Patient Service Representative

5 days ago

Nashville, United States Meharry Medical College Full time

Responsible for performing all aspects of the patient encounter from scheduling appointments, registering new patients, screening by phone or in person all patients through the check-out process and charge ticket review, batching and/or direct charge entry within an established & acceptable error rate; collects payments from patients; assumes responsibility for one or more functional areas as described based on daily assignments from Clinic Manager; assures that all paper work, documentation and medical records are ready and available at the time patients arrive for clinic visits.

Daily Operations

  • Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; pulls the medical record for those calls requiring it; opens and sorts mail; monitors waiting room activities, maintains clean waiting areas.
  • Accurately schedules all patient appointments and return appointments based on physician or student doctor and medical specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; verifies financial eligibility of all patients scheduled; obtains necessary authorizations based on patient's insurance requirements; confirms all appointments within 48 hours of scheduled time; makes referral appointments for patients; performs scheduling maintenance as required by the system.
  • Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances;
  • Schedules revisit appointments as needed; conducts patient call backs as directed by provider.
  • Receives and processes payments per cash management policy and procedures; balances cash drawer at end of shift/day with daily balancing proof sheet;
  • Perform other duties as assigned. Duties will be assigned in other clinic service areas as patient needs required.
Required Skills
  • Ability to work with little direct daily supervision.
  • Knowledge of data collection procedures.
  • Ability to prepare proposals and produce technical documents.
  • Ability to express ideas clearly and concisely verbally and in writing, including the ability to analyze and extract data from conversation and document.
  • Good interpersonal skills necessary to allow participant recruitment and to establish and maintain effective working relations with other study personnel.
  • Reasonable typing skills.
  • Knowledge of data base management.
  • Knowledge or willingness to learn analytical software such as SPSS, SAS...
  • Basic computer skills to include Microsoft Office components (Access, Word, Excel, PowerPoint)
  • Must have personal transportation
Required Education and Experience
  • High School diploma or equivalent is required.
  • Two years of experience as a medical receptionist, insurance processor or a similar position in a medical office, hospital, insurance company, health plan or other health related facility.
  • Experience with computerized scheduling and billing systems.
  • Bilingual preferred.

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