Patient Services Representative (Float)

Oncology Float Patient Services RepresentativeSCRI Oncology Partners, located in Nashville, Tenn., is a dedicated Oncology Practice led by globally recognized oncologists with disease expertise in cancer care and clinical research. Our practice offers patients state-of-the art personalized cancer care and opportunities to participate in clinical trials with innovative treatments. The practice conducts clinical trials through their affiliation with Sarah Cannon Research Institute (SCRI), a global leader in oncology research that has been offering and managing clinical trials in the community for over 30 years. Since its inception, SCRI has contributed to pivotal research that has helped advance the majority of new cancer therapies approved by the FDA today.The Float Patient Services Representative is responsible for providing front office support across multiple areas of the oncology practice, including patient check-in, appointment scheduling, medical records, and new patient registration. This position plays a key role in ensuring efficient clinic operations and a positive patient experience by adapting to various administrative functions as needed. The ideal candidate demonstrates flexibility, strong organizational skills, and a commitment to delivering compassionate service in a fast-paced healthcare environment. Under general supervision, the Float Patient Services Representative performs general business office functions that may include some or all of the following:billing and claim submissions; charge capture and payment posting; insurance verification and eligibility; obtaining pre-authorization; counseling patients and families on insurance and payment issues; and account follow-up and payment resolutionscheduling and pre-registering new patients for exams and proceduresMaintaining patient records, prepareing forms, verifying information and resolving routine and non-routine problemsAs necessary, assists patients and families with obtaining community resources including, but not limited to, housing, transportation, and financial supportSupporting and adhering to the US Oncology Compliance Program, to include the Code of Ethics and Business StandardsResponsibilitiesAnswers all incoming calls, assesses callers' needs, directs to appropriate personnel. Pages clinic personnel as appropriateEfficiently schedules new patients, patient referrals and returning patients in computer system in accordance with physician and/or office guidelinesMaintains primary office scheduling template containing all physician meetings, satellite schedule, rounding and call coverageDemonstrates an understanding of patient confidentiality to protect the patient and clinic/practice in line with HIPAAMay schedule outpatient appointments/testing/surgeries, and hospital admissions upon requestMay be responsible for follow up on all pre-operative tests to ensure cleared for surgical procedure and communicate with physician and patients if further testing is required before surgery is performedMay be responsible for scheduling post-operative follow up appointments with physiciansProvides patients with appointment details such as time, location, directions, and instructions to patientsMay mail or email patient appropriate medical forms for completion prior to first visitEnsures all insurance, demographic, and eligibility information is obtained from patients and entered into the system in an accurate and timely manner. Registers patients in the system as necessaryCollects and reviews all patient insurance information and completes insurance forms. Collects co-pays, deductibles and other out of pocket amounts at the time of visitConfirms patient insurance verification and eligibility. Obtains pre-authorization of services and/or referrals. Assesses patient financial requirements and advises patients and families on insurance benefits, co-pays and financial obligationsPosts line items and adjustments to patient accounts. Balances receipts, reconciles daily work batches and prepares audit trail. Prepares deposits for bank as needed.Reviews Explanation of Benefits (EOB) for consistencySubmits files and processes all claims for payment. Research and resolves claim delay issuesResolves patient questions and complaints regarding insurance billing and adjusts accounts as necessary. Resubmits claims and processes all insurance/patient correspondence. Provides all documentation to expedite paymentFollows-up on assigned accounts. Uses collection techniques to keep accounts current including monitoring for delinquent paymentsSets-up financial arrangements with patients as necessaryAs necessary, assists patients with researching and obtaining community resources including housing, transportation, drugs and pharmaceutical supplies, and financial resourcesOther duties as requested or assignedQualificationsHigh School Diploma or equivalent required.Minimum two to three years medical business office experience.Physical DemandsThe physical demands 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. While performing the duties of this job, the employee is regularly required to sit and use hands to finger, handle, or feel. The employee is occasionally required to stand, walk, and reach with hands and arms. The employee must occasionally lift and/or move up to 30 pounds. Requires vision and hearing corrected to normal ranges.Work EnvironmentThe work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Work requires frequent interaction with patients and staff.Why Work for Us?We offer a competitive benefits package that includes:MedicalDentalVisionLife InsuranceGenerous Paid Time Off (PTO)Company-paid Short-term and Long-term Disability Coverage401k plan with company contributionWellness program that rewards you practicing a healthy lifestyleEmployee Assistance Program and Discount Program to some of your favorite retailersFree ParkingCareer Growth and DevelopmentSupportive Team and Resources