Patient Service Representative 1

Major Responsibilities Creates theinitialelectronic health record that serves as the foundation of the patient medical record that isutilizedby all members of the healthcare team. Prevents creation of duplicate medical records that can cause treatment safety issues and billing problems. Follows and ensures compliance with the mandate of the organization’s accrediting bodies to use identifiers to positivelyidentifya patient prior to the delivery of patient care to ensure patient safety. Checks in and registers patients; obtains and verifies complete demographic, guarantor, and insurance information; discusses and collects co-pays and other out-of-pocket patient responsibilities. Obtainingaccurateinformation at the point of registration helps ensuretimelypayment to the organization and prevents billing issues and patient complaints. Maintains complete confidentialityregardingpatient personal/financial information and medical recordsin accordance withthe Health Insurance Portability and Accountability Act (HIPAA). Knows insurance basics and recognizes commercial and government plans. Understands which plans Advocate Health contracts with and when a statement offinancial responsibilityis needed. Understands and discusses financial information and obligations with patients.Knowshow and when to refer patients to Financial Advocates. Has knowledge of which rules, forms and questions must be enforced to make sure Advocate Healthremainscompliant with government agencies and regulations. Examples are HIPAA, Emergency Medical Treatment and Active Labor Act (EMTALA), Consent for Treatment, Patient Rights and Responsibilities, Important Message from Medicare (IMM), Medicare Outpatient Observation Notice (MOON), Notice of Privacy Practices, Medicare Secondary Payer Questionnaire (MSPQ), Advanced Beneficiary Notice (ABN). Obtains patient orguarantorsignatures asrequired. May schedule patient appointments: may also coordinate cancellations, reschedules, wait list requests, and recall requests. Providesaccurate, detailed #J-18808-Ljbffr