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    Patient Service Representative, Lexington Medical Center - Atrium Health

    Atrium Health
    Atrium Health Lexington, United States

    2 weeks ago

    Atrium Health background
    Description

    Job Description




    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.



    EDUCATION/


    EXPERIENCE:


    High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.


    REPORTS TO:
    Supervisor or Manager


    LICENSURE, CERTIFICATION, and/or REGISTRATION:

    N/A


    ESSENTIAL FUNCTIONS:


    • Greets patients arriving for their appointments. Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner. 2. Ensures all patient demographic and insurance information is complete and accurate 3. Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred 4. Verifies insurance benefits. Obtains, calculates and collects the patient?s out of pocket financial liability. Requests and collects past due and present balances or estimates due 5. Follows the Financial Clearance policy for non-urgent patient services if financial clearance has not been completed or authorization has not been obtained, when appropriate 6. Identifies patients in need of financial assistance and refers patients to Financial Counselor 7. Performs 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. 8.
    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.

    9. Proactively communicates issues involving customer service and process improvement opportunities to management 10. Meets productivity requirements to ensure excellent service is provided to customers 11. Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements. 12. 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


    About Us

    Atrium Health Wake Forest Baptist is a pre-eminent academic health system based in Winston-Salem, North Carolina.

    Atrium Health Wake Forest Baptist is part of Advocate Health, which is headquartered in Charlotte, North Carolina, and is the fifth-largest nonprofit health system in the United States, created from the combination of Atrium Health and Advocate Aurora Health.

    Atrium Health Wake Forest Baptist's two main components are an integrated clinical system - anchored by Atrium Health Wake Forest Baptist Medical Center, an 885-bed tertiary-care hospital in Winston-Salem - that includes Brenner Children's Hospital, five community hospitals, more than 300 primary and specialty care locations and more than 2,700 physicians; and Wake Forest School of Medicine, the academic core of Atrium Health Enterprise and a recognized leader in experiential medical education and groundbreaking research that includes Wake Forest Innovations, a commercialization enterprise focused on advancing health care through new medical technologies and biomedical discovery.

    Wake Forest Baptist Health, Wake Forest University School of Medicine and Atrium Health have joined forces in a strategic combination that will enhance care, transform medical education and create economic opportunity for countless lives in North Carolina and beyond.

    As a part of that combination, the two health systems will be integrating technology and platforms, including our career sites.

    This means that although you are applying on the Wake Forest Baptist Health Career Site, you receive communications from the Atrium Health Recruitment Team.

    Please know that this is an expected process, and thanks in advance for your flexibility.


    About the Team

    Mission, Vision and Culture Commitments

    Mission

    To improve health, elevate hope and advance healing - for all.

    Vision

    To be the first and best choice for care.

    Culture Commitments

    We create a space where all Belong

    We Work as One to make great things happen

    We earn Trust in all we do

    We Innovate to better the now and create the future

    We drive for Excellence - always


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