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Patient Service Representative

3 months ago

Havertown, United States Premier Orthopaedics & Sports Medicine Full time

**Premier Orthopedics and Sports Medicine** is looking for a** Patient Service Representative** to work at our Havertown, PA physician's office.

**The Company**: Premier Orthopaedics is a full-service orthopaedic practice formed in 2000 that specializes in the diagnosis and care for a wide range of orthopaedic injuries and conditions. Through partnership with the Healthcare Outcomes Performance Company (HOPCo), we have grown to over 50 specialty locations and over 100 physicians across the Greater Philadelphia region

We’re proud of the company we’ve built as we’ve grown to over 1000 employees to make Premier a place that people love to come to work every day

At **Premier Orthopaedics**, we are dedicated to taking care of you so you can take care of business Our robust benefits package includes the following:

- Competitive Health, Pharmacy, Vision, and Dental Plan Benefits
- Disability and Protective Benefits
- HSA with qualifying HDHP plans with company match
- 401k plan with company match
- Employee Assistance Program that is available 24/7 to provide support
- Benefits eligibility on the 1st of the month after hire date

**ESSENTIAL FUNCTIONS**
- Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival.
- Answers all incoming calls in a timely manner and accurately supplies requested information to callers; relays written or verbal messages as needed.
- Instructs patients in completion of medical history and other patient information forms and makes any necessary corrections to the patient's account as needed.
- Obtains accurate and complete demographic and insurance information from patients and collects required financial contract/consent form(s), as well as reviews patients and guarantors’ information assuring all necessary documents are populated, completed, and signed correctly. Ensures all required authorizations and/or referrals are attached to patient appointments for that date of service.
- Identifies and collects co-payments, co-insurances, and past-due account balances.
- Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to the Practice Billing Department.
- Evaluates patient financial status and establishes payment plans as needed based upon authority levels.
- Accurately completes and interprets insurance and benefits verification. Notifies patients, designated family member(s), physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
- Scans all new or updated patient information into the EMR system (including but not limited to photo ID, insurance cards, referrals, and patient paperwork).
- Schedules follow-up appointments and notifies patient if service requires an authorization or referral, and sends the request to PCP in a timely manner.
- Maintains general knowledge of insurance plans accepted by Premier.
- Records all record requests in the system and reviews HIPAA requirements and patient Medical Record Request form prior to the release of patient information to any person other than the verified patient.
- Communicates with patients in the lobby if physician or provider is running behind schedule.
- Reviews and prepares charts for the following day according to the practice schedule.
- Maintains a secure and accurate cash drawer, daily balances the cash drawer, and closing batch.
- Protects patients’ rights by maintaining the confidentiality of personal and financial information; maintains patient confidentiality consistent with HIPAA requirements.

**EDUCATION**
- High school diploma/GED or equivalent working knowledge experience preferred.

**EXPERIENCE**
- Minimum of one-two years of patient registration/front office experience in a medical or healthcare setting preferred
- 1+ year of customer service experience required
- Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems. Allscripts Pro Suite or another Electronic Medical Records experience is highly preferred.
- Must be able to communicate effectively with physicians, staff members, patients, and the public and be capable of establishing good working relationships with both internal and external stakeholders.
- Previous experience in collecting money is preferred.

**KNOWLEDGE**
- Knowledge of insurance rules and regulations including eligibility and referral requirements.
- Able to verify the eligibility of each payer, per patient according to defined parameters.
- Knowledge of medical terminology and HIPAA Guidelines.

**SKILLS**
- Skill in customer service.
- Skill in communicating effectively with physicians, staff, and the public.

**ABILITIES**
- Ability to maintain patient confidentiality in accordance with HIPAA Guidelines.
- Ability to communicate with upset and frustrated patients while consistently providing excellent customer