Non-Clinical - Administrative - Patient Services Representative

Medical Practice Representative

Shift/Schedule: Part Time Mon/Wed/Fri (with the potential for full time) Onsite; 8AM-4:30PM Position Code: 1787

Job Summary:

Performs registration and scheduling of outpatient appointments, charge entry, collection of co-pays and medical records functions.

Job Requirements:

- HS Diploma/GED - 2+ years of front desk and revenue cycle experience required. - Cerner experience required

Job Responsibilities:

Optimizes facility and professional collections. Collects co-pays and fees for facility and professional services from patient/guarantor according to established Hospital and faculty practice/departmental policies and procedures. Balances and closes all payment batches at the end of the day. Reconciles cash drawer on a daily basis. Prepares and submits Hospital and faculty practice deposits in accordance with established Hospital and faculty practice/departmental policies and procedures. Verifies patient insurance coverage. Obtains facility and professional services authorizations; may assist patients with obtaining specialty referrals. Communicates facility and professional co-payment or other balance due information to patients/guarantor. Abstracts and copies information from patient records in response to documentation requests. Performs a complete registration of patients. Interviews patients to obtain correct demographic and insurance information. Verifies insurance and obtains authorizations to insure proper billing and collections. Inputs a complete patient registration into a computerized registration system. Reviews completed registration with patient; assists patient with the signing of admission forms and other forms that may be required for department. Notifies provider of patient's arrival. Prepares admission packet of forms and labels for provider. Schedules appointments into computed systems. May perform referrals. Pulls and refiles records, files loose reports and other documents in the records, performs file maintenance in the file area. Processes release of medical records information. Answers telephone inquiries. Prepares and maintains accurate and complete records for outpatients; active, discontinued, and discharged. Sorts and places progress notes, lab slips in chart and prepares notes to be sent to Health Information Department. Pulls and re-files charts needed for patient visits or related needs, and processes charts for microfilming. Reviews charts periodically for completeness and accuracy to ensure proper maintenance; assures medical records are maintained in accordance with accreditation standards, obtains MEC signature. Distributes and processes all information requests received in timely manner; logs records; follows up on records signed out, requesting return when appropriate. Handles walk-in requests for release of medical records; obtains appropriate authorizations for release. Ensures that all customers receive exemplary service. Serves as a patient/customer advocate when needed. Demonstrates empathy and understanding of patient/customer concerns by listening carefully and responding appropriately. Exceeds patient/customer needs by anticipating, identifying and responding to such needs in a prompt and courteous manner. Focuses on what can be done to improve situations for the patient, co-worker and other customers. Keeps patients/customers informed, explain delays, and provide clear and concise information. Maintains patient confidentiality; respects the privacy and needs of all patients; continually demonstrates actions that indicate an understanding of patient rights. Portrays a positive organizational image through adherence to dress code and maintaining a clean work environment. Recognizes everyone, including patients, visitors and co-workers as customers and treats them with dignity, courtesy and respect. Works at maintaining a good rapport and appropriate departmental relationships with all patient care personnel, promotes a spirit of cooperation through frequent communication. Demonstrates knowledge of and behaviors consistent with standards of conduct and code of excellence. Acts in a way that shows sensitivity for confidentiality, integrity and respect for diversity.