Advocate Health Care
Patient Service Representative (PSR)
Advocate Health Care, Westmont, Illinois, United States, 60559
Overview
Advocate Health Care is seeking a Patient Service Representative to manage patient orders, billing, equipment tracking, and documentation processes. This role supports revenue recognition, customer service, and equipment maintenance.
Responsibilities
Completes patient order confirmations and modifications for equipment set up after initial ticket printing.
Reviews paperwork for equipment setup packets to ensure all forms are complete, signed, and dated.
Follows up on safety issues documented by drivers with patients, physicians, or management.
Processes service maintenance tickets and schedules future service for rental equipment.
Maintains knowledge of Medicare, Medicaid, HMO, managed care, and Advocate contract procedures.
Verifies authorizations are in place for managed care clients for supplies and purchased items.
Investigates sources of reimbursement.
Proficient in computerized resources and data entry programs for patients with HME/RT needs (OnBase, Fastrack, Carenet, ERMA, Care Connection).
Runs daily Confirmed Orders for Billing Report to identify and correct order entry errors.
Direct bills entry for supply closet items dispensed at off‑site Advocate locations.
Obtains diagnosis codes, reviews billing system, enters charges through Direct Billing entry.
Completes monthly bulk billing to hospital cost centers for Direct Bill items not billed to insurance due to out‑of‑network payer.
Works weekly Open Orders Report to investigate delays in confirmation and revenue collection.
Confirms or deletes open orders after investigation and confirmation service was provided.
Completes daily patient record retention and archive processes.
Prepares documents for scanning, operates scanning equipment, indexes scanned documents, and stores or destroys per instructions.
Prepares and works various reports to maintain accurate account information and status.
Provides customer service support to internal and external customers resolving delivery, equipment, documentation, and reimbursement issues.
Back‑up phone support for all AHCP departments and walk‑in patients.
Other duties as assigned by manager.
Qualifications
Education/Experience Required
High School Diploma
3‑4 years office experience
Understanding of third‑party payors, including Medicare, Medicaid, and private insurance companies
Knowledge of medical terminology preferred
Home‑care experience preferred
Knowledge, Skills & Abilities Required
Strong data entry ability
Strong organization skills
Strong detail orientation
Strong customer service skills
Able to work independently with minimal supervision
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Responsibilities
Completes patient order confirmations and modifications for equipment set up after initial ticket printing.
Reviews paperwork for equipment setup packets to ensure all forms are complete, signed, and dated.
Follows up on safety issues documented by drivers with patients, physicians, or management.
Processes service maintenance tickets and schedules future service for rental equipment.
Maintains knowledge of Medicare, Medicaid, HMO, managed care, and Advocate contract procedures.
Verifies authorizations are in place for managed care clients for supplies and purchased items.
Investigates sources of reimbursement.
Proficient in computerized resources and data entry programs for patients with HME/RT needs (OnBase, Fastrack, Carenet, ERMA, Care Connection).
Runs daily Confirmed Orders for Billing Report to identify and correct order entry errors.
Direct bills entry for supply closet items dispensed at off‑site Advocate locations.
Obtains diagnosis codes, reviews billing system, enters charges through Direct Billing entry.
Completes monthly bulk billing to hospital cost centers for Direct Bill items not billed to insurance due to out‑of‑network payer.
Works weekly Open Orders Report to investigate delays in confirmation and revenue collection.
Confirms or deletes open orders after investigation and confirmation service was provided.
Completes daily patient record retention and archive processes.
Prepares documents for scanning, operates scanning equipment, indexes scanned documents, and stores or destroys per instructions.
Prepares and works various reports to maintain accurate account information and status.
Provides customer service support to internal and external customers resolving delivery, equipment, documentation, and reimbursement issues.
Back‑up phone support for all AHCP departments and walk‑in patients.
Other duties as assigned by manager.
Qualifications
Education/Experience Required
High School Diploma
3‑4 years office experience
Understanding of third‑party payors, including Medicare, Medicaid, and private insurance companies
Knowledge of medical terminology preferred
Home‑care experience preferred
Knowledge, Skills & Abilities Required
Strong data entry ability
Strong organization skills
Strong detail orientation
Strong customer service skills
Able to work independently with minimal supervision
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