Patient Services Representative

Patient Services Representative

Cornerstone Family Healthcare is actively recruiting for a Patient Services Representative to join our growing team in Binghamton.

Rate of pay/salary: $20.00 per hour (plus opportunity for quarterly incentive of up to $1,000 per quarter)

Work location(s): Binghamton. Must be willing and able to travel for training and coverage purposes.

Status: Full Time

Cornerstone benefits: competitive salaries, health benefits, retirement plan, paid time off, sick time, flexible spending, dependent care, paid holidays

Cornerstone's mission: Cornerstone Family Healthcare is a non-profit federally qualified health center with a mission to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, dignity and respect to all people regardless of their ability to pay. For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability.

Description of Duties:

• Demonstrates excellent customer service skills at all times:
• Greets all patients promptly upon entering the patient waiting area, responds promptly and appropriately to their request.
• Uses appropriate phone etiquette, treating all callers with courtesy and respect. Is attentive to all callers placed on hold and diligently monitors time spent on hold.
• Monitors the patient waiting area and ensures that it is kept clean and orderly.
• Notifies the practice manager or administrator on duty of patients in the waiting room with an extended wait time.
• Schedules appointments, changes appointments and cancels appointments as needed. Verifies scheduled appointments when a patient presents as an appointment/walk in to ensure that they still want/need other scheduled appointments.
• Participates in the departmental patient registration process following Cornerstone policies and procedures:
• Verifies patient information at each visit and makes necessary updates in the practice management system.
• Ensures that required documentation is collected for each patient; photo identification, insurance information, birth certificate (pediatrics), etc.
• Scans registration documents, patient identification, insurance card and other required documentation to the practice management system.
• Verifies insurance eligibility and PCP for each patient at every visit and accurately enters into the practice management system. Is knowledgeable about different types of insurance and their general rules (i.e. PPO/HMO and PCP/referral rules).
• Collects copayments and visit payments at the time of registration.
• Makes appropriate referrals to the Patient Billing Coordinator for patients who cannot pay their copayment.
• Participates as part of a care team, including but not limited to:
• Alerting the care team of any potential barriers (anticipated insurance, financial issues, etc.) that may cause delays or difficulties during the day.
• Participates in quality improvement activities with the care team or department.
• Follows up on referrals for assigned provider, tracking consultation notes until they are received, documenting appropriate follow up in EMR and calling patients/specialists when necessary. Completes referrals in EMR when consultation notes have been received.
• Completes referral reporting on a monthly basis and submits to the Referrals Supervisor.
• Provides patients with information regarding specialty referrals and assists with making appointments as needed.
• Monitors provider schedule on a daily basis, ensuring that all visits have been completed or marked as a DNKA at the end of the day.
• Completes all DNKA follow up with the patient and documents appropriately in EMR.
• Confirms appointments for the following day's appointments.
• Administers the requisite amount of patient satisfaction surveys.
• Remains knowledgeable about the sliding fee scale (SFS):
• Is knowledgeable about the SFS policies and required documentation.
• Offers sliding fee scale to patients with no insurance.
• Follows Cornerstone policies and procedures to qualify patients for the SFS as necessary.
• Provides cross coverage in other departments as assigned.
• Maintains confidentiality of all aspects of the center including, but not limited to, patient confidentiality, financials, and employee relations.
• Attends and participates in monthly department, all staff and other required meetings.
• Performs other related duties as assigned.

Typical schedule:

Monday-Friday: 8:30am-5pm

Wednesdays: 11am-7pm

Requirements:

• High school diploma
• At least one year of clerical experience
• Knowledge of data entry
• Pleasant telephone manner and ability to work under pressure