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Advocate Aurora Health · 1 day ago

Bilingual Patient Service Representative I, Winston-Salem

Atrium Health Wake Forest Baptist - Medical Center Blvd, Winston Salem, NC

Full-time

Onsite

New Grad, Entry Level

$20.40/hr - $30.60/hr

Advocate Aurora Health is the third-largest nonprofit, integrated health system in the United States, and they are seeking a Bilingual Patient Service Representative I. The PSR is responsible for patient registration duties, ensuring the accuracy of patient information, collecting liabilities, and providing excellent customer service to patients.

Health Care

Responsibilities

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

Qualification

BilingualPatient access experienceInsurance verificationMicrosoft OfficeCritical thinking

Required

High school diploma or GED required

Bilingual

Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred

Ability to identify and understand issues and problems

Examines data and draws 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

Preferred

Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred