Patient Service Rep 1

Job Details

Department: 02250 HC Rome Women's Center
Status: Full time
Benefits Eligible: Yes
Hours Per Week: 40
Schedule Details: Monday-Friday 8am-5pm
Pay Range: $19.80 - $29.70

• Greets patients arriving for appointments and monitors patient flow to ensure efficient and courteous care.
• Ensures all patient demographic and insurance information is complete and accurate.
• Completes the registration process for walk‑in patients, verifies and updates patient information as needed.
• Obtains, calculates, and collects the patient’s out‑of‑pocket financial liability and requests and collects past‑due and present balances.
• Follows the Financial Clearance policy for non‑urgent services when financial clearance has not been completed.
• Identifies patients in need of financial assistance and refers them to the Financial Counselor.
• Performs visit closure, including checking out patients, scheduling follow‑up appointments, collecting additional patient responsibility, and providing appropriate documents.
• Maintains knowledge of Medicare, Medicaid, and third‑party payer requirements, guidelines, policies, and accepted insurance plans.
• Communicates service issues and process improvement opportunities to management.
• Meets productivity requirements and a 98% accuracy rate, ensuring excellent service to customers.
• Maintains excellent public relations with patients, families, and clinical staff, working collaboratively for concise and timely information flow.

• None

• High school diploma or GED. Preference for experience in patient access (scheduling, registration, financial clearance), insurance verification, billing, or as a certified medical assistant.

• None

• Ability to identify and understand issues, examine data, and draw logical conclusions.
• Knowledge of Medicare, HIPAA, EMTALA rules, and compliance with insurance pre‑certification requirements.
• Mathematical aptitude, effective oral and written communication, and critical thinking skills.
• Understanding of basic human anatomy, medical terminology, and procedures for patient referral, pre‑certification, and authorization processes.
• Effective communication with customers and colleagues, projecting a pleasant professional demeanor on the phone and in person.
• Handling sensitive and confidential information per internal policies.
• Reading and interpreting safety rules, operating instructions, and procedure manuals.
• Proficiency in Microsoft Outlook, Word, Excel, and ADT software.
• Writing routine correspondence and calculating figures such as discounts and percentages.
• Ability to work with minimal supervision, problem‑solve in a high‑stress environment, and prioritize tasks effectively.

• Normal office environment exposure.
• Ability to sit for the majority of the workday.
• Occasional lifting up to 10 lbs.
• Operates all equipment necessary for the job.

Patient Services Representative I is responsible for completing patient registration duties, including collecting and validating accurate patient demographic and insurance information, obtaining pre‑certification or authorization as required, and entering all necessary information into the system. The PSR informs patients of their estimated liability, collects patient liabilities, identifies patients needing financial assistance, and refers them to financial counseling as necessary. The role requires multi‑tasking, effective problem‑solving skills, and fostering positive relationships with all patients to provide quality service.