Patient Service Representative

Job Description

Job Description

Primary Function:

• Greets patients courteously, registers patients for their appointments efficiently and accurately, makes appropriate follow up appointments and enters the patients? charges accurately. This position requires working patiently, efficiently and accurately to ensure an ideal patient experience.

Essential Duties and Responsibilities:

1. Ensures that all patients are greeted in a friendly and professional manner.
2. Ensures that all patients are registered in a timely manner with the appropriate demographic information and insurance information entered into NextGen practice management system.
3. Ensures that the patient?s insurance has been verified and any necessary referrals and/or authorizations are obtained prior to being seen. Alert manager to any problems with a patient?s coverage and jointly decide if the patient must pay for services or reschedule their appointment. Registrar will always take into consideration the medical urgency of a patient?s condition when making this determination.
4. Ensures that the resident and staff attending have signed the charts prior to entering any charges.
5. Makes appropriate appointments for the patient by carefully reviewing the physician?s instructions on when and where to follow-up. When there is confusion, seek out a physician or manager for clarification.
6. Communicates with patients if there is a long wait expected and continue to give patients updates as to the expected wait times.
7. Communicate with the technicians as necessary to service a patient?s needs.
8. Understands insurance terminology and educates patients on insurance challenges and alerts patients to the need for referrals, etc.
9. Uses good judgment and initiative, communicates effectively and adapts to variations in workloads, assignments and interpersonal situations as needed.
10. Respects and protects the patients? rights to confidentiality and privacy and discloses information only for professional purposes which are in the patients? best interest with full consideration of their legal rights.
11. Formulates and maintains effective working relationships with peers/management and functions as an effective team member.