Patient Service Representative

Department

02270 HC Specialty Center MOB 550 Redmond Rd
- Ophthalmology

02270 HC Specialty Center MOB 550 Redmond Rd
- Ophthalmology

Full time

Yes

40

M-F; 8-5

$19.80 - $29.70

• Greets patients arriving for their appointments.
  
  Monitors patient flow to ensure patients are cared for in the most efficient and courteous manner.
• Ensures all patient demographic and insurance information is complete and accurate
• Completes the registration process on walk-in patients, verifies and / or updates patient demographic and insurance information if changes or additions have occurred
• insurance benefits.
  
  Obtains,calculate sand collects the patient’sout of pocket financial liability.
  
  Requests and collects past due and present balances or estimates due
• Follows the Financial Clearance policy for non-urgent patient services if financial clearance hasnot been completed or authorization has not been obtained, when appropriate
• patients in need of financialassistanceand refers patients to Financial Counselor
• Performs visit closure, including but not limited to checking out patients, scheduling follow-up appointment(s), collectingadditionalpatient responsibility (when applicable) and providing patient with appropriate documents.
• Maintains knowledge of and reference materials of the following:
  Medicare, Medicaid and third-party payer requirements, guidelines and policies, insurance plansrequiringpre-authorization/referral and a list of current accepted insurance plans.
• Proactively communicates issues involving customer service and process improvement opportunities to management
• Meets productivity requirements to ensure excellent service is provided to customers
• Meets or exceeds performance expectations of 98% accuracy rate and established department productivity measurements.
• Maintains excellent public relations with patients, families, and clinical staff as well asdemonstratesa willingness and ability to work collaboratively with others for concise andtimelyflow of information

• NA

• High school diploma or GED required. Patient access (scheduling,registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.

• NA

• Ability toidentifyand understand issues and problems.
  
  Examines data and draws logical conclusions based on information available
• Knowledge and ability to articulate explanations of Medicare, HIPAA, and EMTALA rules and regulations andcomply with updates on insurance pre-certification requirements
• Mathematical aptitude, effective oral and written communicationskillsand critical thinking skills
• Understanding ofbasic human anatomy, medicalterminologyand procedures for application inthe patient referral, pre-certification and authorization processes.
• Ability to speak effectively to customers or employees of the organization; presents a pleasant, professional demeanor and image during telephone conversation
• Ability to handle sensitive and confidential information according to internal policies
• Ability to read and interpret documents such as safety rules,operating and maintenance instructions, and procedure manuals
• Experience with Microsoft Outlook, Word and Excel and ADT software
• Ability to write routine correspondence, calculate figures and amounts such as discounts and percentages
• Must be able to work with minimal supervision, toproblem solvein a high profile and high stress area and interact positively with all internal and external customers whilepossessingthe ability todeterminepriority of work

• Exposed to a…