Patient Service Rep I Med Ctr

Department: 10479 Revenue Cycle - AMCMP PAS Status: Part time Benefits Eligible: Yes Hours Per Week: 32 Schedule Details/Additional Information: 2nd shift ER. Includes holiday rotation of two holidays per year and every other weekend. 64 hours per pay period, 32 hours per week. Schedule is on a two week rotation/pay period and is as follows: Week 1: Sun: 1500-2300 Mon: Off Tues: 1500-2330 Wed: Off Thurs: 1500-2330 Fri: 1500-2330 Sat: Off Week 2: Sun: Off Mon: Off Tues: 1500-2330 Wed: Off Thurs: 1500-2330 Fri: 1500-2330 Sat: 1500-2300 Manages front desk responsibilities, including greet, check-in, register walk-in patients, answer phones and collect patient responsibility. Reviews and/or obtains demographic and insurance information and collects patient responsibility. Informs the patient of the organization expectation of payment at time of service. Greets and checks in patients arriving for their appointments. Ensures patient information is complete and accurate. Collects patient responsibility as identified in the pre-registration process. 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 patient responsibility and request payment. Communicates to patient the organization expectation of payment at time of service. Identifies patients in need of financial assistance and refers patients to Financial Advocate when necessary. Collaborates with Financial Advocate to coordinate patient’s financial resources and responsibilities including requesting patient to sign a Financial Obligation Form (FOF) or Advanced Beneficiary Notice (ABN) as needed. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner. Performs visit closure, including checking out patients, collecting additional patient responsibility (when applicable) and providing patient with appropriate documents. Schedules patient visits using guidelines established within scheduling system. Assists with new caregiver onboarding. Works assigned EPIC work queues, following the department’s work flow process. 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. Proactively communicates issues involving customer service and process improvement opportunities to management. Maintains knowledge of and reference materials for Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plans requiring pre-authorization/referral and a list of current accepted insurance plans. Scheduled Hours 2nd shift ER, 64 hours per pay period. Licenses & Certifications None Required. Degrees High School Graduate. Required Functional Experience Typically requires 1 year of experience in customer service or clerical/office experience, including answering phones and assisting customers. Knowledge, Skills & Abilities Demonstrated 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/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements.Mathematical aptitude, effective communication skills and critical thinking skills.Understanding of basic human anatomy, medical terminology and procedures for application in the patient referral/pre-certification/authorization processes.Ability to read and interpret documents such as safety rules, operating and maintenance instructions and procedure manuals. Ability to speak effectively to customers or employees of organization, maintaining a pleasant, professional demeanor.Ability to handle sensitive and confidential information according to internal policies.Ability to problem solve in a high profile and high stress area, working independently to set and meet deadlines and prioritize work.Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, Microsoft Office, Internet Explorer and phone technology. Advocate Aurora Health is one of the 10th largest not-for-profit, integrated health systems in the U.S. with nearly 3 million patients served at more than 500 sites of care in Illinois and Wisconsin, including 28 hospitals. We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a variety of specialties. Advocate Aurora Health is one of the 10th largest not-for-profit, integrated health systems in the U.S. with nearly 3 million patients served at more than 500 sites of care in Illinois and Wisconsin, including 28 hospitals. We're redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in a variety of specialties. This is Transformation One shared purpose brought us together. Now, as one of the 10 largest not-for-profit, integrated health systems in the United States, our combined strength and stability drives us forward. Starting with You Caring for nearly 3 million people has inspired a transformation. One in which the patient’s experience guides our vision and empowers us to offer new possibilities in our communities. Reshaping Access What is access? It’s offering more sites of care than any other health system in the Midwest. But there’s a new frontier. Access is exploring the latest technologies to deliver care to patients exactly where they are and exactly when they need it Inspiring Professionals With our dynamically inclusive workforce and strong connections to the places where we live and work, we’ll touch more lives and contribute to stronger and more vibrant communities. Transforming Care We’re redefining the standard for care with world-class doctors and caregivers, innovative solutions, outstanding outcomes, and leading-edge research and clinical trials. Combined, Advocate and Aurora are recognized for clinical excellence in: Cardiovascular Care Neurosciences Gynecology Oncology Pediatrics Primary Care Neurology Geriatrics Trauma Care