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Clinic Patient Service Representative/Full time days
2 months ago
Employment Type:Full timeShift:Day ShiftDescription:MERCY MEDICAL CENTER-NORTH IOWAJob DescriptionJob Title: Clinic Patient Service Representative Department/Subsidiary: Mercy Clinics Effective Date: April 1, 2024Job code: Y1027JOB SUMMARY The Patient Service Representative (PSR) greets and welcomes patients and visitors to the clinic demonstrating strong inter-personal skills and a professional demeanor. The PSR is responsible for managing front desk responsibilities including maintaining patient flow, scheduling appointments, appropriately handling phone calls which may include entry into the E HR message center, validating insurance eligibility, entering demographics, insurance, and other pertinent information into the clinic and hospital patient accounting systems, and determining and collecting time of service payments and/or past due balances at the time of appointment. ORGANIZATIONAL SUMMARY A.Reports to: Clinic ManagerB.Supervises: NoneC.Key Working Relationships: Patients, providers, clinic staff, vendors and clinic visitors, hospital departments. D.Primary Customer Groups: Patients, providers, clinic staff, vendors and clinic visitors, hospital departments.E.Age/Population of Patients Served:NeonatalAdolescentGeriatricPediatricAdultxxAll AgesESSENTIAL FUNCTIONS A.Greets and welcomes patients and visitors to the clinic courteously and ascertains the reason for the visit or phone call. Determines next step in meeting the patient's needs. This may include entering telephone call information into the electronic health record.B.Schedules patient appointments determining the type of visit and amount of time to allow according to the providers' workflow. Arranges for interpreter services as needed. Helps patients find care at the appropriate level in other network facilities as needed.C.Responsible for validating/obtaining and entering demographic and insurance information into the clinic and hospital patient accounting systems by interviewing the patient, family member and /or guarantor. Conducts online insurance eligibility/verification. Determines when new consent forms are required and explains to patient/family members. D.Informs patients and families of the expectation of payment at time of service and collects same. Makes referrals to the financial counselors as needed. Documents the payment in the patient accounting system and provides the patient with a receipt. Prepares the bank deposit and reconciles daily collections. May reconcile the monthly bank statement. Responsible for cash management in the clinic.E.May assist clinical staff with prior authorizations for medications and diagnostic services which may include assisting with assigning preliminary CPT and ICD 10 billing codes.F.Maintenance of office supplies and office equipment.G.Communication with clinic providers, clinic staff and hospital departments as needed to facilitate patient care, patient flow and special needs.H.Maintains required department confidentiality and abides by HIPPA regulations.I.Provides competent patient care to the above indicated patient populations by obtaining and appropriately interpreting data, making appropriate decisions based on demonstrated knowledge of age-specific growth and development, and appropriately adapting procedures and treatments.J.Takes an active role in enhancing ability to carry out job functions through personal and professional/job-related growth and development and participates in medical center and/or departmental education programs.K.Communicates with and performs duties following the philosophy of Mercy Medical Center - North Iowa and the Sisters of Mercy reflecting the organization's Mission, Values, and Guiding Behaviors.L.Supports and abides by all medical center, departmental, and safety policies and procedures. Proactively identifies safety concerns surrounding the work environment. M.Performs other responsibilities as requested by supervisor, manager or department head.ADDITIONAL FUNCTIONS 1.File Clerk duties as needed.POSITION QUALIFICATIONSA.Education: 1. High school diploma or equivalent; knowledge of medical terminology is preferred.B.Experience: 1.Six months of office or customer service experience required, preferably in a medical office setting. OR completion of an Administrative Assistant Diploma2.Computer experience preferred. C.Special Skills and Competencies: 1.Typing speed of 35 words per minute preferred2.Ability to maintain a high degree of confidentiality3.Ability to perform multiple tasks simultaneously4.Demonstrates strong interpersonal skills, ability to interact diplomatically and to maintain a professional demeanor with physicians, the public and hospital staff at all times.5.Ability to discuss personal and financial matters with patients and families.XMust provide proof of Basic Life Support (BLS Healthcare Provider, American Heart Association; or American Red Cross, Professional Rescuer-LIVE class only) via current card prior to employment or within 60 days of hire and maintains current status. Completes Mandatory Reporting: Child and Dependent Adult Abuse requirement within 6 months of hire and renews this requirement every 5 years.Completes Advanced Cardiac Life Support (ACLS) - American Heart Association within 6 months of hire and maintains current status.Completes Pediatric Advance Life Support (PALS) - American Heart Association within 6 months of hire and maintains current status.Completes Neonatal Resuscitation Program (NRP) - American Heart Association within 6 months of hire and maintains current status.Completes MANDT Training within 6 months of hire and maintains current status.Completes Trauma Nurse Core Course (TNCC) within 6 months of hire and maintains current status.Position Purpose:The Patient Service Representative (PSR) greets and welcomes patients and visitors to the clinic demonstrating strong inter-personal skills and a professional demeanor. The PSR is responsible for managing front desk responsibilities including maintaining patient flow, scheduling appointments, appropriately handling phone calls which may include entry into the E HR message center, validating insurance eligibility, entering demographics, insurance, and other pertinent information into the clinic and hospital patient accounting systems, and determining and collecting time of service payments and/or past due balances at the time of appointment. What you will Do:Greets and welcomes patients and visitors to the clinic courteously and ascertains the reason for the visit or phone call. Determines next step in meeting the patient's needs. This may include entering telephone call information into the electronic health record.Schedules patient appointments determining the type of visit and amount of time to allow according to the providers' workflow. Arranges for interpreter services as needed. Helps patients find care at the appropriate level in other network facilities as needed.Responsible for validating/obtaining and entering demographic and insurance information into the clinic and hospital patient accounting systems by interviewing the patient, family member and /or guarantor. Conducts online insurance eligibility/verification. Determines when new consent forms are required and explains to patient/family members.Hours/Schedule: Full time/Days/M-F ; No weekends or holidaysMinimum Qualifications: A. Education: 1. High school diploma or equivalent; knowledge of medical terminology is preferred.B. Experience: 1. Six months of office or customer service experience required, preferably in a medical office setting. OR completion of an Administrative Assistant Diploma2.Computer experience preferredPosition Highlights and Benefits:Education Assistance offeredEffective Day 1 Benefit Package (Medical, Dental, Vision, and more) for positions 16 hours per week or greaterCompetitive wages; including weekend and night differentialsGenerous paid time off programRetirement Savings program with employer match starting on Day 1Ministry/Facility Information:MercyOne North Iowa Medical Center provides expert health care to 15 counties.MercyOne North Iowa Medical Center is a 342 bed, regional referral teaching hospital in Mason City, Iowa. MercyOne New Hampton Medical Center is an 11 bed, rural access hospital in New Hampton, Iowa. Our service area spans 15 counties across northern Iowa and southern Minnesota. We serve a population over 260,000.With more than 3,000 colleagues and a medical staff of almost 500 physicians and allied health professionals, MercyOne North Iowa Medical Center is the largest employer in the region.MercyOne Medical Group - North Iowa is part of Iowa's largest multispecialty clinic systems. In north Iowa, our clinics are made up of more than 25 primary care, pediatric, internal medicine and specialty clinics.Our Commitment to Diversity and InclusionTrinity Health is one of the largest not-for-profit, Catholic healthcare systems in the nation. Built on the foundation of our Mission and Core Values, we integrate diversity, equity, and inclusion in all that we do. Our colleagues have different lived experiences, customs, abilities, and talents. Together, we become our best selves. A diverse and inclusive workforce provides the most accessible and equitable care for those we serve. Trinity Health is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, status as a protected veteran, or any other status protected by law.