Patient Services Representative – Pediatric Specialist

• Coordinate and participate in daily clinic preparation
• Identify patients and perform patient check-in/check-out
• Post charges and manage cash
• Schedule patient appointments
• Register patients and set up accounts
• Make and manage phone calls
• Take and deliver messages to physicians, nurses, and others
• Accurately distribute messages according to practice communication standards
• Manage incoming patient care requests related to in-basket activities, referrals, work queue activity, and incoming telephone calls
• Initiate and secure prior authorizations as needed
• Conduct oneself in a responsible and professional manner

• Associate's Degree
• Basic computer skills
• General office equipment proficiency
• Proficiency with insurance coverage rules, including eligibility, network coverage, and benefits
• Successful completion of mandatory insurance training and ongoing competency refreshers
• Competence initiating and securing prior authorizations as needed
• Competence with telephone systems
• Ability to accurately, completely, and promptly report medical information
• Ability to work Monday-Friday, 8a-5p
• Work authorization verification through E-Verify

Demonstrates proficiency in patient registration, appointment scheduling, and managing patient communications while ensuring compliance with insurance coverage rules and prior authorization processes. Exhibits strong organizational skills and professionalism in a clinical environment.

• Patient Registration
• Appointment Scheduling
• Prior Authorization
• Insurance Coverage Proficiency
• Telephone System Competence

• Basic Computer Skills
• General Office Equipment Proficiency
• Insurance Coverage Rules
• Medical Information Reporting
• Cash Management

• Professionalism
• Communication Skills
• Organizational Skills

• Associate's Degree
• Mandatory Insurance Training

• Patient Check-In/Check-Out
• In-Basket Activities
• Work Queue Activity
• E-Verify

• Telephone Systems