Patient Service Representative (48148)

divh2Patient Service Representative/h2pCFH is looking for PSRs for our Queens location./ppThe Patient Services Representative (PSR) provides day-to-day front/back-end support to patients and the clinical team under FQHC Article 28 and the Patient-Centered Medical Home (PCMH) model. The PSR will obtain and verify patient demographic, insurance, and income information to ensure accurate and timely visit processing and reimbursement. The PSR will also check patients in and out of their face-to-face or telemedicine visits, schedule follow-up appointments, and process referrals and authorizations. The PSR will work as part of our PCMH team./ppEssential duties and responsibilities of a patient services representative include:/pulliCollaborate with clinical and administrative teams to ensure patients receive patient-centered quality health care./liliProvide clerical and administrative support to patients and practitioners; support may occur in-person, via telephone, fax, or patient portal (web-encounters)./liliGreet patients and visitors, take and relay messages to the patients care team, liaise between patients, CFH, and off-site service providers such as specialty and radiology providers./liliParticipate in process improvement committees, training, and staff meetings, as needed./li/ulpPatient registration, documents, and insurance verification include:/pulliRegister new patients to their preferred CFH site and/or update existing patient accounts./liliEnsure the patient completes all patient forms, including but not limited to registration forms, sliding fee scale self-declaration and acknowledgment, consents for treatment, Health Insurance Portability and Accountability Act (HIPAA) form, and Advanced Directives./liliObtain and scan copies of patient documents including but not limited to photo identification card(s), insurance card(s), referrals, consults, and emergency room discharge summaries./liliAccurately input/update patient demographic information to eCW, including, but not limited to patients name, birth date, address, telephone, email, insurance (medical, dental, vision), income and family size, housing status, veteran status and sexual orientation/gender identity./liliWeb-enable all patients for access to their patient portal, as per CFH policy./liliScreen all patients (insured, uninsured, underinsured) for the sliding fee scale, and update patient income and family size in eCW to reflect the appropriate sliding fee scale./liliCollect payments, co-payments or sliding fees under CFH policy./liliWaive the collection of payments, co-payments or sliding fee, as needed, following CFH policy./liliRefer all uninsured or underinsured patients to CFH Certified Application Counselors (CAC) to be screened for insurance eligibility./liliVerify patients medical, dental or visit insurance(s) to ensure coverage is active on the date of services, including but not limited to Medicaid, Medicaid Managed Care, Medicare, Medicare Managed Care, and Private or Commercial plans./liliUtilize insurance eligibility/verification portals to retrieve accurate patient insurance information, including but not limited to, ClaimRemedi, ePACES, eviCore, Managed Care and/or Private/Commercial individual portals./liliAdd, modify or update the patients medical, dental and vision insurance information to eCW./liliEnsure the appropriate medical, dental, and vision insurance is associated with the patients visit on the date of service./liliAssist patients with assigning their Managed Care plans Primary Care Provider (PCP) to CFH provider, as needed./liliAssist patients with assigning their Managed Care plans Dental Provider to CFH provider, as needed./liliCheck-in patients to their face-to-face or telemedicine visits upon verification of all mandatory patient fields, insurance(s), and sliding fee scale./li/ulpAppointment scheduling includes:/pulliManage requests for new, follow-up, routine care, offsite specialist or radiology appointments as requested by the Practitioner or patient; requests may be received in-person, via telephone, fax, or patient portal./liliReschedule appointments as requested by the Practitioner or patient./liliUpdate the appointment visit status to reflect the appropriate stage of the patient visit./liliMaintain the Practitioners resource schedule by rescheduling appointments as needed when a Practitioner is on scheduled time off or absent./liliSchedule follow-up appointments as indicated by the Practitioner./li/ulpSpecialty referral/diagnostic imaging order(s) include:/pulliEnsure all insurance and demographic information is appropriately documented within the patients specialty referral or diagnostic imaging order./liliLiaise with CFH Referral Specialist to ensure specialty referrals are processed promptly./liliProvide copies of the specialty referral or diagnostic imaging order via the patients preferred method (mail, fax, patient portal)./li/ulpVisit processing includes:/pulliCheck-in visits upon patients arrival to CFH site or virtual waiting room./liliCheck-out visits upon the completion of the patients visit with the Practitioner./liliEnsure follow-up appointments are scheduled as documented by the Practitioner within the Follow Up section of the progress note./li/ulpTelemedicine/web-encounters include:/pulliManage/respond to assigned sites web encounters to ensure timely processing./li/ulpRequired education experience:/pulliHigh School Diploma./liliMinimum two (2) years experience in ambulatory care setting, Emergency Room, and/or Physician office./liliBilingual English Spanish/li/ulpPreferred education experience:/pulliAssociate degree, in healthcare-related discipline preferred./liliPrior experience utilizing eClinicalWorks./li/ulpSkill sets:/pulliExcellent organizational and communication skills required./liliExcellent verbal and written communication skills required./liliExcellent punctuality and attendance required./liliConsistent demonstration of commitment to patient satisfaction, organizational productivity and process improvement./liliAbility to work independently, maintain efficiency and productivity required./liliAbility to multi-task and meet assigned deadlines from a variety of management staff./liliAbility to work in a fast-paced and ever-changing environment./liliDemonstrates initiative, personal awareness, professionalism and integrity, and exercises confidentiality in all areas of performance./liliFollows HIPAA, compliance, privacy, safety and confidentiality standards always./liliExtremely proficient in Microsoft Office Suite applications, including but not limited to Outlook, Word, Excel, and SharePoint./liliAbility to work and remain calm in moderate to high stress environment./li/ul/div