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Patient Service Representative

4 months ago


Saint Louis, United States Mercy Full time
Full Time, Day Shift

Kid's GI Clinic

We're a Little Different

Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service.

At Mercy, we believe in careers that match the unique gifts of unique individuals - careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern Healthcare Magazine named us in its "Top 100 Places to Work."

Overview:

Performs all secretarial duties for physicians office. Assists with special projects as needed. Reporting Office Administrator of the physicians practice. Performs duties and responsibilities in a manner consistent with our mission, values, and Mercy Service Standards.

Qualifications:

  • Education: High School diploma or equivalent required
  • Experience: One year experience in a medical office setting preferred


Greets and checks in patients in a friendly manner.Evaluates patient chart and registration information for current address, telephone number and insurance information.CHARGE ENTRY AND PAYMENT COLLECTION DUTIES:3.1 Copies and collects all pertinent insurance information and secures signatures as needed for medical records.3.2 Data entry of hospital charges.3.3 Collects co-pay and explains payment requirements and filing of insurance.3.4 Defines charges for services rendered and verifies tests were completed.3.5 Preparation and entry of data processing functions related to patient billing and insurance, daily charges and payments. Responsible for input accuracy and timeliness.3.6 Preparation and monitoring of payment agreements. Assists receptionists in credit status questions.3.7 Makes payment adjustments on accounts with manager approval.3.8 Balances all charges and payments at end of day. Prepares daily bank deposit.CLERICAL DUTIES:4.1 Sets telephone, as appropriate, for end of day.4.2 Pulls, files, sorts, distributes and maintains medical records.4.3 Prepares appointment reminder cards or other mailed patient information.4.4 Prints computer appointment schedules for each physician and distributes to departments as needed.4.5 Enters appointments in the computer with appropriate information; e.g., lab tests requested.4.6 Prints labels, registration forms and/or other computer information needed.4.7 Records information for recall appointments.4.8 Relays telephone calls to appropriate area or takes messages.4.9 Handles returned mail, returned checks, post-dated checks, bankruptcies, deceased accounts and attorney accounts.4.10 Provides follow-up on delinquent accounts and recommends collection action to the physicians.4.11 Notifies answering service when doctor is gone or office is closed.4.12 Ensures the return message has an accurate telephone number and patient name.SCHEDULING:5.1 Schedules future appointments for patient and informs the patient of any preparation needed prior to test(s).5.2 Schedules referral appointments with specialists, outside agencies, and other healthcare facilities. Notifies the patient by telephone of referral appointment.5.3 Performs proper scheduling of appointments. Reschedules appointment at request of patient or if doctors change their schedules.Performs administrative duties associated with managed care and referrals.Obtains patient authorization for medical record release. Sends medical record requests to physicians, healthcare facilities, and other agencies within medical records guidelines.Researches appropriate procedure and diagnosis codes when missing or unfamiliar for approval by supervisor or physician.Assists patients and insurance companies with account inquiries and other queries.Provides and coordinates written communications to governmental agencies, insurance companies and patients using standard forms.Processes benefit correspondence, signature and insurance forms as needed.Maintains patient authorization files in regard to Medicaid, Medicare and other insurance requirements.Researches and resolves problems with patients' accounts and makes all necessary update or corrections. Works accounts receivable collections which includes telephone contact with the patient.Counsels patients regarding accounts and accepts payments on current and delinquent balances.Assists patients in completing necessary forms to obtain hospitalization or surgical pre-certification from insurance companies.Confirms all workman's compensation claims with employers.Enters patient registration and insurance information in the computer system.Responsible for correct billing of insurance and workman's compensation claims.GENERAL DUTIES:20.1 Performs other duties as assigned by supervisor.20.2 Meets Health System attendance standards.

We Offer Great Benefits:

Day-one comprehensive health, vision and dental coverage, PTO, tuition reimbursement and employer-matched retirement funds are just a few of the great benefits offered to eligible co-workers, including those working 32 hours or more per pay period

We're bringing to life a healing ministry through compassionate care.

At Mercy, our supportive community will be behind you every step of your day, especially the tough ones. You will have opportunities to pioneer new models of care and transform the health care experience through advanced technology and innovative procedures. We're expanding to help our communities grow. Join us and be a part of it all.

What Makes You a Good Match for Mercy?

Compassion and professionalism go hand-in-hand with us. Having a positive outlook and a strong sense of advocacy is in perfect step with our mission and vision. We're also collaborative and unafraid to do a little extra to deliver excellent care - that's just part of our commitment. If that sounds like a good fit for you, we encourage you to apply.

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