Patient Service Representative III, FT - Evenings

Overview

At Atrium Health Wake Forest Baptist, we take pride in offering a dynamic and fulfilling work environment. Joining our team means becoming an essential part of a leading healthcare institution that is committed to providing exceptional patient care and advancing medical research.

Position Highlights: 

• Shift Schedule:  Full Time, Evening schedule -  may include holidays
• Department:   Patient Access
• Location:  Davie, NC

What We Offer:

• Day 1 Health Coverage: Amazing health insurance with the option of copay or HSA eligible plans
• Wellness Incentives: Up to $1,350/year in wellness incentives through our LiveWELL program
• Education: Eligible for our Prepaid College Tuition Assistance program (up to $5,250/year)!
• Parental Benefits: Six weeks paid birthing-mother maternity leave & four weeks paid parental leave
• Retirement: Up to 7% employer-paid retirement contributions

Requirements:

• High School Diploma or GED 
• Three years of experience working in a role within a customer service, fast paced environment with high volume of either calls or in-person requests; or an equivalent combination of education and experience

The Successful Candidate will assume responsibility for a variety of functions, which include, but are not limited to:

• Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems. Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
• Verify insurance coverage and obtains authorization for all services requiring pre-certification.
• Process internal and out-going referrals, as needed, per department procedures
• Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
• Collect and process upfront deposits or set-up payment arrangements, as required.
• Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
• Assist other team members where necessary
• Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
• Complete assigned registration functions within multi-specialty clinic and/or emergency department, which may include claim edit work queues, pre-certifications and authorizations.
• The Patient Services Representative III is expected to sequence multiple physician visits and complete registration activities within multiple registration platforms
• Assists team with escalated issues, trains other team members as needed and is a subject matter expert.
• Participate in departmental performance improvement initiatives
• Other duties as assigned or requested by Supervisor or Manager, such as acting as back up in other departments
• Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served.