Patient Service Specialist IV

  • 107 The Charlotte-Mecklenburg Hospital Authority
  • Atrium Health Wake Forest Baptist - Medical Center Blvd, Winston Salem, NC
  • 1mo ago
  • Full-Time
  • On-site

Department:

70000 WFBMG University Group Practice: WFBMC Main - Administration: Ambulatory Services

Status:

Full time

Benefits Eligible:

Yes

Hours Per Week:

40

Schedule Details/Additional Information:

Monday - Friday 9:00am - 6:00pm

Pay Range

$24.10 - $36.15

EDUCATION/EXPERIENCE: Associate's degree with five years' direct experience required. Bachelor's degree preferred. 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. Medical terminology preferred. Bilingual (Spanish) strongly preferred.

LICENSURE, CERTIFICATION, and/or REGISTRATION: N/A ESSENTIAL FUNCTIONS: 1. Collects Critical Data Elements, registration information, completes related documents, and prioritizes workload. Monitors workload, identifies trends impacting revenue cycle processes and alerts departmental management. 2. Ensures accurate patient identification and addresses sensitive information with confidentiality. 3. Communicates insurance benefits and liabilities with customers. 4. Collects past, current and future payments due and advises customers of financial responsibility and resources. 5. Provides excellent customer service through all interactions and resolves complaints promptly. 6. Works well independently and as part of a team. 7. Accesses hospital systems, office technology, payer websites and other resources for assigned responsibilities. 8. Adheres to the Medical Center's Values and policies while meeting departmental productivity goals and standards. 9. Obtains authorizations, pre-certs, documentation when applicable, referrals, reviews and requests medical record information as necessary. 10. Communicates effectively with various internal and external healthcare team members. Serves as a resource to department management to ensure efficient operations and supervision of staff and is able to provide representation for management in departmental meetings. 11. Takes the initiative to assist staff with escalated customer service and work related issues. Demonstrates a working knowledge of all departments within the Corporate Revenue Cycle. 12. Assists with the development and training of new or less experienced staff. Serves as a highly experienced resource, trainer to staff and other departments as needed by department management. 13. Attends required training classes, seminars and meetings. Actively seeks continuous self-improvement, utilizes critical thinking, and recommends innovative solutions to enhance current work flow processes. 14. Performs additional tasks and special project responsibilities as requested by department management. Working knowledge of departmental and related Medical Center policies. Performs quality review functions as requested by department management.

SKILLS/QUALIFICATIONS: Excellent oral, written, and interpersonal communication skills Problem-solving skills to identify research and assist in resolution of real time issues Exceeds CRC goals consistently and productivity standards based on department requirements Works independently with minimal assistance from leadership Data entry, keyboarding (WPM 45) and calculator skills Strong telephone etiquette Organization and time management skills Critical thinking and decision-making skills Ability to perform analysis Ability to multi-task Identification of system/process improvements Basic mathematical skills Basic understanding of ICD 9/10 and CPT codes Attention to detail Ability to receive constructive criticism and take action Computer skills to include Microsoft products Presents/maintains a professional image WORK ENVIRONMENT: Clinical and office environments Occasional long hours, must be flexible and available to provide staffing assistance for any/all disasters or emergencies

PHYSICAL REQUIREMENTS: 0% 35% 65% to to to 35% 65% 100% N/A Activity X Standing X Walking X Sitting X Bending X Reaching with arms X Finger and hand dexterity X Talking X Hearing X Seeing Lifting, carrying, pushing and or pulling: X 20 lbs. maximum X 50 lbs. maximum X 100 lbs. maximum

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

About Advocate Health 

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.