Patient Service Representative

Patient Care Coordinator

Responsible for performing all aspects of the patient encounter from scheduling appointments, registering new patients, screening by phone or in person all patients through the check-out process.

Daily Operations

• Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; monitors waiting room activity; maintains clean waiting areas.
• Accurately schedules all patient appointments and return appointments based on physician/dentist or student doctor and medical/dental specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; Verifies financial eligibility of all patients scheduled;
• Obtains necessary authorizations based on patient's insurance requirements; confirms all appointments within 48 hours of scheduled time; reconciles no show patients; schedules revisit appointments as needed; Conducts patient callbacks as directed by providers.
• Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances; assembles, updates, copies and releases records according to medical/dental record protocol.
• Performs other duties as assigned.

Required Skills

• Bilingual (Spanish) preferred but not required.
• Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.
• Ability to work under pressure; skilled at managing multiple priorities.
• Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.
• Knowledge of CPT and ICD9 coding.
• Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.
• Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.

Required Education and Experience

• Bilingual (Spanish) preferred but not required.
• Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.
• Ability to work under pressure; skilled at managing multiple priorities.
• Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.
• Knowledge of CPT and ICD9 coding.
• Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.
• Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.