Patient Services Representative - N

Patient Services Representative - NSt Rose Medical Pavilion

The Patient Service Representative - GB is responsible for creating a pleasant and seamless patient experience during all activities primarily related to the front office of an ambulatory clinic including patient registration, copay collection and point of service paperwork. PSR will be trained in check-out and scheduling to provide support as needed.

Responsibilities and Essential Job Functions

• Responsible for registration of patient prior to visit and/or upon arrival, including entering demographics, insurance verification, scanning and document preparation, updating documentation and processing of referrals/orders/appointment requests.
• Preauthorization of clinic specific visits as needed.
• Collecting copays and self-pay balances.
• Point of service paperwork, acquire signatures and scan to chart.
• Provide activation and support for the MyChart EMR System.
• Explains facility policies and ensures patient and/or advocate understands and signs the consent and insurance forms at the appropriate time. Clear and accurate documentation should be entered on the appropriate forms and keyed into the computer system.
• Complies with Medicare/Medicaid and other insurance rules and regulations. Completes MSPQ as required for admission.
• Responsible for direct rooming protocol of patients in the clinics. Responsible for check in/out and phone reception as needed.
• Scheduling of activities, including patient appointments, Telehealth visits, surgeries, procedures and/or ancillary services using extensive knowledge of appointment types, locations, providers, and specialties.
• Will float to centralized scheduling environment or other practices with critical staffing levels as needed and delegated by management.
• Responsible for following Personal Protective Equipment (PPE) guidelines.
• Responsible for check in/out and phone reception as needed.
• Employee will receive a 30-60-90-day quality assessment. PSR will be expected to complete any necessary retraining to meet assessment scores and role guidelines.
• Processes doctor's orders
• Faxes documents
• Must be able to perform the professional, clinical and or technical competencies of the assigned unit or department.
• These statements are intended to describe the essential functions of the job and are not intended to be an exhaustive list of all responsibilities. Skills and duties may vary dependent upon your department or unit. Other duties may be assigned as required.

Required Education and Experience

• High School Graduate or GED.

Preferred Education and Experience

• Clerical, registration and/or customer service experience within a health care setting.

Required Licensure and Certification

• Basic Cardiac Life Support (BLS or BCLS) - American Heart Association (AHA) must be obtained within 30 days of hire

Preferred Language Skills

• Fluent English - Ability to read and write English.

Knowledge Requirements

• Must have basic computer skills including Microsoft Excel, Word, Adobe and Office.
• Customer service skills required.
• Must possess the ability to work well with others, maintain confidentiality and use good judgement.
• Prefer knowledge of Financial Information/Insurance (information related to insurance, billing and payment), Billing Information, Payer Name, Payer ID, Account Balances, Plan Elements Covered, Payment Information, Payment Rates.
• Clinical Information (information that describes a patient's health status), Diagnosis, Reports/Medical Notes, Test Results, Problem List, Procedures, and History and Physical preferred.
• Coding Information (clinical information that is in (alpha) numeric format) such as ICD-9 Codes, Rev Codes, CPT Codes preferred.
• Initial and Ongoing training in dealing with infection control. Trainings could include but are not limited to, blood borne pathogens, bodily fluids and bio-hazardous materials as it applies to your daily work environment.

Full time

R-58122