Patient Services Representative

2 weeks ago

Medford, United States CareerBuilder Full time

Position Description:

As a Patient Service Representative (PSR) / Receptionist at South Jersey Eye Physicians, your role will include providing patient services via phone and in person, making appointments, checking patients in and out, verifying insurance eligibility and performing other clerical duties.

Hours vary and will include some nights and Saturdays. We are looking for someone who is reliable, energetic, likes working closely with others and has first-rate communication and customer service skills. This is a fast-paced position where multi-tasking is required.

ROLE AND RESPONSIBILITIES

Executes 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.
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.
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 selfpay 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.
Properly open and close the facility to ensure the office is clean and organized for our patients and staff.

POSITION QUALIFICATIONS

Education & Experience:

High School Graduate or General Education Degree (GED) experience in patient facing healthcare function or hospitality customer service function.

KNOWLEDGE/SKILLS/ABILITIES

Excellent verbal and written communications skills in English.
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 systems

WORK ENVIRONMENT An office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.

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