PFS Patient Svc Specialist IV, Patient Access

PFS Patient Svc Specialist IV

Position Highlights: 

• Shift Schedule: Full Time (40 hours), Monday-Friday
• Department: Patient Access
• Location:  Atrium Health Wake Forest Baptist 

What We Offer: 

• Generous PTO: Accrue up to 25 days/year, to be used for vacations, sickness, holidays, and personal matters.
• Education Reimbursement: We invest in your professional growth, offering up to $2,500 per year towards a bachelor’s degree and up to $5,000 per year towards a graduate degree.
• Wellness Incentives: Take advantage of up to $1,350 per year in wellness incentives through our LiveWELL program, prioritizing your well-being.
• Parental Benefits: We understand the importance of family, providing six weeks of paid birthing-mother maternity leave and four weeks of paid parental leave.
• Retirement: Secure your financial future with up to 7% employer-paid retirement contributions.

What You'll Do: Provides exceptional customer service by performing all registration, HIM, scheduling, reception, and financial functions with accuracy. May float to various operational sites within WFBMC Corporate Revenue Cycle (CRC). Expedites and provides healthcare access by obtaining accurate critical data elements from a variety of sources (e.g. patients, families, physicians, etc.). Ensures reimbursement for services rendered through verification of insurance and benefits and timely authorizations and pre-certs. Identifies, informs, and collects patient's financial obligations. Identifies and refers patients seeking financial assistance to the appropriate internal departments and external agencies. Fosters positive relationships with all patients and family members, peers as well as external customers to ensure quality services. This position requires multi-tasking and effective problem solving skills. 

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. 

What You'll Need:

• Associate's degree 
• 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. 

The ideal candidate will also possess the following skills:

• Excellent oral, written, and interpersonal communication skills 
• Problem-solving skills to identify research and assist in resolution of real time