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Patient Service Representative I Hospital

Atrium Health Floyd, Trion, GA, United States


Status
Part time

Department
13512 Enterprise Revenue Cycle - Floyd Chattooga GA Arrival Emergency Department

Benefits Eligible
No

Hours Per Week
0

Schedule Details/Additional Information
Schedule varies, working as needed

Pay Range
$20.80 - $31.20

Major Responsibilities

Creates the initial electronic health record that serves as the foundation of the patient medical record used 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 delivery of 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 when to refer patients to Financial Advocates.

Has knowledge of which rules, forms and questions must be enforced to keep Advocate Health compliant with government agencies and regulations, such as HIPAA, EMTALA, Consent for Treatment, Patient Rights and Responsibilities, and Medicare related notices. Obtains patient or guarantor signatures as required.

May schedule patient appointments, 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 patients and visitors by demonstrating exceptional customer service. Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages. Offers assistance to patients including 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.

Licensure, Registration, and/or Certification Required
None

Education Required
High School Graduate

Experience Required
None

Knowledge, Skills & Abilities Required

Demonstrate the Advocate Health purpose, values, and behaviors.

Ability to work in a high‑profile, high‑stress area independently, set and meet deadlines, multitask, and prioritize work. 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 patients, visitors, staff, and physicians.

Educate patients on the insurance coverage aspect of their care, including managing discussion for services that 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 secure cash handling.

Strong understanding and comfort level with computer systems; technical proficiency with insurance verification/eligibility tools, EPIC, 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 patient scheduling and registration.

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; ability to articulate Medicare/HIPAA/EMTALA regulations and comply with updates on insurance pre‑certification requirements.

Excellent organizational skills.

Demonstrated ability to effectively act as a resource to other staff.

Physical Requirements and Working Conditions

May require travel, exposure to weather and road conditions.

Respond quickly to patient medical status and emergency situations in clerical areas.

CPR certification may be required based on service location.

Notary training/licensure may be required as appropriate for service line and/or facility.

Operate all equipment necessary to perform the job.

Exposure to a normal office environment with significant patient and public contact; may be exposed to ill or contagious patients.

Must transition from sitting to standing frequently; stand and sit for extended periods and be physically mobile throughout the workday.

Frequently lift up to 10 lbs, occasionally lift 20 lbs or more; push/pull up to 50 lbs with assistance when moving equipment, supplies, or transporting patients.

Escort patients to nursing units or outpatient departments as necessary.

Vision, hearing, and touch requirements; must speak clearly.

Use hands with fine motor skills for keyboard data entry.

May be asked to work a flexible schedule at times to meet department needs.

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

Benefits

Base compensation listed within the pay range based on qualifications, skills, and experience.

Premium pay such as shift, on‑call, and more based on the teammate’s role.

Incentive pay for select positions.

Opportunity for annual increases based on performance.

Paid Time Off programs.

Health and welfare benefits such as medical, dental, vision, life, short‑ and long‑term disability.

Flexible Spending Accounts for eligible health care and dependent care expenses.

Family benefits such as adoption assistance and paid parental leave.

Defined contribution retirement plans with employer match and other financial wellness programs.

Educational Assistance Program.

Job Summary
A Patient Service Representative (PSR) is often a patient’s first impression of Advocate Health and frequently serves as the starting point for all Revenue Cycle functions. The PSR captures complete and accurate patient demographics, insurance coverage, and financial responsibility. The PSR helps prevent loss of revenue and impacts operating margins through accurate and timely workflows. The PSR ensures mandated regulations are followed and patient satisfaction is optimized, playing a crucial role in connecting multiple departments for the overall success of the patient experience and the organization’s financial success. The PSR often works without direct supervision.

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