Patient Service Representative - Orthopedic Associates - Outpatient Rehab

Patient Service Representative

Work where every moment matters.

Every day, more than 40,000 Hartford HealthCare colleagues come to work with one thing in common: pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.

Hartford HealthCare Rehabilitation Network is the premier rehabilitation provider in Connecticut. We provide rehabilitation services across the continuum - acute care hospitals, long term care facilities, sub-acute rehabilitation, homecare, outpatient centers, and in community settings such as senior centers, work sites, and schools and colleges. We offer over 30 outpatient locations with a variety of specialists, including oncology, women's health, sports medicine, physical therapy, occupational therapy and speech language, we are known for our commitment to high quality, customer focused outcomes.

Position Description

The Patient Service Representative is responsible for providing professional customer service to ensure operational efficiency and promote a positive patient experience. Responsible for patient scheduling, pre-registration, registration, insurance verification, insurance authorization, and ensures patients have been cleared for rehab outpatient office visits. The Patient Service Representative performs a variety of secretarial, billing and clerical duties to include: utilizing the electronic medical record (EMR) to schedule follow up and specialty appointments and process patient charges, coordinating referrals, preparing the proper paperwork and collecting pertinent patient information, answering phones, performing other related duties as assigned. Provides administrative support to the office staff. Requires understanding of rehab procedures, and patient history requirements for rehab procedures.

Responsibilities

• Greets and registers arriving patients, completes registration forms and verifies insurance.
• Answers incoming calls, evaluates priority, and directs calls according to the urgency and subject matter.
• Provides information to new patients prior to visit in accordance with department policies, and enters / updates patient demographics.
• Collects co-payments and office charges as needed and explains office payment billing policies to patients.
• Schedules new patient appointments, and informs patients of essential preparation requirements prior to visit (referrals, medical reports, etc.).
• Schedules follow-up appointments and completes the necessary requisition forms and pre-cert exams.
• Defines and resolves patient/clinician issues/problems, bringing concerns to team lead or manager as necessary.
• Reconciles billing and co-pays; refers payment and insurance problems to Billing Department.
• Keeps and maintains inventory of office or clinical supplies; maintains an orderly reception.
• Provides back-up support to other front desk staff and performs other related duties in support of efficient operations of the site.
• Collaborates with colleagues throughout the system to improve processes, workflow, outcomes, and patient experience.

Qualifications

• High school diploma or equivalent required; Associates' or Bachelor's degree in a clinical or business field preferred.
• 1-2 years in medical or healthcare office; knowledge of healthcare terminology, insurance authorization, and benefits.
• Proficiency in healthcare terminology and billing practices, experience with obtaining authorization and benefits.
• Bilingual (highly preferred).