Patient Services Representative

Job Description

Job Description

As a Medical Patient Services Representative, you will provide professional customer service by greeting and registering patients in a prompt, pleasant, and helpful manner. Additionally, in this position you will maintain patient confidentiality and ensure compliance with HIPAA policies and procedures.

ESSENTIAL DUTIES & RESPONSIBILITIES

• Greets patients in a prompt, pleasant, and helpful manner and provides any necessary instructions/directions.

• Obtains and enters new patient demographics and updates patient information, as necessary, in the EHR to maintain accuracy.

• Researches, enters, and updates all information needed to complete Billing process. This involves verifying income for self-pay patients, verifying insurance and Medicaid coverage, and verifying eligibility to various programs that affect the Billing process.

• Collects all co-pays, balances, and pre-payments as required by office policies. Distributes copies of receipts to patients. Understands and can apply payments to balances.

• Balances charges and receipts at end of each shift.

• Enters preferred pharmacy information.

• Preps accounts

• Schedule appointments according to clinic policy and provider notes, including walk-in patients, and requests over the phone. Enters appointment into online scheduling system appropriately.

• Call patients to preregister and confirm appointments, as needed, including updating demographic and pay source information.

• Scans all documents into EHR in a timely manner and ensures electronic record is complete.

• Works in conjunction with other Patient Services Representatives to promote a “Team Effort”.

• Attends and participates in meetings and in-services as required. Participates in professional development activities. Serves on committees as requested.

• Performs duties in accordance with NHC Standards of Conduct and Mission Statement.

• Performs related work as required and other duties (similar physical requirements and OSHA risk level) as assigned.

REQUIRED SKILLS / ABILITIES

• Medical – demonstrates a working knowledge of medical office procedures, medical records, medical appointment

scheduling, and third-party payer systems; maintains knowledge of, and acts in accordance with, current NHC policies and procedures.

• Problem solving-identifies and resolves problems in a timely manner and gathers and analyzes information skillfully.

• Interpersonal skills - maintains confidentiality, remains open to others’ ideas and exhibits willingness to try new things; maintains friendly and supportive relationships with coworkers; talks through problems to keep channels of communication open and maintain a high level of trust; realizes the importance of, and practices, good customer service; and able to communicate effectively with people of varying cultures, socio-economic backgrounds, languages, and educational levels.

• Oral communication - speaks clearly and persuasively in positive or negative situations, demonstrates group presentation skills.

• Written communication - edits work for spelling and grammar, presents numerical data effectively and can read and interpret written information.

• Planning/organizing - prioritizes and plans work activities, uses time efficiently.

• Quality control - understands the importance of compliance standards and pays close attention to accuracy and detail when performing duties.

• Adaptability - adapts to changes in the work environment, work location, manages competing demands and can deal with frequent change, delays, or unexpected events.

• Dependability - consistently at work and on time, follows instructions, responds to management direction and solicits feedback to improve performance.

• Safety and security - actively promotes and personally observes safety and security procedures and uses equipment and materials properly.

• Computer & Math - proficient in the use of practice management software to efficiently and accurately perform duties; proficient in basic math to make simple calculations.

REQUIRED QUALIFICATIONS:

Education / Training

High School Diploma or GED. Training in medical office and/or dental office and billing procedures. Associates Degree in Medical Assisting or certification as a medical office specialist preferred.

Experience

Minimum of one year experience in billing or dental/medical office. Word processing and computer experience preferred. Knowledge of medical terminology and coding preferred. Experience with medical or dental office software program preferred.

Licensure/Certification

None