Patient Service Representative Job at Advocate Health Care (Lexington)

Job Responsibility

Greets patients arriving for their appointments
Monitors patient flow
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
Verifies insurance benefits
Obtains, calculates and collects the patients out of pocket financial liability
Follows the Financial Clearance policy for non-urgent patient services
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 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
Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements
Maintains excellent public relations with patients, families, and clinical staff

High school diploma or GED required
Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred
Ability to identify and understand issues and problems
Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations
Mathematical aptitude, effective oral and written communication skills and critical thinking skills
Understanding of basic human anatomy, medical terminology and procedures
Ability to speak effectively to customers or employees
Ability to handle sensitive and confidential information
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

Paid Time Off programs
Health and welfare benefits such as medical, dental, vision, life, and Short- and Long-Term Disability
Flexible Spending Accounts for eligible health care and dependent care expenses
Family benefits such as adoption assistance and paid parental leave
Defined contribution retirement plans with employer match and other financial wellness programs
Educational Assistance Program