Patient Services Representative - Night Clinic

Job Details:

Job Location:

ANCHORAGE, AK 99503, Position Type:
Full Time,

The Patient Services Representative will provide patients and staff with necessary assistance in fulfilling the needs of the center. They are responsible for patient check in/out, verifying and updating all demographics and insurances, collecting payments, identifying/enrolling patients on the Sliding Fee Scale, processing various forms and documents, and notifying appropriate persons of messages and information as required. Responsible for recording all necessary personal information, securing required signatures, preparing and supplying data to various departments.

Will assist with efficient and effective coverage for the Patient Services Department. Provides service internally and externally consistent with ANHC mission, vision and values:
Respect, Compassion, Personal Integrity, Excellence & Collaborative Spirit.

• Performs opening and closing procedures.
• Answers and accurately processes multi-line phone calls to individual extensions or operator, medical, or billing queues regarding patient billing, appointments, and general inquiries.
• Responsible for scheduling, cancelling, or rescheduling appointments.
• Responsible for check in/out processes of each patient. Verifies and updates patient demographics, insurance and eligibility, unapplied credits, and guarantor due balances for all new and established patients.
• Collection of appropriate payment based on estimated charge, proper co-pay, deductible, discounted self-pay amount, or past due account balances.
• Responsible for cash management and daily reconciliation of all financial transactions performed.
• Patient accounts analysis including a general understanding of medical, dental, laboratory, radiology coding and billing standards. This includes ICD 10, diagnosis, patient rights and responsibilities, third party reimbursement, in/out network, contractual allowances, co-pays and deductibles.
• Verifies/updates insurance eligibility and reviews co-pays, co-insurance, deductibles, non-covered charges, and prior authorizations.
• Accurately prepares various medical forms requiring knowledge of ICD 10 codes diagnosis including but not limited to New Patient paperwork, Sliding Fee applications, Verification of Diagnosis (VOD), and Qualifying Diagnosis Certification (QDC).
• Effectively communicates with staff and patients.
• Various intermittent, periodic and systematic report completion including unapplied, accounts receivable, credit analysis and communication log.
• Prepares adjustments for authorization to adjust patient account balances for identified mistakes and bad debt write-offs.
• Cross-trained to provide backup for any vacancy within the department.
• Promotes and provides service excellence to internal and external customers.
• Works collaboratively with all members of the Patient Services department as well as other ANHC departments to ensure all daily work is completed and enhancing the patient experience.
• Other duties as assigned.

• Mantains a clean and orderly work area.
• Performs translation services if staff member is bilingual.
• Attends required meetings/trainings and participates in committees as requested.
• Monitors the waiting and front desk areas for cleanliness and straightens up area as needed.

ANHC’s Mission, Vision and Values:
Actively supports ANHC’s mission, vision and values. Includes using individual skills to add value to the mission:
To be a trusted partner in every person’s wellness by providing integrated, compassionate, and high-quality health care, regardless of ability to pay; and vision:
Accessible care for a healthy Anchorage. Aligns actions around…