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Patient Services Representative

2 months ago

Houston, United States OrthoLoneStar PLLC Full time

Company: Fondren Orthopedic Group A Division of OrthoLoneStar

Title: Patient Services Representative - Front Desk

Basic Responsibility

The Front Desk Representative is responsible for greeting patients and working with them in person, on the phone or through electronic correspondence, checking patients in and updating patient information. Verifies and analyzes insurance coverage plan for patients upon referral/admission. Communicates plan information to appropriate parties. Provide accurate and complete data input for precertification requests, and ongoing authorizations. Checks patients out and charges appropriate amount for copay or deductible based on procedure and insurance coverage.

Specific Responsibilities

The specific responsibilities of the Patient Representative encompass but are not limited to the following:

  • Explains and assists with the registration forms to patients and their families
  • Maintains patient data up-to-date and verify patient information
  • Completes verification of insurance benefits and obtain referrals for office visits
  • Works under the guidance of Supervisor and follow departmental policies and procedures
  • Responds to patient queries and concerns in a professional manner
  • Stays updated with information regarding insurance programs
Skills Required:
  • Must have excellent oral and written communication skills, strong interpersonal skills, and ability to work in an autonomous and independent manner
  • Ability to apply knowledge of office procedures and carry out tasks accordingly
  • Must be flexible, organized, and function well under pressure
  • Bi-lingual English/Spanish is a plus
  • Excellent organizational and analytical skills
  • Knowledge of HIPAA requirements
Minimum education and work experience requirement:
  • Minimum of a High School Diploma; 1 - 2 years of experience in customer service, or equivalent combination of education and experience
  • Previous experience in a medical practice desired

Work Environment

This job operates in a professional office environment. This role routinely uses standard office equipment such as computers, phones, photocopiers, filing cabinets and fax machines. Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. This is largely a sedentary role; however, some filing is required. This would require the ability to lift files, open filing cabinets and bending or standing on a stool as necessary.

Position Type/Expected Hours of Work

This is a full-time position. Days and hours of work are Monday through Friday, between the hours of 6:00 a.m. to 6:00 p.m. Specific work schedule will be determined by the department manager.

Travel

No travel is expected for this position.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice. Other duties may be assigned as necessary.

Reports to: Front Desk Supervisor

Supervises: None