Patient Services Representative (PSR) - Dermatology Clinic

Patient Services Representative (PSR) - Dermatology Clinic

The Patient Services Representative III coordinates schedules of patients in an out-patient clinic and provides clerical assistance toward the smooth operation of the facility.

Essential Responsibilities

• Assists with scheduling patient appointments, either by telephone or in person and validates teams are scheduling within clinical/until protocol.
• Provides information about clinic operations
• Obtains patient demographics on new patients and updates demographics on established patients.
• Assists with answering telephone calls and monitoring the abandon call rate.
• Prepares and enters healthcare providers' templates into the EMR.
• Coordinates schedules as directed to patient requiring multiple services, communicating with nursing and provider teams as necessary.
• Greets patients as they come into the clinic for scheduled appointments.
• Balances and closes personal Cash Drawer Reconciliation, daily; as well as validates team members are completing accurately.
• Completes insurance denials and works closely with providers, to obtain needed information to file appeals.
• Distributes encounter forms and inspects the form for completeness and accuracy.
• Copies insurance cards and uploads into the EMR as appropriate.
• Balances and closes cash box daily for the clinic/unit.
• Prepares ancillary forms for other services (i.e. x-rays, vascular studies, etc.)
• Talks to patients about financial accounts, and collects as appropriate.
• Obtain insurance prior authorization for prescribed services.
• Secures referrals to other providers for HMO patients.
• Secures referrals from PCPs for HMO patients to be seen in the clinic.
• Collects and verifies proof of income to determine what sliding scale discount is appropriate, if any.
• Orders supplies when low and need to be reordered.
• Types notes and letters for physicians as needed, via mail or patient portal.
• Makes immunization cards as needed.
• Sorts and distributes mail.
• Communicates with patients of all ages in a professional manner at all times.
• Communicates with co-workers and employees in a manner which promotes a highly "team oriented" approach.
• Enhances professional growth and development through in-service meetings and education programs.
• Maintains patient confidentiality.
• Works with clinic management to complete monthly audits for Joint Commission such as: Environment of Care, Hand Washing, and Charts.
• Coaches Patient Service Representatives on OU Health CICARE model and assists with CICARE Competency audits.
• Responsible for validating Business Continuity Access computers are up-to-date and safe guarded against downtime.
• Serves as lead employee or assistant supervisor.
• Mentors and trains new employees as needed / directed.

General Responsibilities

• Performs other duties as assigned.

Minimum Qualifications

Education Requirements

• Associate's Degree required.

Experience Requirements

• 5 or more years of experience in admitting, financial counseling, patient registration, or related area required.

License/Certification/Registration Requirements

• None required.

Knowledge/Skills/Abilities Requirements

• Expert verbal and written communication skills.
• Expert customer service skills.
• Expert ability to work effectively with other employees, patients, and external parties.
• Expert proficiency with the use of Microsoft Office tools.
• Knowledge of hospital policies and procedures.
• Knowledge of third-party contractual agreements and requirements.
• Knowledge of federal and state laws and regulations relating to payment and billing of hospital charges.
• Skill in establishing and maintaining effective working relationships with others.
• Skill in following verbal and written instructions; in interviewing patients.
• Keyboarding skills sufficient to meet the requirements of the position.
• Collection of copays and past due balances.
• Epic Cadence: Template Build 100 Class, Epic Cadence: Template Build 200 Class
• Completion of Emerging Leaders Academy within 6 months of hire, or equivalent HealthStream Leadership Courses if Emerging Leaders Academy is not available.

OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.