Patient Svc Rep- Cardiology-Poway

Job Summary The Patient Service Representative is the face of Palomar Health Medical Group. S/he is responsible for greeting and checking in patients, answering phones, documenting accurate patient information, and ensuring overall patient flow. The PSR will schedule walk-in appointments, ensure accurate patient insurance information, explain billing procedures, collect co-payments, deductibles, and co-insurance, prepare and file patient forms, and process medical records. With a friendly disposition, the PSR greets patients when they arrive at the office and/or guides patients through self-service kiosks, maintains a high level of customer service with patients, family members, staff, and providers, answers a heavy volume of internal and incoming calls and resolves call queries promptly. The PSR ensures patients complete required forms, obtain necessary signatures, and accurately enter patient information for registration. At the time of service, the PSR verifies all insurance, personal, and health information, scans insurance cards and IDs into the patient’s file, and is responsible for outbound calling regarding missed appointments, follow-up with tasks, outreach, Medicare wellness visit scheduling, TransactRx authorizations, and references to Arch-to-Arch, Graybill and SCMG. The PSR ensures smooth patient flow by monitoring daily scheduling, scanning the lobby for waiting patients, and following-up with Back Office staff as needed, straightens the lobby area to maintain a positive environment, collects patient insurance co-payments, co-insurance, deductibles, and prior balances, explains payment policy and billing procedures, protects patient personal health information according to HIPAA requirements, balances daily monies and receipts, ensures accuracy of batch summaries, and creates deposits. The PSR makes recommendations to improve processes and procedures with a focus on improving patient flow, patient satisfaction, and quality, monitors, manages, and routes patient portal messages, and serves as department receptionist for outside vendors and contractors. Job Requirements Minimum Education: High School or equivalent Preferred Education: Not Applicable Minimum Experience: 1 year in a customer service position Preferred Experience: 2-3 years, preferably in a medical practice setting. Working knowledge of contracted insurances, patient benefits, and third-party requirements preferred. Required License: Not Applicable Preferred License: Not Applicable Required Certification: Not Applicable Preferred Certification: Medical Administrative Certification Ability to speak and read English at a level sufficient to satisfactorily perform the essential functions of the position. Knowledge of standard office equipment (calculator, fax, photocopier) and personal computer and computer software skills (MS Windows, Excel, Access, Word, PowerPoint, internet, e-mail). Windows computer skills including proficient use of keyboarding, use of mouse or keys for functions such as selecting items, use of drop-down menus, scroll bars, opening folders, copying and similar operations required upon employment or within the first two weeks of employment to perform the essential functions of the job. Performs other duties as assigned. Follows Palomar Health Medical Group rules, policies, procedures, applicable laws, and standards. Carries out the mission, vision, and quality commitment of Palomar Health Medical Group. #J-18808-Ljbffr Palomar Health