Patient Services Representative
2 weeks ago
Location: Denver, CO 80238
Job Duties:
1. Greets patients. Answer phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).
2. Schedules patient appointments for visits, procedures, diagnostic tests, referrals and/or consultations.
3. Registers patients. Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. Follows procedures when identifying patients.
4. Obtains cocopies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required. Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.
5. Informs self-pay patients of liability due and prepayment requirements. Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.
6. Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms. Documents patient account notes for all interactions/transactions.
7. Maintains department and/or individual work queues and reports as required.
8. Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office.
9. Promotes mission, vision, and values of client, and abides by service behavior standards.
10. Performs other duties as assigned.
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