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Atrium Health · 1 day ago

PT 2nd Shift - Cab ED Patient Service Representative Atrium Health Patient Access

Concord, NC

Part-time

Onsite

Entry Level

$20.40/hr - $30.60/hr

2+ years exp

Atrium Health is a leading nonprofit integrated health system in the United States, and they are seeking a part-time Patient Service Representative for the Emergency Department. The role involves greeting patients, managing registrations, verifying insurance coverage, and ensuring compliance with financial procedures to facilitate patient care.

Health CareHospital

Responsibilities

Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our "AIDET" standards

Greet and Acknowledge all patients and family members in a welcoming and prompt manner

Introduce the patient to our services, what they can expect while under our care. Utilize appropriate etiquette in all communications

Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service

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

Hand-patients off to the next area with a clear "thank you."

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

Collecting appropriate out of pocket expenses in accordance with policy

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 eligibility for coverage or issues in in-network status for the patient using Advocate's network

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

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

Responsible for security authorization and precertification of inpatient and outpatient services

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

Maintains knowledge of all stand-alone computer software programs to verify eligibility

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

Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians

Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services

Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines

Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing

Stays current of all Federal and State regulations regarding billing

Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans

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

Responsible the pre-registration and registration accuracy

Maintains knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations

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

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

During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature

Manage incoming and outgoing calls in order to complete pre-registrations with patients

Generates, assembles and processes all required documents for completion of each registration

Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader

Contributes to the quality initiatives and mission by participating in team projects

Attends all required departmental in-services to stay current of all job changes and responsibilities

Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization

Qualification

Patient Access experienceInsurance verificationData entry proficiencyRegulationsCommunication skillsCustomer serviceIndependent decision makingBasic math skillsTyping 25 WPMTeamwork

Required

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

Typing 25 WPM

Basic understanding of web-based systems, proficiency in data entry

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

Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday

Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more

Must be able to push/pull up to 50 lbs. with assistance

Must have functional speech and hearing