Patient Services Representative

Patient Services Representative

Patient Services Representative responsibilities include a wide range of duties aimed at facilitating patient access to healthcare services. These responsibilities generally involve patient registration, appointment scheduling, insurance verification, and providing information and support to patients. Patient Services Representative in particular, are often the first point of contact for patients, greeting them, collecting necessary information, and guiding them through the initial stages of their healthcare experience.

Essential Duties and Responsibilities

• Creating a welcoming and efficient environment for patients, addressing their needs, and providing support throughout the initial stages of their healthcare journey.
• Collect accurate demographic information (e.g., name, address, phone number, date of birth, insurance information) and enter it into the system. Update existing patient records with any changes Obtains applicable consents and any required form(s) from patient.
• Verify patients' insurance coverage by contacting insurance providers or EHR Real Time Eligibility, or using online verification systems and ensuring the correct coverage is on the patients account.
• Ensure necessary pre-authorizations or referrals for services are obtained. Explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by answering phones promptly and professionally, addressing concerns, and providing information.
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments in accordance with hospital policy.
• Assures hospital compliance with all regulatory agency requirements.
• Maintains work queues to ensure efficient claims processing, patient satisfaction, and organizational financial health.
• Assists patients with navigating and using the online patient portal.
• Be flexible and adaptive as work assignments and area may shift based on business needs and priorities.

Education

High School Diploma or GED required.

Work Experience

• Six months of office and/or call center, customer service or healthcare experience preferred.
• Knowledge of computers and other standard office equipment required.
• Proficiency in data entry preferred.
• Graduate of an accredited medical receptionist or similar program, or two years in a health care setting is preferred.

Certification/License

American Heart Association, Basic Life Support certification required.

Mental/Physical Requirements

• Ability to concentrate, pay close attention to detail and perform duties under time restrictions. Normal mental concentration on variable operations for short periods of time and moderate concentration with repetitive operations for long periods of time. Work involves extensive use of computer with frequent interruptions. Ability to stand, walk, sit and reach. Must be able to assist and transport patients in wheel chairs. Ability to lift 10lbs required.

Working Conditions

• The standard office conditions with more than average noise. Periodic contact with conditions such as fumes, noise, chemicals, hazards, and/or diseases. Ability to work shifts is required.