PFS Patient Svc Specialist I
PFS Patient Svc Specialist I
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Not Disclosed
Salary Not Disclosed
1 Vacancy
Job Description
JOB SUMMARY:
Provides exceptional customer service by completing patient registration duties. Responsible for collecting and validating accurate patient insurance information obtaining precertification 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 precerts 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 Webbased programs to review insurance eligibility and benefits Ability to multitask Strong math and analytical skills Attention to detail
WORK ENVIRONMENT:
Clinical and office environment Regular exposure to the risk of bloodborne diseases infectious and contagious diseases Contact with patients family members visitors coworkers 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
Required Experience:
Unclear Seniority
Employment Type
Full-Time
