Patient Services Representative

Job Description

Job Description

JOB DESCRIPTION 

Title: Patient Service Representative

FLSA Category: Non-Exempt 

Reports To: Clinical Operations Manager

Greater Baden Medical Services (GBMS) is a Federally Qualified Health Center (FQHC) dedicated to providing high-quality healthcare across Southern Maryland. With 9 clinical sites across Prince George's, Charles, and St. Mary's counties, we serve over 18,000 patients each year. We provide fully integrated care that includes primary care, pediatrics, women's health, Title X family planning, dental care, behavioral health, WIC, pharmacy services, and the Ryan White HIV/AIDS program. Our patient population is primarily made up of Medicaid and uninsured individuals. We are deeply proud to deliver these vital services to everyone in our community, regardless of their ability to pay, making Greater Baden an incredibly rewarding place to grow your career while making a tangible, life-changing impact every day.

Job Summary

Responsible for greeting patients, and performs a variety of clerical tasks including patient registration, and payment processing.

Essential Functions: 

1. Greets patients, family members, and visitors determining services and/or other needs that are required.

2. Monitors waiting area to insure that patients and family members’ needs are addressed and that the area is tidy. 

3. Assists new patients in the completion of their registration information. Opens medical records for new patients including appropriate consent and clinical forms. 

4. Reviews with patient their insurance coverage or eligibility for other programs including sliding scale fee. 

5. Establishes a separate file for patients applying for sliding scale fee. Reviews documentation presented by patients determining that it meets the established criteria. 

6. Collects and processes patient demographic, financial, diagnoses and procedure code information with accuracy. 

7. Review third party coverage and payment arrangements available with patients. Inputs incoming payments and other data into system. 

8. Notifies the Medical Assistant that the patient has arrived and/or when new patients are ready for patient care services, dental or mental health services. 

9. Inputs payments from third party payors or other sources of data entry as needed. 

10. Reviews current visit charges and outstanding balances with the responsible party and arranges required payments. Inputs payments and prints receipt. Schedules return appointments. Nonessential Functions: 

11. Pulls medical records for scheduled, same day, or walk-in patients. 

12. Answers telephone calls and assists and/or directs calls to the most appropriate staff member. When calls are for patient services, answers inquiries about services and expected payment. Schedules appointments and when necessary consults with the charge nurse to assist in determining the most appropriate appointment. Clears messages from voice mail system and directs message to appropriate person. 

13. Assists in the preparation and routine maintenance of patient charts as outlined by policy. This includes chart identification, tabs, filling all documents in the appropriate sections, etc. Daily chart retrieves and returning the charts after the end of the day. 

14. Participates in team/staff meetings; attends in service meetings and applicable workshops. 

15. Performs other duties as assigned. 

Core Values: Quality Respect Teamwork Equity Integrity Passion Love

Supervisory Responsibility None 

Managerial Responsibilities None 

Minimum Qualifications 1. High School diploma, GED, or equivalent certificate of competency and completion of a vocational program related to the specified work experience. Substitutions 1. High School diploma, GED, or equivalent certificate of competency and two (2) to five (5) years of work experience in specified health care trade. Must have CPR/First Aid training.  Training available upon hire.

Physical and Mental Demands 1. Ability to remain in a stationary position 50% of the time. 2. Ability to cope with stress. Patient Service Representative Job Description 3 3. The person in this position needs to occasionally move about inside the office to access file cabinets, office machinery, etc. 4. Constantly operates a computer and other office productivity machinery, such as a calculator, copy machine and computer printer. 5. The person in this position frequently communicates with patients and/or employees. Must be able to summarize and exchange accurate information. 6. Performs a variety of duties, often changing from one task to another. 7. Performs with frequent interruption or distractions. 8. Adjust priorities quickly as circumstances dictate. 9. Ability to interact appropriately with colleagues for different purposes in different context. 10. Ability to perceive the nature of sound by ear. 11. Expressing or exchanging information by means of the spoken word, or to convey detailed spoken instructions accurately, loudly or quickly. 

Compliance • This position requires compliance with Greater Baden Medical Services ( Health Center’s) compliance standards, including its Standards of Conduct, Compliance Program, and policies and procedures. Such compliance will be an element considered as part of the Patient Service Representative regular performance evaluation. 

Language Skills Ability to read and interpret written or verbal documents and instructions. Ability to speak effectively to patients, employees and/or stakeholders of the organization.

Travel Must be able to drive between Greater Baden Medical Services, Inc. locations as required.