Apply on Employer Site

Trinity Health MI · 11 hours ago

Patient Service Representative

Ann Arbor, MI

Full-time

Onsite

New Grad, Entry Level

Trinity Health MI is committed to delivering compassionate, person-centered care. The Patient Service Representative is responsible for the accurate collection of patient demographic and financial information, ensuring timely claims submission, and providing excellent service to patients regarding their billing and insurance inquiries.

Hospital & Health Care

Responsibilities

Interviews patients and gathers information to assure accurate and timely claims submission

Interprets information collected to determine and create comprehensive visit-specific billing records

Determines need for and obtains authorization for treatment/procedures and assignment of benefits as required

Provides information to patients concerning hospital policies and regulatory requirements utilizing effective interpersonal and guest-relations skills

Provides assistance to other Health System or physician offices staff regarding registration information and procedures

Determines appropriate payment required at point of registration (deposits, co-pays, minimum charges and non-covered services)

Collects payment at time of registration or check-out

Contacts patients to pre-register prior to clinical services

Verifies insurance coverage for selected services to facilitate cash collection

Obtains insurance benefit forms and completes as required; obtains signatures and approvals; verifies that information is complete and accurate

Utilizes automated systems to obtain and process information (Registration, Medipac, Blue Cross/HART, Medicare/DDE, Care Choices)

Reviews Face Sheets, Patient Identification Forms and related system reports for accuracy; effect error corrections as appropriate

Responds to problems and questions from Medical Records, Clinical Departments or PFS Teams

Reviews and monitors mainframe error reports (Registration and Medipac 299) and effects corrections

Problem-solves charges, registration data (demographic, insurance) relating to patient inquiries

Demonstrates understanding of prevailing regulatory or 3rd party requirements (MS, pre-certification, consent forms, Advance Directive, etc.)

Assists patients or physician office staff by referring to the appropriate sources of information

Identifies opportunities to improve the quality of registration, billing or verification procedures

Provides patient instructions, directions, and assistance with submission of patient-centered claim submission to insurance carriers

Explains accounts to patients; translates billing to patient understanding

Responds to patient questions concerning insurance coverage, benefit coverage for their insurance plans

Demonstrates accountability to follow-up with patients concerning requests for information of action regarding their account

Knows where to obtain information to assist PFS team members, patients, and internal or external customers

Demonstrates team-player abilities and seamless service to patients

Maintains good rapport and cooperative relationships

Approaches conflict in a constructive manner

Helps to identify problems, offer solutions, and participate in their resolution

Qualification

Patient registrationInsurance verificationBilling proceduresInterpersonal skillsProblem-solvingTeam playerConflict resolution

Required

Under general supervision is responsible for the complete and accurate collection of patient demographic and financial information

Registers/checks-in patients, determines preliminary patient or insurance payment obligation, collects cash payments, initiates the billing and re-billings