Patient Services Representative

6 months ago

Union City, United States PRISM Vision Group Full time

Position Description:The Patient Service Representative (PSR) is a clinical operations care team member reporting to the Office Manager and/or Front Desk Supervisor. The position is responsible for providing the full scope of a) inbound and outbound access patient interactions & functions whether by telephone, internet or face: face, b) patient scheduling & logistics, c) executing daily workflows including cancellation, missed visit and tickler-recall deployment and d) executing revenue cycle claim scrubbing & missing slip completion. The Patient Services Representative (PSR) acts as a liaison between referral sources, clinical services team, physicians and patients for assistance with any needs related to care delivery and office & surgical visits. The Patient Services Representative works independently to ensure that services are coordinated in a timely, accurate and courteous manner by effectively addressing patient or care team member concerns expeditiously while using discretion to determine when to involve the Office Manager and/or Front Desk Supervisor.ROLE AND RESPONSIBILITIESExecutes patient scheduling for optimum patient experience while maintaining office efficiency, whether by inbound/outbound telephone contact, internet-online booking applications-or in person.Executes all necessary patient access check-in/check-out workflows to facilitate positive impressions with proactive attention in order to meet or exceed expectations, address concerns and optimize experience with exceptional customer service and professionalism as standard.Execute and accurately complete full registration for patients requesting appointments adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards.Execute workflows to effectively manage scheduling of cancellations, missed visits, recalls and tickler deployment daily & timely.Verify insurance information, benefits and insurance referral information by performing eligibility and benefits.Obtain legal photo identification and (if applicable) insurance card (s), and validate patient identity and coverage (if applicable) prior to services being rendered thereby ensuring patient safety and financial reimbursement.Provide immediate service recovery by taking ownership of any problems that may arise and resolving them utilizing appropriate rationale and understanding of when to alert and involve Office Manager or Front Desk Supervisor.Provide patients with and interpret patient rights and responsibilities.Interact with patients and collaborate with providers and clinicians to appropriately schedule appointments considering scheduling guidelines per division/specialty/provider, resource availability, special needs, timeframes, medical necessity, and payer and contractual guidelines.Determine appointment type and utilize analytical skills to determine appropriate slot utilization and instances when overbooking is appropriate.Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.Obtain and/or verify that all demographic, financial, and insurance coverage information is accurate, up to date and complete, and that financial clearance has been obtained inclusive of all required referrals/authorizations. Obtain and document pertinent insurance verification information (i.e. CPT codes, service description, reason for visit, etc.) needed to obtain referral/authorization/pre-cert in order to avoid denials and ensure financial reimbursement.Provide patient/guarantor with detailed benefit and authorization requirements and co-pay, deductible, and co-insurance self-pay responsibility.Explain charges, fees, and previous balances for both technical and professional components.Reconcile all collections and transactions at the end of each shift including initial cash funds. Appropriately secure all day end monies in designated locked box.Determine upon checkout/discharge any pending financial responsibility and collect and post payment(s) accordingly.Comply with all standard operating procedures established to support key metrics and quality assurance initiatives that contribute toward prompt billing and increased cash flow.Identify systematic warning flags/messages and populate required data elements in order to eliminate by- passed warnings/errors and avoid a negative impact on downstream revenue cycle processes.Monitor and clear patient work queues on a daily basis to ensure data integrity, prompt billing and minimal AR days.Enter charge codes and number of units accurately and within (1) business day of services being rendered.Perform daily reconciliation to identify missing charges and follow up with providers to obtain in order to ensure all rendered services are accounted for and billed.Review DAR and identify appointments that are not in completed statusProperly open and close the facility to ensure the office is clean and organized for our patients and staff.Ensure that phones are forwarded to answering service and appropriate information - physician on - call coverage has been communicated.POSITION QUALIFICATIONSEducation & Experience: High School Graduate or General Education Degree (GED) experience in patient facing healthcare function or hospitality customer service function.KNOWLEDGE/SKILLS/ABILITIESWorking knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.Knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.Excellent verbal and written communications skills in English. Bi-Lingual (English/Spanish, English/Polish, English/French, English/Arabic) a plus.Must possess excellent, critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.Excellent mathematical and cash management skills.Excellent interpersonal skills and ability to work effectively with physicians, co-workers, other departments and patients of all ages, and from across a broad range of cultural and social economic backgrounds.Ability to work as an integral team member under minimal supervision, in a fast-paced, complex environment.Ability to show tolerance and sensitivity in stressful situations and safeguard confidential information in accordance with established policies and HIPAA regulations.Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systemsComputer SkillsProficient with Microsoft Office SuiteWORK ENVIRONMENTAn office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.

  • Patient Advocate

    2 weeks ago

    Union, United States Elevate Patient Financial Solutions Full time

    Elevate Patient Financial Solutions has an exciting career opportunity available as a Patient Advocate. This position will be located on-site at a hospital in Cincinnati, OH. The Full Time schedule for this role will be Monday-Friday; 8am-4:30pm. Job Summary The purpose of this position is to connect uninsured hospital patients to programs that will cover...

  • Patient Services Representative, Float Pool

    4 months ago

    Union, United States University of Cincinnati Health Full time

    At UC Health, we're proud to have the best and brightest teams and clinicians collaborating toward our common purpose: to advance healing and reduce suffering. As the region's adult academic health system, we strive for innovation and provide world-c Patient Services, Float, Representative, Patient, Retail, Healthcare

  • Bilingual Patient Advocate

    2 months ago

    Union, United States Elevate Patient Financial Solutions Full time

    Elevate Patient Financial Solutions has an exciting career opportunity available as a Bilingual Patient Advocate. This position will be located on-site at a hospital in Cincinnati, OH. The Full Time schedule for this role will be Monday-Friday; 8am-4:30pm. Job Summary The purpose of this position is to connect uninsured hospital patients to programs that...

  • Patient Service Representative

    4 weeks ago

    Daly City, California, United States ZOLL LifeVest Full time

    Job OpportunityZOLL LifeVest is seeking a skilled Patient Service Representative to train patients on the use of the LifeVest wearable defibrillator.Key Responsibilities:Manage equipment and garment inventoryContact caregivers and family to schedule fittingsConduct evening and weekend activities as neededTravel to patient's homes for fittings or follow-up...

  • Patient Service Representative

    5 months ago

    Reed City, United States Spectrum Health System Full time

    Provides clerical support using standard work to assist in the delivery of quality health care services. Essential Functions. Serves as a concierge - greets and communicates with patients or visitors. Performs clerical functions, including, but no Patient, Representative, Service, Health, Retail, Healthcare

  • Patient Service Representative

    2 months ago

    New City, United States Cornerstone Family Healthcare Full time

    Job Type Full-timeDescriptionCornerstone Family Healthcare is actively recruiting for a Bilingual Patient Services Representatives to join our growing team in New City.RATE OF PAY/SALARY: $19.00 per hour *** (Plus opportunity for quarterly incentive of up to $1,000 per quarter) WORK LOCATION(S): New City, NYSTATUS: Full TimeCORNERSTONE BENEFITS:Competitive...

  • Representative - Customer Service

    2 months ago

    Union City, United States Wesco Full time

    Wesco - 1881 West State Road 84 [Customer Service Representative] As a Customer Service Representative at Wesco, you'll: Respond to customer inquiries by telephone, e-mail, and/or walk-ins to provide inquiry or problem resolution; Resolve mostly routine and some non-routine, more complex problems and communicate solution or requested information to the...

  • Patient Service Representative

    4 weeks ago

    New City, New York, United States Cornerstone Family Healthcare Full time

    Job SummaryCornerstone Family Healthcare is seeking a highly skilled Patient Services Representative to join our team in New City. As a key member of our healthcare team, you will be responsible for providing exceptional patient care and administrative support to ensure a seamless patient experience.Key ResponsibilitiesProvide excellent customer service to...

  • Patient Services Representative

    4 weeks ago

    National City, California, United States San Ysidro Health Center Full time

    Job SummaryWe are seeking a highly skilled and compassionate Patient Services Representative to join our team at San Ysidro Health Center. As a key member of our front office staff, you will be responsible for providing exceptional customer service, guiding patients through the registration process, and ensuring a smooth and efficient experience for all...

  • Patient Service Representative

    2 months ago

    New City, United States Cornerstone Family Healthcare Full time

    Job Type Full-time Description Cornerstone Family Healthcare is actively recruiting for a Bilingual Patient Services Representatives to join our growing team in New City. RATE OF PAY/SALARY: $19.00 per hour *** (Plus opportunity for quarterly incentive of up to $1,000 per quarter) WORK LOCATION(S): New City, NY STATUS: Full Time CORNERSTONE BENEFITS:...

  • Patient Financial Services Representative

    4 weeks ago

    Grove City, Ohio, United States Optalis Healthcare Full time

    Job Title: Patient Financial Services RepresentativeOptalis Health & Rehabilitation is seeking a highly skilled Patient Financial Services Representative to join our team at the Monterey Care Center in Grove City, OH.Job Summary:The Patient Financial Services Representative will be responsible for providing exceptional customer service to residents and their...

  • Patient Services Representative

    4 weeks ago

    Kansas City, Kansas, United States Vibrant Health KC Full time

    Job SummaryThe Patient Services Representative is a vital member of our team at Vibrant Health KC, responsible for ensuring seamless patient flow and delivering exceptional customer service. This role involves managing inbound and outbound calls, scheduling appointments, and completing patient check-in and check-out procedures.Key Responsibilities:Answering...

  • Patient Services Representative

    3 months ago

    Morehead City, United States AMM Healthcare Full time

    Summary:JCMC Morehead City and JCMC Newport is looking for a Patient Service Representative to work as our referral coordinator and front desk receptionist. This position serves as the first line of communication between a patient and care provider or care specialist. The PSR delivers the highest level of customer service and efficiency possible by answering...

  • Patient Service Representative

    3 months ago

    Oklahoma City, United States Forefront Dermatology Full time

    Overview: Come join our team! We have an immediate need for a Patient Service Representative in our Oklahoma City, OK clinic! If you are ready to make an impact every day, and thrive in a fast-paced environment, then a career at Forefront may be the perfect fit for you! Summary The Patient Service Representative is responsible for the patient check-in...

  • Patient Service Representative

    1 month ago

    Rapid City, South Dakota, United States ZOLL LifeVest Full time

    Job OpportunityZOLL LifeVest is seeking a skilled Patient Service Representative to train patients on the use of the LifeVest wearable defibrillator.Key Responsibilities:Manage equipment and garment inventoryContact caregivers and family to schedule fittingsConduct evening and weekend activities as neededTravel to patient's homes for fittings or follow-up...

  • Patient Services Representative

    4 weeks ago

    Oklahoma City, Oklahoma, United States INTEGRIS Health Full time

    Job SummaryWe are seeking a highly organized and detail-oriented Patient Services Representative to join our team at INTEGRIS Health Medical Group Northwest Medical Center Pediatric Neurology. This role is responsible for providing exceptional patient care and administrative support to our healthcare team.Key ResponsibilitiesAnswer and direct incoming phone...

  • Patient Service Representative

    4 weeks ago

    Park City, Montana, United States Intermountain Healthcare Full time

    Job Summary:As a Patient Service Representative at Intermountain Healthcare, you will play a vital role in ensuring a positive experience for our patients. Your primary responsibility will be to serve as the point of contact for patients entering our facilities, providing exceptional customer service and support.Key Responsibilities:- Greet and check-in...

  • Customer Service Representative

    3 weeks ago

    Union City, Georgia, United States Classic Collision Inc Full time

    Customer Service Representative Job DescriptionClassic Collision Inc is seeking a highly skilled Customer Service Representative to join our team. As a Customer Service Representative, you will be the first point of contact for our customers, providing exceptional service and support throughout the repair process.Key Responsibilities:Explain and Educate:...

  • Patient Services Representative Senior

    1 month ago

    Oklahoma City, Oklahoma, United States Integris LLC Full time

    Job Title: Patient Services Representative SeniorINTEGRIS Health Medical Group, Oklahoma's largest not-for-profit health system, is seeking a highly skilled Patient Services Representative Senior to join our team in Oklahoma City, OK. As a key member of our team, you will work Monday - Friday, Days, providing exceptional care to our patients and their...

  • Patient Service Representative

    3 months ago

    New City, United States Lenox Hill Radiology Full time

    Job Description: Artificial Intelligence; Advanced Technology; The very best in patient care. With decades of expertise, we are Leading Radiology Forward. With dynamic cross-training and advancement opportunities in a team-focused environment, the core of our success is its people with the commitment to a better healthcare experience. When you join us as a...