Patient Service Representative

2 weeks ago

Phoenix, United States Circle The City Full time

Essential Duties:
Duties include, but are not limited to:

- Obtains authorization for patients, through pre-certification process.
- Acquires authorization for ancillary testing, inpatient admissions, referral to specialist, prescription, durable medical equipment, etc.
- Maintains current knowledge of practice sites managed care contracts and guidelines.
- Adheres to guidelines of contractual managed care regarding referrals and testing.
- Complete intake paperwork with patient. Ensuring the attestation is signed by the patient.
- Set up, records and monitors in the EMR all data related to the authorization/pre-certification process.
- Cancels and reschedules patient appointments as necessary according to availability, backlog and at request of immediate supervisor.
- Greets and acknowledges patients and visitors. Follows standard operating procedures on checking patients in and follows standard operating procedures on appropriate patient check out.
- Answers telephone and takes messages and/or routs call to appropriate personnel.
- Schedules patient appointments, both over the phone and in person, as determined by protocols established by the Physician and the necessity of continuity of care.
- Notifies appropriate departments and physicians regarding admissions, referrals, and authorization in a timely manner.
- Is fully cross-trained in all front office functions.
- Follow the release of information process when records are requested
- Ensures integrity of accounts receivable through accurate registration and insurance verification.

Disseminates insurance information on covered services and protocols and ancillary services.
- Ensure referrals are addressed in a timely manner
- Contact the patient regarding any pending referrals

**11a-8p Monday - Friday Shift**

Basic Knowledge and Skills:

- Good verbal and written communication skills
- Detail oriented and ability to take direction
- High school diploma or equivalency
- Strong computer skills: MS Office Suite
- Effectively utilize electronic medical records
- Able to work with mínimal supervision successfully
- Bilingual (Spanish/English) preferred

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