Patient Care Representative

Summary: This position supports the Organization in the following manner:Greet patients, visitors, and others upon entry and, if required, process the account upon their exitSet appointment times and call patients to confirm appointmentsSupport the clinical staff with an available patient chart/recordGather and evaluate confidential patient information, including insurance or financial data for the purpose of determining patient responsibility and/or qualification for financial assistanceAccurately maintain the patient database software systemServe as a recipient for packages, etc. (with limitation)Serve as a payment collection resource, including a reconciliation at the end of the business dayReports to: COOSupervises: N/ADress Requirement: ScrubsWork Schedule:Monday through Friday during HOFH’s standard business hoursTimes are subject to change due to business necessityNon-ExemptJob Duties, these are considered essential to the successful performance of this position:Pull the patient’s record or prepare a new record / chart in preparation of the clinical visitOptimistically greet persons upon entry and assist them upon exit, striving to meet and exceed the expectations of patients, visitors and other staff membersNotify the appropriate staff member of their appointment’s arrivalGather and evaluate confidential patient information, as related to insurance or financial data for the purpose of determining patient responsibility and/or qualification for financial assistancePerform verification on insurance data and/or benefit enrollment that is submitted by the patientAccurately maintain the patient data base software system by ensuring all data entered is true and correctAnswer the phone in a timely and efficient manner, identifying the Organization and optimistically greeting the callerTransfer all phone calls to the appropriate staff memberSet appointment times in coordination with the medical staff work schedule and call patients to confirm appointmentsAccept deliveries - except those required to have a personal signature from an employee; notify the employee or the Director of Human Resources or Director of Quality and ComplianceCollect payment and co-payment for medical services renderedAccurately perform daily closing procedureConsistently ensure HIPAA regulations and other federal, state and local laws and regulations pertaining to the duties of this position are observedAdhere to all of the Organization’s policies and procedures, especially the hazardous, health and safety proceduresOther duties as assigned (non-essential)Facility Environment:All facilities have a medical office environment with front-desk reception area, separate patient examination rooms, nursing stations, pharmacy stock room, business offices, hallways and private toilet facilities. All facilities are on the main ground floor and ADA compliantThis position’s primary work area is the reception desk area which is shared by other co-workers with similar tasks and functions. The reception desk area is:kept at a normal working temperaturesanitized dailymaintains standard office environment furniture with adjustable chairsmaintains standard office equipment; i.e., computer, copier, fax machine, etc. at a normal working heightEquipment Operated:TelephoneComputerPrinterFax machineCopierScannerCredit card machineCalculatorOther office equipment as assignedPhysical Demands and Requirements: these may be modified to accurately perform the essential functions of the position:Mobility = ability to easily move without assistanceBending = occasional bending from the waist and knees o Reaching = occasional reaching no higher than normal arm stretchLifting/Carry = ability to lift and carry a normal stack of documents and/or filesPushing/Pulling = ability to push or pull a normal office environmentDexterity = ability to handle and/or grasp, use a keyboard, calculator, and other office equipment accurately and quicklyHearing = ability to accurately hear and react to the normal tone of a person’s voiceVisual = ability to safely and accurately see and react to factors and objects in a normal settingSpeaking = ability to pronounce words clearly to be understood by another individualJob Qualifications (Experience, Knowledge, Skills and Abilities)Prefer experience with Allscripts software systemPrefer experience with ICD-10 CPT code or other medical codesPrefer experience in a physician’s office, clinic, hospital business office, billing office or related area dealing with the public in collection of data and fundsUnderstanding of laws and regulations impacting the registration procedurePrefer an understanding of third party payer benefits and the requirements and methods for reimbursementAbility to accurately enter data, preferably typing at a minimum of 45 wpmAbility to accurately input the ICD-10 CPT code and/or other information as dictated by the physician or nurse practitioner while understanding the relationship of diagnosis and procedural codes so errors can be corrected prior to a rejection of the billingHas the ability to diffuse and handle difficult situations by using good judgment, control of emotion and diplomacyDemonstrates grammatically-correct verbal and written communication skillsDemonstrates efficient and courteous telephone skillsDemonstrates resilience, a positive attitude and the ability to work well in a fast paced, rapidly changing environmentAbility to work in a team setting and/or with minimal supervision #J-18808-Ljbffr