Patient Services Representative

Job Description

Job Description

Description:

 

SUMMARY:
The Patient Services Representative works closely with patients and clinical professionals while utilizing excellent customer service skills; multi-tasking while professionally managing all front desk patient care/clerical related functions.

SPECIFIC DUTIES AND RESPONSIBILITIES : All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA)

The Patient Services Representative demonstrates proficient data entry skills, supports the billing and collection process by utilizing knowledge of insurance verification, self-pay collections, collecting co-pays, at point of service. Maintains confidentiality in a professional manner, exhibits efforts to maintain and improve job specific competencies, and perform other duties as assigned. 

Typical tasks may include but are not limited to: 

EHR Task:

• Registering patient to meet regulatory and business requirements; enrolling patients with My Chart Portal; updating patient information; printing profiles, scheduling and managing recall lists and scanning documents into the patient’s Electronic Health Record (EHR) 

Payment Management:

• Opening, balancing, and closing daily cash drawer and posting payments; processing payments with a credit card machine, including end of day reporting; collecting co-pays, deductibles and/or co-insurance at point of service; facilitating payment arrangements

Patient Schedule:  

• Reviewing schedules daily to ensure accuracy and maximizing available appointment slots; obtaining medical releases as needed for patient requested forms; registering patients via phone or in person
• Ensuring all insurance, demographic, and eligibility information is obtained, entered, and maintained in the system in an accurate manner; performing the insurance verification process and the process for all third-party payers; discussing with patients financial terms and payment/payment arrangement options; calculating and entering sliding fee eligibility based on a client income

Requirements:

 

Qualifications :

• Electronic appointment scheduling and strong customer service experience with a knowledge of referral or prior authorization procedures is also preferred.
• Excellent interpersonal skills and phone etiquette; strong critical thinking and problem-solving skills and the ability to work as a member of the team to serve patients is a must.
• Bi-lingual in English and Spanish preferred.
• Variable shifts between 8am-8pm, including weekends/holidays as needed
• Minimal physical effort
• Must be able to operate computer and telephone continuously
• Multi-site travel/coverage as necessary

Education 

• High School diploma, or GED is required. Minimum of one year job related experience and experience with data entry is highly preferred.

Physical Requirements and Work Environment : The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers, and other office equipment. The position requires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the English language to convey information and be able to hear at normal speaking levels both in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.