Department:
01450 WFBMG Wake Forest Health Network: Greensboro Northwest - Pediatrics: General
Status:
Full time
Benefits Eligible:
Yes
Hou rs Per Week:
40
Schedule Details/Additional Information:
Monday-Friday, Clinic Hours
Alternating Saturdays
Pay Range:
$20.80 - $31.20
Job Summary: The Patient Services Representative (PSR) is responsible for completing patient registration duties including but not limited to collecting and validating accurate patient demographic and insurance information, obtaining pre-certification or authorization as required, and entering all necessary information into Wake Forest Baptist Medical Center (WFBMC) ADT system. The PSR is responsible for informing the patient of their estimated liability, collecting patient liabilities, identifying patients in need of financial assistance and referring patients to financial counseling as necessary. This position requires multi-tasking and effective problem solving skills. It is expected that the PSR will foster positive relationships with all patients in an effort to provide quality service.
What You'll Need:
High school diploma or GED required.
Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.
What You'll Do:
Greet patients arriving for their appointments. Monitor patient flow to ensure patients are cared for in the most efficient and courteous manner. Ensure all patient demographic and insurance information is complete and accurate
Complete the registration process on walk-in patients, verify and/or update patient demographic and insurance information if changes or additions have occurred
Verify insurance benefits. Obtain, calculate and collect the patient's out of pocket financial liability. Request and collect past due and present balances or estimates due
Follow the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate
Identify patients in need of financial assistance and refers patients to Financial Counselor
Perform 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.
Maintain 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 communicate issues involving customer service and process improvement opportunities to management
Meet productivity requirements to ensure excellent service is provided to customers
Meet or exceed performance expectations of 98% accuracy rate and established department productivity measurements.
Maintain 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
Skills for Success:
Ability to identify and understand issues and problems.
Examine data and draw 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…