Patient Services Representative-Ped Spec

Patient Services Representative 1

The Patient Services Representative 1 coordinates and participates in a variety of duties associated with daily clinic preparation process, patient identification, patient check in, charge posting, cash management and basic patient appointment scheduling. Conveys a positive image and provides information to ensure patients' needs are met.

Qualifications:

• Certifications:
• Education: Associate's Degree
• Work Experience: Basic computer skills; General office equipment

Responsibilities:

• Coordinates and participates in a variety of duties associated with daily clinic preparation process including: patient identification, patient check in/out, charge posting, cash management, patient appointment scheduling, patient registration and account set-up, phone calls.
• Competent in telephone system, takes and delivers messages to physicians, nurses and others.
• Reports medical information obtained from patients and referring physicians accurately, completely and in a timely manner.
• Distributes all messages according to practice communication standards.
• Serves as a role model by conducting self in a responsible, professional manner.
• Manage all incoming patient care requests related to in-basket activities, referrals, work que activity, and incoming telephone calls.
• Proficient with insurance coverage rules.
• Proficient with coverage and rules that apply to eligibility, network coverage, and benefits.
• Successful completion of mandatory insurance training and ongoing competency refreshers.
• Competent to initiate and secure prior authorizations as needed.