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Patient Service Representative
4 months ago
Weiss Memorial Hospital has been serving Chicago’s North Side and surrounding communities providing excellent health care services for over 60 years. We are a 236-bed, Joint Commission-accredited facility providing a full range of health care services to meet the needs of our diverse community. We have grown to better serve our community to include more than 450 doctors representing 42 medical specialties and more than 800 employees, all committed to providing you with personalized care. We are looking for exceptional people who share our mission and values to join our team
JOB SUMMARY
Reporting to the Practice Manager and/or Office Coordinator and following established procedures, ensures continuity of patient flow from time of registration to time of discharge in conjunction with medical personnel; answer telephones, schedule appointments, register patients, verify eligibility, medical coding, post receipts and other clerical duties as needed. Audit completed daily batches, train new PSR candidates, complete monthly batch reports.
JOB QUALIFICATIONS
Minimum of two (2) to three (3) years of clerical experience in a medical office to obtain knowledge of healthcare including: med/surg and primary care billing, eligibility verification, co-payments, deductibles, CPT and ICD-9 coding preferred.
Some previous financial and/or accounting experience preferred.
Evidence of current, formal coding education preferred.
Level of knowledge normally acquired through completion of High School diploma.
The interpersonal skills necessary to deal in a courteous and
professional manner with patients and co-workers.
Good organizational skills, ability to handle multiple priorities
simultaneously.
Ability to work with various computer applications (i.e. Excel
spreadsheets, Azron Forerunner, or any modified software).
JOBDUTIES
Realizes that the person in this position is both the first and
last person that patients see at their visits. Help to create the most
professional and friendly atmosphere possible. Is a champion for and committed to
patient engagement, quality and safety and employee relations.
Answers and screens all telephone calls in a prompt and courteous manner. Either notifies appropriate personnel or takes a message, recording information clearly and accurately.
Conforms to the established Standards of Behavior.
Other duties as assigned.
Uses the EMR to schedule
new and returning patient’s appointments.
Greets patients and instructs them to complete appropriate forms
needed and maintain list of patients to be seen. Obtains copy of current
insurance card. Verifies eligibility of patients’ benefits
Reviews Athena dashboard on a daily basis to ensure resolution of
all items in the clinical, administrative, billing and patient task
buckets by days end.
Enters current insurance information in to computer system,
verifying correct insurance company name, group and ID information.
Analyzes accuracy of insurance information provided.
Collects co-payments and payments on account from patients at
front desk.
Ensures security of cash collected and houses on site. Maintains cash in cash box, responsible
for accuracy of cash collected and deposit of money daily.
Balances receipts, makes out deposit slips and prepares cash,
checks and charge cards for deposit daily responsible for securing monies
until picked up.
Interprets financial policy to patients and assists patients in
processing insurance forms.
In conjunction with the clinical staff review the quality
management tab with each encounter. Proactively reviews outstanding items
with the patient or care giver in accordance with the office’s process.
Ensures reception area is neat and clean in appearance.
Verifies accuracy of diagnosis codes, physician that was seen;
verifies laboratory and other testing done at the visit and bills
appropriately using correct CPT codes
Assists in ordering of supplies for business office area and
maintains adequate inventory.
Audits daily batches. Checks for accuracy including: insurance
information, diagnosis, coding, and verification that all billable charges
have been entered.
Trains new candidates for the PSR position.
Identifies area of opportunity for improvement within the office
and proactively addresses them with the manager or office coordinator.
Follows up with patients and/or third party payors to make certain
all the necessary information is in the system, i.e. collection of
deductibles, co-pays etc. Answers
patient inquiries regarding charges, information on updates and patient
information.
Follows and processes all the established collection procedures to
insure prompt collection of billing.
Maintains proper payor identification of the accounts and resulting
correspondence.
Gathers and verifies all data relevant to the patients’ insurance
and billing status, contacts insurance companies to verify level of
coverage, obtains patient diagnosis and related medical claim support for
inclusion in the billing documentation.
Conducts follow-up on bills in process, reviews patient files to
locate corrected addresses when billing mail is returned.
Identifies delinquent
accounts/unpaid accounts and refers patients who may require intervention
or payment plan to supervisor.
Actively participates in all patient engagements initiatives thru
the implementation of strategies to improve.
Meets and/or exceeds established Point of Service Cash Collection
Goals.
Contributes to the medical center’s financial performance through
above duties, which demonstrates a decrease or elimination of unnecessary
bad debt.
Weiss Memorial Hospital provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to race, color, religion, age, sex, national origin, disability status, genetics, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state or local laws.
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