PFS Patient Service Specialist

JOB SUMMARY:

Provides exceptional customer service by completing patient registration duties. Responsible for collecting and validating accurate patient insurance information, obtaining pre-certification or authorization, and entering all necessary information into Wake Forest Baptist Medical Center (WFBMC) registration system. Informs patient of estimated liability, collects patient liabilities, identifies and refers patients in need of financial assistance to financial counseling as necessary. Fosters positive relationships with peers, patients, family members, and external customers to ensure quality services.

EDUCATION/EXPERIENCE:

High School diploma or GED equivalent. Work experience in a healthcare setting (receptionist, registration, financial assistance, etc.) preferred. Working knowledge of applicable rules, regulations and guidelines governing insurance payers and reimbursement preferred. Bilingual (Spanish) strongly preferred. Computer skills to include word processing required.

ESSENTIAL FUNCTIONS:

1. Collects patient critical data elements, registration information, and completes documents, prioritizing workload.

2. Ensures accurate patient identification and addresses sensitive information with confidentiality.

3. Obtains authorizations, pre-certs, documentation when applicable, referrals, reviews and requests medical record information as necessary.

4. Communicates insurance benefits and liabilities with customers.

5. Collects past, current and future payments due and advises customers of financial responsibility and resources.

6. Provides excellent customer service through all interactions and resolves complaints promptly.

7. Works well independently and as part of a team.

8. Accesses hospital systems, office technology, payer websites and other resources for assigned responsibilities.

9. Adheres to the Medical Centers Values and policies while meeting departmental productivity goals and standards.

10.Communicates effectively with various internal and external healthcare team members.

11.Attends required training classes, seminars and meetings.

12.Performs additional tasks and responsibilities as requested by department management.

SKILLS/QUALIFICATIONS:

Evidence of good interpersonal skills with customer service focus Effective communication skills (oral and written) and creative problem solving Ability to work with Web-based programs to review insurance eligibility and benefits Ability to multi-task Strong math and analytical skills Attention to detail

WORK ENVIRONMENT:

Clinical and office environment Regular exposure to the risk of blood-borne diseases, infectious, and contagious diseases Contact with patients, family members, visitors, co-workers, and medical staff under a wide variety of circumstances. Subject to multiple interruptions Requires working under stressful conditions with providers and patients Handles complaints, settles disputes, and resolves grievances and conflicts Occasionally works irregular hours

Pay Range

Our Commitment to You:

Advocate Health offers a comprehensive suite of Total Rewards: benefits and well-being programs, competitive compensation, generous retirement offerings, programs that invest in your career development and so much more – so you can live fully at and away from work, including:

Compensation

• Base compensation listed within the listed pay range based on factors such as qualifications, skills, relevant experience, and/or training
• Premium pay such as shift, on call, and more based on a teammate's job
• Incentive pay for select positions
• Opportunity for annual increases based on performance

Benefits and more

• Paid Time Off programs
• Health and welfare benefits such as medical, dental, vision, life, and 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