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Advocate Aurora Health · 11 hours ago

Patient Service Representative I

Aurora St Lukes Medical Center - 2900 W Oklahoma Ave

Full-time

Onsite

New Grad, Entry Level

$20.80/hr - $31.20/hr

0+ years exp

Advocate Aurora Health is the third-largest nonprofit integrated health system in the United States, and they are seeking a Patient Service Representative I. This role involves creating electronic health records, checking in and registering patients, and providing excellent customer service while ensuring compliance with healthcare regulations.

Health Care

Responsibilities

Creates the initial electronic health record that serves as the foundation of the patient medical record that is utilized by all members of the healthcare team. Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with the mandate of the organization’s accrediting bodies to use identifiers to positively identify a patient prior to the delivery of patient care to ensure patient safety

Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtaining accurate information at the point of registration helps ensure timely payment to the organization and prevents billing issues and patient complaints. Maintains complete confidentiality regarding patient personal/financial information and medical records in accordance with the Health Insurance Portability and Accountability Act (HIPAA)

Knows insurance basics and recognizes commercial and government plans. Understands which plans Advocate Health contracts with and when a statement of financial responsibility is needed. Understands and discusses financial information and obligations with patients. Knows how and when to refer patients to Financial Advocates

Has knowledge of which rules, forms and questions must be enforced to make sure Advocate Health remains compliant with government agencies and regulations. Examples are HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN). Obtains patient or guarantor signatures as required

May schedule patient appointments: may also coordinate cancellations, reschedules, wait list requests, and recall requests. Provides accurate, detailed information regarding test preparations, patient arrival time, medication/food/beverage consumption guidelines, check-in procedures, directions to facility, etc

Creates a welcoming and professional environment for our patients and visitors by demonstrating extraordinary customer service. Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Offers various assistance to patients to include arranging transportation needs, providing directions, locating a wheelchair, coordinating interpreter services, etc

Monitors and works assigned electronic health record work queues, following the department’s approved process

Qualification

Customer serviceInsurance knowledgeElectronic health record (EHR)Attention to detailCommunication skillsProblem-solving skillsMultitaskingTechnical proficiencyHIPAA knowledgeOrganizational skillsInterpersonal skills

Required

High School Graduate

Demonstrate the Advocate Health purpose, values and behaviors

Ability to work in a high profile and high stress area, working independently to set and meet deadlines, multitask and prioritize work. Must be able to handle large workloads with many interruptions in a fast-paced environment without direct supervision

Strong attention to detail and accuracy

Excellent customer service skills in a variety of situations. Must have excellent service recovery skills

Demonstrated independent thinking and problem-solving skills, ability to exercise judgment to triage issues and concerns

Excellent communication (written & verbal), customer service and interpersonal skills, ability to effectively communicate with a variety of patients, visitors, staff and physicians in a pleasant professional demeanor

Educate patients on the insurance coverage aspect of their care including managing the discussion for services that will not or may not be paid by their health plan

Interact with physicians and their staff to resolve issues related to patient care

Collect and manage payments including cash payments and follow security related to cash handling

Strong understanding and comfort level with computer systems. Demonstrated technical proficiency including experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, internet browser and phone technology

Understanding of basic medical and insurance terms and abbreviations typically used in the patient scheduling and registration process

HIPAA-compliant and knowledgeable of applicable state and federal rules/regulations. Ability to handle sensitive and confidential information according to internal policies

General understanding of health insurance: Medicare, Medicaid, managed care, and commercial payers. Knowledge and ability to articulate explanations of Medicare/HIPAA/EMTALA rules and regulations and comply with updates on insurance pre-certification requirements

Excellent organizational skills

Demonstrated ability to effectively act as a resource to other staff

Preferred

Preferred: experience with insurance verification/eligibility tools, EPIC electronic medical record, patient liability estimation tools, electronic email, Microsoft Office, Internet and phone technology