Patient Service Specialist I PFS

Monday - Friday 830a - 5p

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.

LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A

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 Center's 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

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:

Advocate Health is the third-largest nonprofit, integrated health system in the United States, created from the combination of Advocate Aurora Health and Atrium Health. Providing care under the names Advocate Health Care in Illinois; Atrium Health in the Carolinas, Georgia and Alabama; and Aurora Health Care in Wisconsin, Advocate Health is a national leader in clinical innovation, health outcomes, consumer experience and value-based care. Headquartered in Charlotte, North Carolina, Advocate Health services nearly 6 million patients and is engaged in hundreds of clinical trials and research studies, with Wake Forest University School of Medicine serving as the academic core of the enterprise. It is nationally recognized for its expertise in cardiology, neurosciences, oncology, pediatrics and rehabilitation, as well as organ transplants, burn treatments and specialized musculoskeletal programs. Advocate Health employs 155,000 teammates across 69 hospitals and over 1,000 care locations, and offers one of the nation’s largest graduate medical education programs with over 2,000 residents and fellows across more than 200 programs. Committed to providing equitable care for all, Advocate Health provides more than $6 billion in annual community benefits.