Patient Service Representative

• Greet patients arriving for appointments and monitor patient flow
• Complete and update patient registration, demographic, and insurance information
• Verify insurance benefits and obtain, calculate, and collect patient financial liabilities
• Request and collect past-due and current balances or estimates
• Follow financial clearance policies and obtain authorizations when required
• Identify patients needing financial assistance and refer them to financial counselors
• Perform visit closure, check out patients, schedule follow-up appointments, and provide documents
• Maintain knowledge of Medicare, Medicaid, third-party payer requirements, insurance plans, and accepted insurance lists
• Communicate customer service and process improvement issues to management
• Meet productivity and 98% accuracy expectations
• Maintain positive relationships with patients, families, and clinical staff
• Operate equipment necessary to perform the job

Patient Service Representative I

• Greet patients arriving for appointments
• Monitor patient flow to ensure efficient and courteous care
• Complete and maintain accurate patient demographic and insurance information
• Complete registration for walk-in patients and update information as needed
• Verify insurance benefits
• Obtain, calculate and collect out-of-pocket financial liabilities, past-due balances and estimates
• Follow Financial Clearance policy for non-urgent patient services
• Obtain pre-certification or authorization when required
• Identify patients needing financial assistance and refer them to Financial Counselors
• Perform visit closure, including checking out patients and scheduling follow-up appointments
• Provide patients with appropriate documents
• Maintain knowledge of Medicare, Medicaid, third-party payer requirements, insurance guidelines and accepted insurance plans
• Communicate customer service issues and process improvement opportunities to management
• Meet department productivity requirements and a 98% accuracy expectation
• Maintain positive relations with patients, families and clinical staff
• Collaborate with others to ensure concise and timely information flow
• Report to a Supervisor or Manager
• Operate equipment necessary to perform the job

• Register or pre-register scheduled patients for admission, partial hospitalization, and outpatient services
• Verify insurance coverage and obtain authorization, pre-certification, and/or referral for services requiring them
• Coordinate with patients and scheduling departments to reschedule procedures until authorization or patient payment can be arranged
• Request upfront payment of deposits from the responsible party
• Update schedules for cancellations, rescheduling, and other changes on an ongoing basis

Patient Service Representative – PRN

• Greet patients arriving for appointments
• Monitor patient flow to ensure efficient and courteous service
• Collect and validate patient demographic and insurance information
• Register walk-in patients and update information when needed
• Verify insurance benefits and obtain, calculate, and collect patient financial liabilities
• Request and collect past due and present balances or estimates due
• Follow financial clearance policies for non-urgent services
• Identify patients needing financial assistance and refer them to a Financial Counselor
• Perform visit closure, check out patients, schedule follow-up appointments, collect additional patient responsibility, and provide appropriate documents
• Maintain knowledge of Medicare, Medicaid, third-party payer requirements, insurance plans requiring pre-authorization or referral, and accepted insurance plans
• Communicate customer service and process improvement issues to management
• Meet productivity requirements and performance expectations, including a 98% accuracy rate
• Maintain positive public relations with patients, families, and clinical staff
• Collaborate with others to ensure concise and timely information flow

• Complete patient registration duties, including collecting and validating demographic and insurance information
• Obtain pre-certification or authorization as required
• Enter patient information into the Atrium Health Wake Forest Baptist ADT system
• Inform patients of estimated liability and collect patient liabilities
• Identify patients needing financial assistance and refer them to financial counseling
• Greet patients and monitor patient flow
• Complete registration for walk-in patients and update demographic and insurance information
• Verify insurance benefits and calculate and collect out-of-pocket liabilities, past-due balances and estimates
• Follow Financial Clearance policy for non-urgent services when clearance or authorization is incomplete
• Perform visit closure, check out patients, schedule follow-up appointments, collect additional responsibility and provide documents
• Maintain knowledge of Medicare, Medicaid, third-party payer requirements, insurance plans and accepted insurance plans
• Communicate customer service and process improvement issues to management
• Meet productivity and 98% accuracy expectations
• Maintain positive public relations with patients, families and clinical staff
• Collaborate to ensure concise and timely information flow