental in-services to stay current of all job changes and responsibilities.</li><li>
 3)Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.</li></ul></li></ul> 
Education/Experience Required:<ul><li>
High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience</li></ul> 
Knowledge, Skills &amp; Abilities Required:<ul><li>
Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry</li><li>
N/A</li></ul> 
Physical Requirements and Working Conditions:<ul><li>
Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member</li><li>
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.</li><li>
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.</li><li>
Must be able to push/pull up to 50 lbs. with assistance.</li><li>
Must have functional speech and hearing.</li><li>
Must be able to use hands with fine motor skills for keyboard data entry.</li><li>
Exposed to a normal office environment.</li><li>
Operates all equipment necessary to perform the job.</li><li>
Must be able to work a flexible schedule to support the needs of the department.</li></ul> 
Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. &ndash; I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient&rsquo;s results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed. 
 
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:
Compensation<ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul>
Benefits and more<ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul> 
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
To provide a range of services required to complete the registration activities of scheduled and walk-in patients seeking services in a variety of hospital inpatient, and outpatient settings including but not limited to the emergency room, diagnostic testing and procedures, and admissions to nursing units. Assist patients from time of presenting for care until hand-off to clinical staff for services.</div>

<div>Department:
34006 Navicent Health Medical Center - Patient Placement 
Status:
Part time 
Benefits Eligible:
No 
Hours Per Week:
0 
Schedule Details/Additional Information:
PRN - Variable shifts
Pay Range
$17.65 - $26.50
Major Responsibilities:<ul><li>
Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our &quot;AIDET&quot; standards<ul><li>
 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.</li><li>
 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.</li><li>
 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.</li><li>
 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.</li><li>
 5)Hand-patients off to the next area with a clear &quot;thank you.&quot;</li></ul></li><li>
When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.<ul><li>
 4)Collecting appropriate out of pocket expenses in accordance with policy.</li><li>
 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.</li><li>
 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.</li><li>
 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.</li></ul></li><li>
Responsible for security authorization and precertification of inpatient and outpatient services.<ul><li>
 5)Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation</li><li>
 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.</li><li>
 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians</li><li>
 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians</li><li>
 8)Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services</li><li>
 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines</li><li>
 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.</li><li>
 2)Stays current of all Federal and State regulations regarding billing.</li><li>
 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.</li><li>
 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk</li></ul></li><li>
Responsible the pre-registration and registration accuracy.<ul><li>
 6)Maintains knowledge of State &amp; Federal regulations governing Medicare, Medicaid and Mental Health registrations.</li><li>
 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data</li><li>
 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.</li><li>
 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.</li><li>
 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients</li><li>
 5)Generates, assembles and processes all required documents for completion of each registration.</li></ul></li><li>
Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.<ul><li>
 1)Contributes to the quality initiatives and mission by participating in team projects.</li><li>
 2)Attends all required departmental in-services to stay current of all job changes and responsibilities.</li><li>
 3)Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.</li></ul></li></ul> 
Education/Experience Required:<ul><li>
High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience</li></ul> 
Knowledge, Skills &amp; Abilities Required:<ul><li>
Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry</li><li>
N/A</li></ul> 
Physical Requirements and Working Conditions:<ul><li>
Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member</li><li>
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.</li><li>
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.</li><li>
Must be able to push/pull up to 50 lbs. with assistance.</li><li>
Must have functional speech and hearing.</li><li>
Must be able to use hands with fine motor skills for keyboard data entry.</li><li>
Exposed to a normal office environment.</li><li>
Operates all equipment necessary to perform the job.</li><li>
Must be able to work a flexible schedule to support the needs of the department.</li></ul> 
Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. &ndash; I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient&rsquo;s results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed. 
 
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Our Commitment to You:
Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more &ndash; so you can live fully at and away from work, including:
Compensation<ul><li>
Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training</li><li>
Premium pay such as shift, on call, and more based on a teammate's job</li><li>
Incentive pay for select positions</li><li>
Opportunity for annual increases based on performance</li></ul>
Benefits and more<ul><li>
Paid Time Off programs</li><li>
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability</li><li>
Flexible Spending Accounts for eligible health care and dependent care expenses</li><li>
Family benefits such as adoption assistance and paid parental leave</li><li>
Defined contribution retirement plans with employer match and other financial wellness programs</li><li>
Educational Assistance Program</li></ul> 
About Advocate Health
Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation&rsquo;s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.
To provide a range of services required to complete the registration activities of scheduled and walk-in patients seeking services in a variety of hospital inpatient, and outpatient settings including but not limited to the emergency room, diagnostic testing and procedures, and admissions to nursing units. Assist patients from time of presenting for care until hand-off to clinical staff for services.</div>

Patient Service Representative I Patient Placement | PRN

Norton Healthcare

<div>Responsibilities:
<div>
The Pre Service representative sets the patient&rsquo;s expectation and ensures a positive patient experience for upcoming surgical procedures and diagnostic tests by completing pre-registration and accurately and efficiently handling the day-to-day operations relating to financial clearance for the hospital system including adult and pediatric acute facilities and diagnostic centers. The pre service representative also initiates authorizations for non-scheduled hospital admissions as well as scheduled procedures as assigned. The pre service representative utilizes multiple systems simultaneously and works in a fast paced, productivity driven call center environment accepting inbound calls promptly and making outbound calls in a professional and courteous manner and independently works to resolve patient and provider questions related to referrals, pre-authorizations, and insurance verification. The representative possesses strong telephone communication and computer skills, problem-solving abilities, and demonstrates the highest level of customer service for all patients, providers, and other team members.</div>
Qualifications:
<div>
Required:</div><ul><li>
One year in Patient Registration, Insurance Verification, or Authorizations</li></ul><div>
Desired:</div><ul><li>
Three years Patient Access</li><li>
High School Diploma or GED</li></ul></div>

Pre-Service Representative, Days

MedMark Treatment Centers

<div><div>Full Time - Patient Access Representative / Patient Account Representative
</div><div>MedMark Treatment Center is looking for hard-working and conscientious Patient Access Representative / Patient Account Representative to perform various administrative tasks with a keen eye for detail. The patient account representative is primarily responsible for patient billing, including verification of invoice information, maintenance of third party billing records, and resolution of a variety of problems.</div><div></div><div> 
Responsibilities:
</div><ul><li>Review, maintain, and process fiscal/account records and transactions related to patient&rsquo;s accounts.</li><li>
Verify insurance benefits and billing information by terminal and/or telephone. Annotate accounts with insurance coverage and estimated patient shares.</li><li>
Contact third party payers (insurance providers and state/federal agencies) for payment post billing.</li><li>
Resolve issues with payment and billing, authorization process.</li><li>
Reconcile daily money collected.</li><li>
Forward information as appropriate to expedite payment.</li><li>
Maintain accurate accounts, i.e. required signatures, proper account annotation, current demographics, and correspondence.</li><li>
Insure completion of pre-authorization process by inquiry and referral to clinician.</li><li>
Monitor insurance authorizations and claim rejections.</li><li>
Maintains fiscal records and/or worksheets for all calculations, extensions, and verifications related to record keeping for assigned patient&rsquo;s accounts.</li><li>
Perform tasks consistent with authorization and billing requirements.</li><li>
Contact patients for payment of account or payment arrangements according to current policy.</li><li>
Manage revenue cycle, production logs, balances and collections for self-pay clients.</li><li>
Maintain confidentiality of patient records.</li><li>
Assists with archiving discharged files, including archiving</li><li>
Respond appropriately to requests for information regarding accounts from payer, attorney, and others.</li><li>
Backup Receptionist as needed by: Checking in patients, collecting payments, answering phones, scheduling intakes, and data entry.</li><li>
Other duties, as assigned.</li></ul><div>
Qualifications:</div><ul><li>
High school diploma or equivalent with at least 2 years&rsquo; prior experience in a medical office setting.
</li><li>2-4 years&rsquo; experience with Medicaid and PAC and commercial insurance (preferred)</li><li>
Excellent customer service skills and professional public presentation skills, including telephone etiquette.</li><li>
Knowledge of medical insurance claims procedures, documentation and records maintenance.
</li><li>Knowledge of medical billing procedures, gather and compile data into reports.</li><li>
Proficient in basic PC skills. Microsoft Word and Excel preferred.</li><li>
Ability to communicate effectively, both orally and in writing.</li><li>
Self-directed with the ability to work with little supervision.</li><li>
Ability to understand and follow oral and written directions, establish and maintain effective working relationships with patients, program management, medical staff, counselors and peers.</li><li>
Ability to work with a diverse population, manage stressful situations and exhibit excellent customer service skills.</li><li>
Satisfactory drug screen and criminal background check.
</li></ul><div>Salary Range:
</div>Salary ranges from $16.36 to $17.36 an hour.
The salary of the candidate(s) selected for this role will be set based on a variety of factors, including but not limited to, experience, education, specialty and training.<div>
BayMark offers excellent benefits:
</div><ul><li>401K match</li><li>
Medical, Dental, Vision Insurance</li><li>
Accident Injury, Hospital Indemnity and Critical Illness Plans
</li><li>Company paid Short &amp; Long Term Disability</li><li>
Company paid Basic Life Insurance</li><li>
Paid Time Off</li><li>
Bereavement Leave</li><li>
Flexible Sick Time</li><li>
Employee Referral Program</li></ul><div>
Total compensation goes beyond the value on the paycheck. Please consider the total compensation package by contacting us at BayMark Health Services for more information.</div><div></div><div> 
Here is what you can expect from us:</div><div>
MedMark Treatment Center a progressive substance abuse treatment organization, is committed to the highest quality of patient care in a comfortable outpatient clinic setting. Our ultimate goal is to address the physical, emotional, and mental aspects of opioid use disorder to help each of our patients achieve long-term recovery and an improved quality of life.</div><div> 
</div><div>MedMark Treatment Center is committed to Equal Employment Opportunity (EEO) and to compliance with all Federal, State and local laws that prohibit employment discrimination on the basis of race, color, age, natural origin, ethnicity, religion, gender, pregnancy, marital status, sexual orientation, citizenship, genetic disposition, disability or veteran&rsquo;s status or any other classification protected by State/Federal laws.</div></div><div></div>

Patient Access Representative

Elora Aesthetic Polyclinic

Job Offer: Call Center Representative (Minimum of 2 years Clinic Experience Required)Location: Dubai, United Arab Emirates, Jumeirah, Al Wasl RoadClinic: Elora Aesthetic PolyclinicAbout UsElora Aesthetic Polyclinic is a premium multi-disciplinary clinic located in Jumeirah, Dubai, offering advanced Aesthetic,Surgical, Dental,Physiotherapy and wellness services. We pride ourselves on delivering exceptional patient experience, luxurious atmosphere, and professional excellence.Position OverviewWe are looking for a Call Center Representative with previous experience in medical or aesthetic clinics. The ideal candidate will handle patient inquiries, appointment scheduling, follow-ups, and provide outstanding customer service that reflects the clinic&rsquo;s high standards.ResponsibilitiesAnswer incoming calls, WhatsApp messages, and online inquiries professionally and promptlySchedule and confirm patient appointments and follow ups using clinic CRM systemProvide accurate information about services, offers, and doctors&rsquo; availabilityFollow up with patients regarding their bookings, feedback, and after-careMaintain confidentiality and professionalism at all timesCoordinate closely with the reception and marketing teams to ensure smooth communicationResponsible platforms are: Website, Email, WhatsApp, Instagram Direct message and phone calls.RequirementsProven experience as a Call Center Representative or Receptionist in a medical or aesthetic clinic (minimum 2 year preferred) + good standing certificateStrong communication skills in English and ArabicCustomer-oriented attitude and ability to multitaskFamiliarity with clinic software and CRM systemsPleasant, confident phone manner and professional presentationJob Type: Full-timePay: Up to AED7,000.00 per monthExperience:<ul><li>Clinics : 2 years (Required)</li></ul>Language:<ul><li>ARABIC (Required)</li></ul>License/Certification:<ul><li>Good Standing Certificate (Required)</li></ul>

Call Center Representative

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