Patient Service Representative
PHPN- Life's Journey
DuBois, PA As a Patient Service Representative: The Patient Service Representative is responsible for organizing and performing all business office functions related to daily operation within the Medical Practice. Functions include receiving patients, assessing their needs and acting accordingly to ensure patients are provided with access to appropriate health care providers and ancillary services. Carries out all duties to meet patient needs such as scheduling, record maintenance, facilitating orders, answering telephones, retrieving test results, etc. Provides clerical support for medical office personnel.
WHAT WE OFFER:
- Competitive compensation based on experience
- Professional development
- Supportive and Experienced Peers
- Medical, Dental, and Vision offered the first of the month after your start date
- Company paid short-term disability coverage
- Flex Spending Account
- 25% discount on services at all Penn Highlands Healthcare facilities
- Employee Assistance Program (EAP
*Complies with PH DuBois policies and procedures, accreditation agency requirements, and federal, state or local law and regulations
Schedules patients for office visits via the GE scheduler. Maintains the physician schedule. Prints daily schedule and distributes.
Interviews patients and verifies all information verbally then registers in the computer system. Obtains proper consents for treatment and authorizations for billing
Calls patients that are scheduled for the following day to confirm appointments and prepare any information needed for the office visit
Inputs charges daily into GE. Applies modifiers as required. Reviews for accuracy and makes corrections as needed. Will consult physician for clarification when needed.
Schedules tests and procedures with the appropriate departments as directed by the physician. Completes proper referrals when necessary.
Answers telephone and intercom calls and provides information or relays messages to appropriate person(s) or responds personally
Maintains a petty cash drawer. Receives payments for services rendered and on accounts. Balances the cash drawer and cash receipts at the end of each day.
Calls insurance companies for authorizations. Enters referrals using internet based sites.
Files patient charts using numerical, alphabetical, or color coding system(s). Sort and file patient reports, consult reports and other pertinent documents.
Serve as receptionist for the practice. Performs clerical duties utilizing a word processing system and Dictaphone machine, electronic typewriter, and/or computer
Assists patients with insurance claims by supplying copies of medical records, completion of forms, etc.
Prepares required paperwork for forwarding to the billing department for services performed by physician(s).
Demonstrates knowledge and understanding of billing and coding practices including regulatory requirements of payers such as Medicare, Medicaid, Blue Shield and commercial carriers; maintains proficiency by attending inservices and regularly scheduled meetings. Seeks guidance when questions on billing issues arise.
Review all orders at check out for completeness. Verify medical necessity of specified tests for Medicare patients. Review findings with physician and patient. Obtain ABN if required and apply GA modifier.
Other duties as assigned.
High school graduate or equivalent required.
1-2 years past physician office experience preferred.
Typing/computer skills including Microsoft Office required.
- CPR certification from the American Heart Association within the first year of hire in position required.
- Knowledge and understanding of regulatory requirements of third party payors such as Medicare, Medicaid and Blue Shield preferred.