241 Patient Service Representative Jobs in Chicago, IL
Advocate Health is Hiring a Patient Service Representative Near Chicago, IL
- Responsible for performing all job duties in a way that conforms to our customer service philosopy and consistent with our "AIDET" standards
- 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.
- 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.
- 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.
- 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.
- 5)Hand-patients off to the next area with a clear "thank you."
- When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.
- 4)Collecting appropriate out of pocket expenses in accordance with policy.
- 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.
- 2)When working uninsured patients, screen for urgent status cases and follow charity processedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.
- 3)When assisting walk-in pateints, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.
- Responsible for security authorization and precertification of inpatient and outpatient services.
- 5)Notify Financial Counseling, physicians, Care Coordinators, and Utlilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation
- 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.
- 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians
- 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians
- 8)Initiates communication to patient when authorization is not obtained and explain the potenital financial impact and the patient responsiblity for unauthorized services
- 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines
- 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.
- 2)Stays current of all Federal and State regulations regarding billing.
- 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.
- 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commerical insurance where benefits are at risk
- Responsible the pre-registration and registration accuracy.
- 6)Maintains knowledge of State & Federal regulations governing Medicare, Medicaid and Mental Health registrations.
- 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligiblity record and authorization data
- 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.
- 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.
- 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients
- 5)Generates, assembles and processes all required documents for completion of each registration.
- Participates in departmental team building activities and inservices and other miscellaneous duties as assigned by leader.
- 1)Contributes to the quality initiatives and mission by participating in team projects.
- 2)Attends all required departmental inservices to stay current of all job changes and responsibilities.
- 3)Assist leader in special assignments as may be needed to forfill the mission of the department and the organizaiton.
- High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills aquired through classroom work or through work experience
- Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry
- N/A
- Ability to prioritize and organize workload Sophisticated interviewing, communicaiton and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. ility to work as a team member
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.
Job Summary
Full Time
$39k-50k (estimate)
04/28/2024
05/15/2024
advocatehealthllc.com
VENICE, FL
<25
2015
DARWIN R HALE
$10M - $50M
Skilled Nursing Services & Residential Care
Related Companies
The following is the career advancement route for Patient Service Representative positions, which can be used as a reference in future career path planning. As a Patient Service Representative, it can be promoted into senior positions as an Operating Room Supervisor that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Service Representative. You can explore the career advancement for a Patient Service Representative below and select your interested title to get hiring information.
If you are interested in becoming a Patient Service Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Patient Service Representative for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Patient Service Representative job description and responsibilities
Patient service representatives are sometimes known as patient advocates, patient access specialists or service coordinators.
01/31/2022: Chico, CA
May schedule appointments for a multi-specialty group, and have a working knowledge of providers, understanding systems, processes, and services rendered.
01/20/2022: Akron, OH
Maintains an efficient patient flow through the registration process and provides excellent customer service to patients/families.
02/08/2022: Florence, SC
Patient Service Representatives provide excellent customer service and assist patients by completing general office and registration tasks before and after patient visits.
02/17/2022: Terre Haute, IN
A Patient Service Representative needs to have strong organizational skills along with the ability to think on their feet when faced with new situations that arise throughout each day within a professional medical environment.
02/17/2022: Saginaw, MI
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Patient Service Representative jobs
Open the Patient Service Representative Cover Letter Template.
01/18/2022: Amarillo, TX
Patient confidentiality must remain a primary concern.
01/31/2022: Sioux City, IA
Know how to feel, express and receive gratitude.
02/15/2022: Akron, OH
Ability to establish and maintain and productive working relationships with Faculty, Staff, Administration and patients from various social, cultural and economic backgrounds.
01/02/2022: Norfolk, VA
Deeply familiar with managing patient flow and ensuring that all empty appointment slots are filled according to the facility’s protocol.
01/09/2022: Lafayette, LA
Step 3: View the best colleges and universities for Patient Service Representative.
