Patient Representative

4 weeks ago


North Chesterfield, United States The Garden of Eden Health Center Full time

Job Summary Patient Representative:
We are seeking a dedicated and compassionate Patient Representative to join our healthcare team. As a Patient Representative, you will play a vital role in providing exceptional customer service and administrative support to patients in a medical office setting. Your primary responsibility will be to ensure that patients have a positive experience during their visit and receive the necessary assistance with their administrative needs.

Job Summary Patient Accounting:
**Duties**:

- Greet and check-in patients with a smile upon arrival, ensuring accurate demographic and insurance information is obtained
- Set the atmosphere for a healing and peaceful environment that is warm, supportive, caring, and joyful. Comfort patients by anticipating their needs.
- Register and check-in patients promptly (new patients within 15 minutes and established patients 2-3 minutes).
- Schedule patient appointments and follow-up visits, coordinating with healthcare clinicians and other staff members
- Answer phone calls, respond to inquiries, and provide information about services offered
- Collect patient payments, verify insurance coverage, and process billing information
- Perform billing charge entry and other check out procedures
- Schedule in-network patients
- Maintain patient records, ensuring accuracy and confidentiality of sensitive information
- Assist with medical administrative tasks such as filing, scanning, and organizing documents
- Collaborate with healthcare professionals to coordinate patient care and address any concerns or issues
- Provide exceptional customer service by addressing patient inquiries, resolving complaints, and ensuring overall satisfaction
- Remind established patients of their appointments at least 24 hours prior to appointment.
- Remind and verify check-in details for new patients of their appointments at least 72 hours (about 3 days) prior to appointment
- Notify clinician of patient’s late arrival to include rescheduling or moving late arriving patients when necessary
- Maintain a same day cancellation list of patients to fill clinicians' schedules for cancellations or no shows
- Maintaining a clean and presentable front office, reception area, hallway, bathroom, and viewable kitchen area
- Assist other staff members with their duties as workload allows
- Other responsibilities as given by and accepted by office administration
- Cross training and training inexperienced staff
- Follow rooming procedures and turnover between patients

Patient Accounting Duties:

- Process Accounts Receivable and ensure accurate and timely payments
- Review and reconcile vendor statements
- Prepare and process accounts receivable invoices
- Monitor patient accounts for payment discrepancies and follow up on outstanding balances
- Perform account analysis to identify discrepancies or errors
- Assist with month-end closing activities, including creating reports and account reconciliations
- Provide exceptional customer service to internal and external stakeholders
- Maintain accurate and organized financial records
- Ensure patient and insurance collections via Manager and Hold Buckets daily, denials and appeals
- Promptly respond to third party billing correspondence, provide oversight, then replacement of services
- Supervise & complete action items in Electronic Health Record (AthenaHealth EHR) Workflow Dashboard daily, Billing Worklist
- weekly
- Provide requested Financial Reports - weekly and monthly ie. A/R Aging Wizard, Activity Reports, Patient Communication Activity Report
- Ensure superbill is up to date, optimized and available for clinicians
- Process claims and correct claim submission errors
- Billing & Coding: process superbill at checkout, correct billing & coding errors
- Cash: verify and reconcile time of service (TOS) collections for bank deposits
- Accounts Payable
- track expenses, invoice payments, reimbursements, cash advances, provide documents for income & expenses for bookkeeping

**Requirements**:

- Previous experience working in a medical office, or medical administrative support role is highly preferred (at least 3 years experience)
- Familiarity with medications, medical terminology and procedures is advantageous
- Excellent communication skills, both verbal and written
- Strong organizational skills with attention to detail
- Ability to multitask and prioritize tasks in a fast-paced environment
- Compassionate demeanor with the ability to empathize with patients' needs
- High level of professionalism and integrity when handling sensitive information
- Comfort using and answering the phone and directing calls.
- Typing 40-45 wpm
- Detailed data entry
- Appointment setting and scheduling.
- Management of records, both physically and electronically
- Teamwork
- Flexibility to keep patient care flow
- Experience with medical billing and ICD-10 codes is highly desirable (3 years minimum)
- Proficient in 10-key typing and data entry accuracy
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