Patient Services Representative

Patient Services Representative III

Join Team Tidelands and help people live better lives through better health!

Are you passionate about quality and committed to excellence? Consider joining our Tidelands Health team. As our region's largest health care provider, we are also one of our area's largest employers. More than 2,500 team members at more than 70 Tidelands Health locations bring our healing mission to life each day.

A brief overview :

The purpose of this position is to register all patients needing services and handles all first call resolution for the departments assigned. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The employee will transfer calls as appropriate, and / or make appointments as necessary. For procedures, the employee may pre-register the patient, verifying insurance, etc. In addition, the employee may assist with making referrals. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience. Patient Services Representative III is responsible for scheduling complex, and specialized procedures across multiple EMR modules / platforms (i.e., Surgery, Interventional Radiology, Recurring Services, etc.) and coordinating multiple resources for patient services. Will also perform duties for prior authorization, referrals (incoming / outgoing), good faith estimates, and / or payment collections. Fully competent at performing the common tasks and responsibilities under general supervision, this is the full level of proficiency that all employees are expected to achieve.

What you will do :

• Engage patients throughout the registration process to create a welcoming and positive patient experience. Consistently displays good customer service behaviors to all patients and visitors to promote positive patient experiences. Assist patients to their destination as needed and manage patient visitor flow according to hospital policy and safety guidelines.
• Obtains and accurately enters required information for registration into the electronic health system. Follow prescribed procedures for positive identification and medical record number assignment, so no duplication or wrong patient registrations occur. Reviews demographic and insurance information for completeness, and follows through with correcting any deficiencies, so collection efforts are not delayed due to insufficient or incorrect information.
• Ensures all appropriate signatures are obtained and forms completed including and not limited to the following : Medicare Secondary Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA Privacy Notice, AOB (Assignment of Benefits), Medicare Important Messages etc. Provides information and / or handouts and answers questions on patient rights and responsibilities, HIPAA Privacy Notice, and any financial assistance documentation.
• Thoroughly and accurately documents insurance verification information in the system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and pre-certification information if needed; documents this information in the EHR, electronic health record.

Education Qualifications :

Experience Qualifications :

Skills and Abilities :

Tidelands Health is an equal opportunity employer (EOE). Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.