Patient Service Representative - Evaluation & Treatment Center

Do you have a passion for helping others and a knack for organization? The Evaluation & Treatment Center is seeking a Patient Service Representative to support our front desk operations and provide a welcoming, efficient, and compassionate experience for every patient.

Learn more about the program here:

Benefits & Perks:

• Paid Holidays
• Additional Paid Time Off (PTO)
• Qualifying Non-For-Profit for Federal Student Loan Forgiveness Program (click here to learn more:
• Casual dress code
• Health, dental & vision insurance options
• Free dental insurance
• Paid Employer sponsored life insurance.
• Supplemental insurance programs for additional life insurance, short-term disability, accident & cancer insurance
• Up to $600 every year for completing biometric health screenings on a single health insurance plan & up to $1,200 if a spouse also completes
• Up to $180 annual gym reimbursement
• Take advantage of our Dental & Outpatient Mental Health services while working
• Employee referral program

Pay Range:

• $18.00-$23.00/hour
• Hourly Rate based on relevant years of experience

Job Summary:
The Baker Victory Healthcare Center provides high quality care to our patients. The Patient Service Representative will perform front desk responsibilities related to the check-in, check-out, insurance verification, scheduling of patients, and preparing the office for next day's patients.

Essential Job Duties:

• Maintains a neat and orderly work environment, answering phones, scheduling and confirming appointments, collect appropriate demographic and insurance information from patient or representative; demonstrates friendly, courteous attitude in all communications.
• Using the availability provided by Evaluation and Assessment Specialists, schedules staff to conduct evaluations/assessments.
• Performs administrative duties such as copying correspondence, insurance cards, preparing mailings and the collection and distribution of mail and messages.
• Ensures accurate data entry.
• Managing patient insurance verifications utilizing other 3rd party payer portals verification systems.
• Operating computer using practice management software, internet and other vendor related programs.
• Check patients in and out.
• Runs daily reports consistent with the needs of the center
• Verifies and analyzes insurance plans, benefits, coverage and updates insurance master in software. Communicates appropriate and relevant information to Healthcare Center team.
• Reviews patient accounts and evaluates balances owed; negotiates payment terms collecting outstanding balances prior to next scheduled visit/treatment
• Requests, verifies, and scans prior authorizations/referrals
• Stays abreast of plan coverage changes educating team members
• Coordinates scheduling efforts with department professionals
• Provides follow up notification to patient on approval or denial of coverage; schedules approved procedures
• Post payments and denials
• Utilizes denial reports to assess root causes of claim denials monitor denials for frequency, eligibility, clinical; takes necessary action to correct denial and allow for resubmission. and shares findings with all department stakeholders
• Monitors specific frequency denials and keeps practice leadership informed
• Serves as a Liaison between patient, healthcare professional, and financial team
• Maintains accurate and timely review of clinical documentation against posted charges; engages provider to mitigate documentation and coding errors
• Reconciles daily schedules and charges
• Creates electronic claim for submission to 3rd party payors
• Generates daily reports documenting the history of the daily department clinical documentation activities
• Any other duty as assigned by your Supervisor.

Skills:

Customer skills
Communication skills
Computer skills

Minimum Education Required:
High School Diploma (Associate's Degree preferred)

Minimum Experience Required:
1-2 years of administrative experience, medical office experience preferred

License/Registration/ Certifications Required:
NYS Driver's License

Training Requirements:
New Hire Orientation

Physical Requirements:
Strength: Sufficient to assist with lifting and transferring a patient, and perform CPR
Mobility: Sufficient mobility to bend, stoop, and bend down to the floor; ability to move around rapidly; and to move in small, confined areas.
Hearing: Sufficient to hear through the stethoscope to discriminate sounds; to hear cries for help; to hear alarms on equipment and emergency signals; and various overhead pages.
Vision: Sufficient to make physical assessments of patients and equipment.