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Patient Service Representative
2 months ago
Spectrum Orthopaedics was recently named the winner of the Best of the 207 Orthopaedics award
Company Overview
Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire.
Hours: Monday - Thursday, 9:30am - 6:00pm; Friday 8:00am - 4:30pm
POSITION SUMMARY
Position is responsible for performing a variety of front-office functions including check-in, check-out, time of service collection, charge reconciliation and basic pre-authorization tasks to provide support/guidance to patients, office staff, physicians, advanced practice providers and physical therapists. Represents the practice in a professional, courteous manner while receiving patients into the practice.
ESSENTIAL FUNCTIONS
Greets each patient as they enter the practice in a professional, caring manner and is warm in welcoming patients and vendors.
Performs patient check-in/check-out process with all patients. Review’s patient chart to determine what registration information is needed from the patient at time of check-in. Ensures patient records are accurate and up to date including patient name, address, date of injury, payer information, etc. by verifying existing information or entering updated data into the computer system.
Collects copays and outstanding balances at the time of service. Performs daily payment reconciliation.
Answers incoming internal and external calls.
Utilizes electronic health record for messaging to/from clinical staff.
Enters patient information into practice management system from faxed referrals, phone or email and schedules appointments per clinical protocol.
Schedules outside diagnostic testing and secures authorization when required by insurance as directed by physician or advanced practice provider.
Performs Pre-Authorization tasks including managing ongoing authorizations for future visits when required by insurance.
Manages incoming faxes and other documents including but not limited to disability forms, referrals, and medical record requests.
Scans medical documentation and other required documents into electronic health record or other document imaging system(s)
Performs insurance verification as appropriate to ensure accurate billing to appropriate insurance for patient encounter(s).
Maintains open communication with clinical staff to minimize interruptions to the providers’ schedules.
Collects all charge slips, reviews for accuracy and completeness. Reconciles charge sheets against schedule to ensure appropriate billing. Returns charge slips to clinical staff if they do not have the necessary information or if there are any discrepancies.
Prepares daily charges and payments for transfer to Portland office, when applicable.
Ensures the waiting area is presentable. Notifies Facilities of any specific needs or concerns to ensure a pleasant and safe experience for all staff, visitors and patients.
PRIMARY RESPONSIBILITIES
Collaborates with clinical staff, Patient Accounts and other key members of staff/leadership to answer all patient questions and concerns
Strives to maintain positive patient relations by handling problems and complaints in a professional, confidential manner
Provides coverage for other front desk locations as needed
May perform charge entry functions when necessary and as back up to Portland office
Opens and distributes daily mail.
Maintains patient confidentiality per state and federal and company regulations
Attends meetings, as assigned, and participate in educational activities to keep skills up to date
Demonstrates professionalism always
Is proactive in identifying, reporting and participating in the resolution of any potential or actual patient safety issues
Keeps abreast of current issues involving patient care or practice issues by attending and participating in department, team and practice meetings
Displays cooperative behavior and interacts positively and effectively with others to promote a team environment
Performs other duties necessary to maintain the overall efficiency and continuity of the clinic
Support the Company’s Vision and Values
QUALIFICATIONS
High school degree or equivalent.
Experience in a medical office or similar role in health care organization/ environment helpful
Strong customer service skills
Ability to work independently and as part of a team
Excellent communication and interpersonal skills, with the ability to interact with all internal and external customers in a professional and caring manner
Proficient computer skills including Microsoft Office
Knowledge of medical records helpful
Ability to complete work in a timely, accurate and thorough manner
Ability to maintain confidentiality
PHYSICAL DEMANDS / WORK ENVIRONMENT
Operation of various office equipment; fax machine, telephone & voice mail system, stationary/lap top computer, scanner, e-mail system, cell phone, pager, and copier – data entry and typing
Light lifting of paperwork, folders or other general record keeping materials
Occasional travel amongst company locations (for coverage)
Lifting of mail bins and boxes up to 30 lbs.
May be required to sit or stand for extended periods of time
Occasional reaching, bending
BENEFITS AND PERKS
Health Insurance (80% company paid)
HSA Match ($3000 family plan / $1625 individual plan)
Dental & Vision Insurance Plans
401(k) Match and Profit Sharing Plan
Life and Accidental Death and Dismemberment Insurance
Long-term Disability Insurance
Short-term Disability Insurance
Generous paid time off
Voluntary, Employee-Paid Benefits
Medical Reimbursement Plan
Dependent Care Plan
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