Administrative Patient Services Representative

Join a dedicated healthcare team in the heart of the Midwest region, where your role as an Administrative Patient Services Representative will be vital in ensuring smooth patient access to medical services. You will be the welcoming face for patients, assisting with registration, appointment scheduling, insurance verification, and providing essential support throughout their healthcare journey.

Essential Duties and Responsibilities

• Create a warm and efficient environment for patients, addressing their needs and guiding them through initial healthcare processes.
• Collect and accurately enter demographic information such as name, address, phone number, date of birth, and insurance details.
• Update patient records with any changes and obtain necessary consents and forms.
• Verify insurance coverage through direct contact with providers or electronic systems, ensuring correct coverage is applied.
• Obtain pre-authorizations or referrals as required and explain insurance benefits and financial responsibilities clearly to patients.
• Deliver exceptional customer service by promptly answering calls, addressing concerns, and providing information.
• Maintain strict adherence to HIPAA regulations to protect patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments in line with organizational policies.
• Ensure compliance with regulatory requirements and maintain efficient work queues to support claims processing and patient satisfaction.
• Assist patients in navigating and using the online patient portal.
• Adapt to shifting work assignments and priorities as needed.

Education

High School Diploma or GED is required.

Experience

At least six months of experience in office, call center, customer service, or healthcare settings is preferred. Familiarity with computers and standard office equipment is necessary, with proficiency in data entry being a plus. Completion of an accredited medical receptionist program or two years of healthcare experience is advantageous.

Certification/License

Basic Life Support (BLS) certification from the American Heart Association is required.

Mental and Physical Requirements

The role demands strong concentration and attention to detail, with the ability to perform tasks under time constraints. Frequent computer use with interruptions is expected. Physical requirements include standing, walking, sitting, reaching, assisting and transporting patients in wheelchairs, and lifting up to 10 pounds.

Working Conditions

Standard office environment with occasional exposure to noise, fumes, chemicals, hazards, or diseases. Flexibility to work varying shifts is necessary.