Patient Services Representative

Job Description

Job Description

Wood River Health is now hiring for a Patient Services Representative. This position is responsible for checking patients in and out, scheduling office appointments, collecting monies, verifying patient insurances and maintaining demographic information and processing messages to and from staff. They will also be responsible for organizing and managing health information data by ensuring its quality, accuracy, accessibility, and security in paper and electronic formats. Although the Patient Service Representative does not provide direct patient care, they work regularly with other healthcare professionals. The Patient Service Representative will participate in professional development by attending programs, workshops, in-services both internal and external, as well as department meetings, as needed.

Not only do we offer a great work environment, our benefits are fantastic! Packages include a generous paid time off program, health insurance, flexible spending account, life insurance, retirement 403(b), work/life balance , tuition assistance, and much more!

ESSENTIAL DUTIES; include but are not limited to:

• Greeting patients/guests, answering basic questions, and directing them to the appropriate departments/locations
• Check patients and guests in and out
• Answering incoming telephone calls using technology in a fast-paced call center environment.
• Record all telephone calls/messages in EHR.
• Responsible for providing professional customer service to ensure operational efficiency and promote positive patient experience
• Import, scan, file and check documents for completeness, accuracy, and compliance with Wood River Health policies and procedures.
• Enter data, such as diagnostic procedures into EHR.
• Release patient information to persons or agencies according to Wood River Health policies and procedures.
• Entering/maintaining all current patient information in Practice Management System ensuring maximum data integrity in database
• Assists patients in accurately completing all required and appropriate physical and online forms.
• Insurance verification, collection of co-pays/monies owed, preparation and balance daily financial registers
• Schedule, cancel and reschedule patient appointments for behavioral health, community resources, dental, and medical departments according to clinical protocols and department workflows using Nextgen scheduling.
• Utilize triage protocols for all inquiries to provide resolution. Determine which in person or calls are appropriate for clinical staff.
• Generate Good Faith Estimates for anticipated services
• Provide patient education on Sliding Fee programs and other available services and programs
• Handle patient complaints and resolve
• Daily Administrative and Appointment Reports for preparation of upcoming patient visits and data integrity maintenance
• Receive and route messages or documents to appropriate staff
• Ensure online forms being sent to patients are monitored and processed daily
• Stays up to date with departmental and organizational trainings
• Maintain strict confidentiality in all matters
• Operate within the scope of the Health Information Portability and Accountability Act to safeguard the privacy of protected patient health information
• Enliven and support the mission, vision, and values of Wood River Health
• Adhere to organizational policies and procedures and Wood River Health Compliance Program Standards
• Performing other duties as assigned to meet business needs

This position must be able to work independently, be able to work nights and weekends on a rotating basis, work at all locations based on department need, and be able to work a hybrid model with a blend of in-office and remote work (based on the needs of the department).

EDUCATION AND EXPERIENCE:

• High School diploma or equivalent
• One to two years customer service experience preferred
• Minimum of 1-year medical office experience preferred.
• Electronic Health Records experience preferred.
• Knowledge of medical terminology preferred.
• Ability to effectively use MS Office Suite, Internet, and email
• Cultural sensitivity necessary to work with a diverse patient and staff population

Wood River Health is an Equal Opportunity Employer, and all qualified applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy, sexual orientation and gender identity), national origin, age, disability, genetic information, protected veteran status, or any other characteristic protected by federal law.