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Advocate Health Care

Nonprofit health system delivering comprehensive care

Patient Service Representative 1

Clinical Support & Patient AdministrationConfirmed live in the last 24 hours
Full-timeRome, GA, USA$19.80 - $29.70In-person

About the Job

Requirements

  • A high school diploma or GED is required.
  • Knowledge of Medicare, HIPAA, EMTALA rules and regulations, and 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 used in patient referral, pre-certification, and authorization processes.
  • Ability to handle sensitive and confidential information according to internal policies.
  • Ability to read and interpret safety rules, operating and maintenance instructions, and procedure manuals.
  • Experience with Microsoft Outlook, Word, Excel, and ADT software.
  • Ability to write routine correspondence and calculate figures and amounts such as discounts and percentages.
  • Ability to work with minimal supervision, solve problems in a high-stress area, interact positively with internal and external customers, and determine work priorities.
  • Must be able to sit for the majority of the workday and occasionally lift up to 10 pounds; must operate the equipment necessary to perform the job.

Responsibilities

  • Greet patients arriving for appointments and monitor patient flow to ensure patients are cared for efficiently and courteously.
  • Ensure patient demographic and insurance information is complete and accurate.
  • Register walk-in patients and verify or update their demographic and insurance information when needed.
  • Obtain, calculate, and collect patients’ out-of-pocket financial liability, including past-due and current balances or estimates due.
  • Follow the Financial Clearance policy for non-urgent patient services when financial clearance is incomplete or authorization has not been obtained, when appropriate.
  • Refer patients in need of financial assistance to a Financial Counselor.
  • Complete visit closure by checking out patients, scheduling follow-up appointments, collecting additional patient responsibility when applicable, and providing appropriate documents.
  • Maintain knowledge and reference materials concerning Medicare, Medicaid, and third-party payer requirements, guidelines, and policies; insurance plans requiring pre-authorization or referral; and currently accepted insurance plans.
  • Communicate customer-service issues and process-improvement opportunities to management.
  • Meet productivity requirements and departmental productivity measurements, and meet or exceed the 98% accuracy expectation.
  • Maintain public relations with patients, families, and clinical staff, and collaborate to ensure concise and timely information flow.

Desired Qualifications

  • Patient access experience in scheduling, registration, or financial clearance; insurance verification; billing; or certified medical assistant experience is preferred.

About the Company

Advocate Health Care

Nonprofit health system delivering comprehensive care

Advocate Health Care is a faith-based nonprofit health system serving Illinois and Wisconsin with a network of hospitals, clinics, and providers. It delivers a broad range of medical services using current techniques and ongoing research, coordinated through clinical integration. The organization offers financial advocacy and assistance to help uninsured or underinsured patients manage hospital bills. Its goal is to improve patient care and expand access by combining high-quality medical services, financial support, and a commitment to clinical excellence.

Company size
10,001+
Company stage
Late Stage VC
Total funding
$18M
Headquarters
Oak Brook, IL
Founded
1976

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