Patient Service Representative

Patient Service Representative

This job is located at The Retina Group of Washington, Fairfax, VA office, which is part of Prism Vision Group.

The Patient Service Representative is responsible for providing the full scope of a) inbound and outbound access patient interactions and functions whether by telephone, internet or in-person, b) patient scheduling and logistics, c) executing daily workflows including cancellation, missed visit and tickler-recall deployment and d) executing revenue cycle claim scrubbing and missing slip completion.

Compensation Range: 18.00-31.89 (DOE)

Role and Responsibilities

Schedule and accurately complete full registration for patients requesting appointments while adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately and with attention to detail to ensure the highest quality standards.

Initiate pre-registration process and ensure all demographic insurance information is accurate, complete and up to date on patient's chart.

Verification of insurance information, verification of benefits and insurance referral information.

Obtain legal photo identification and (if applicable) insurance card(s) and validate patient identity and coverage prior to services being rendered to ensure patient safety and financial reimbursement.

Adhere to HIPAA standards related to patient privacy and confidentiality.

Assure ease of patient flow through the clinical care process.

Provide patients with all required information regarding appointments and payment policies (e.g. medical records, parking, cash policies, anticipated charges, cancellation policy).

Provide upfront financial counseling services at time of check-in including identifying alternate funding resources and establishing payment plans.

Advise patients of financial obligations and collect funds according to established guidelines.

Act as a liaison/advocate for patients, physicians, and staff in facilitating ease of care. Identify and resolve trouble spots and problem patterns in the provision of care.

Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.

Train other patient services representatives and provide excellent customer service skills.

Comply with company policies and standards.

Minimum Qualifications:

High School Diploma or equivalent required. This position is entry level and requires 0-3 years of medical business office experience.

Physical Demands:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.

Work Environment:

The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires frequent interaction with patients and staff.