Patient Services Rep I

6 days ago

Berwyn, United States Good Shepherd Rehabilitation Network Full time
  • JOB SUMMARY
    • Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
    • Maintain pleasant and positive disposition during every patient interaction to ensure a positive patient experience
    • Instruct patients to complete documents and forms such as intake and insurance forms.
    • Schedule, cancel and confirm patient appointments.
    • Compile, record and archive medical charts, reports, and correspondence with confidentiality.
    • Operate telephones and direct calls, emails and documents to appropriate staff.
    • Transmit correspondence and medical records by mail, e-mail, or fax.
    • Verify insurance via various methods (phone, internet, etc), obtain authorizations and certifications and explain patient responsibitilty forms.
    • Perform financial functions with accuracy (i.e. charge entry) to ensure optimal payment for services.
    • Assist billing department with insurance denials via monitoring and working worklists in the electronic medical records system
    • Assists in patient care and related activities as instructed by the physical therapist, physical therapist assistant, occupational therapist, certified occupational therapist assistant or speech language pathologist.
    • Manages patient interactions and implements service recovery techniques to ensure positive patient relations.
    • Clean and organize work area and disinfect equipment after treatment
    • Participate in daily log recording as required per site.
    • Change linens, such as bed sheets and pillow cases.
    • Contribute to a creative culture of daily continuous improvement
  • ESSENTIAL FUNCTIONS
    • PATIENT/CUSTOMER
      • Essential Accountabilities
        • Ensures communication and collaboration with supervisors and fellow co-workers to serve patients and other customers to the best of his/her ability.
        • Is professional in all actions and appearance
        • Ensure compliance with regulatory parameters
        • Uses resources wisely - as if they were one's own.
        • Demonstrates understanding and ownership of how his/her role contributes to achieving the success of the Department and the Health System.
        • Demonstrates a personal commitment to ensuring a clean and safe working environment.
        • Anticipates patients'/customers' needs and acts accordingly.
        • Works to enhance patient satisfaction
        • Assist patients and families
        • Analyzes problems from the customers' point of view.
        • Honors patient/customer/employee confidentiality.
        • Seeks feedback on how to improve performance and offers constructive feedback, as well.
        • Applies learning for improved performance.
        • Presents self professionally & demonstrates professional behavior during interactions with others
        • Strives to understand and value differences in others' race, nationality, gender, age, background, experience, and style.
        • Customer Service Skills
        • Utilizes AIDET principles to enhance communication.
    • PATIENT/EMPLOYEE SAFETY ACCOUNTABILITIES
      • Patient Care Providers
        • Participates in Entity and Department wide initiatives for Patient /Employee safety
        • Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position.
        • Validation of annual competencies required for the position
    • OPERATIONS
      • Essential Accountabilities
        • Scheduling Functions
        • Patient Identification
        • Pre-Reg/Registration-Patient Information Updates
        • Check-in Process
        • Check-out Process
        • Cash Collection
        • Reconciliation and deposit.
        • Insurance Verification Process
        • Email
        • Management of Medical Records
        • Financial Counselor
        • Department Productivity and goals (site specific)
        • Site Opening Function
        • Site Closing Function
        • Ability to Multi-Task
        • Understanding Clinical Work Processes
        • Attendance/Time Management
        • Involvement in Departmental Meetings
        • Personal Impact
        • Health System ID is worn in accordance to GSPP policy
        • Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)
        • Flexible and readily adopts new processes and engages in practice operation changes
  • QUALIFICATIONS:
    • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

      • Education
        • High School Diploma required
        • Associate's Degree preferred
      • Work Experience
        • Previous healthcare experience preferred
      • Licenses / Certifications
        • Sunrise Billing system certification may be required

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