PATIENT SERVICE REPRESENTATIVE
4 weeks ago
Job Description:
- Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; monitors waiting room activity; maintains clean waiting areas.
- Accurately schedules all patient appointments and return appointments based on physician/dentist or student doctor and medical/dental specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; Verifies financial eligibility of all patients scheduled;
- Obtains necessary authorizations based on patient's insurance requirements; confirms all appointments within 48 hours of scheduled time; reconciles no show patients; schedules revisit appointments as needed; Conducts patient callbacks as directed by providers.
- Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances; assembles, updates, copies and releases records according to medical/dental record protocol.
- Performs other duties as assigned.
Required Skills:
- Bilingual (Spanish) preferred but not required.
- Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.
- Ability to work under pressure; skilled at managing multiple priorities.
- Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.
- Knowledge of CPT and ICD9 coding.
- Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.
- Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.
Required Experience:
- High school diploma or equivalent is required; minimum of two (2) years' experience as a medical/dental receptionist, insurance processor or a similar position in a medical/dental office, hospital, insurance company, health plan or other health related facility.
- Medical Assistant certification desired
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