Patient Services Representative

4 months ago

Philadelphia, United States Spectrum Health Services, Inc. Full time

Job DescriptionJob Summary:The incumbent for this position provides services to patients arriving for medical and dental services and handles the patient scheduling, check in and registration and process. This position is the first point of contact for the organization. The Patient Service Representative must have interpersonal skills and critical thinking to be successful in this position. The PSR serves as an important member of the Patient Centered Medical Home (PCMH) care team in ensuring appropriate data capture and accuracy of front-end processes and timely communication with the patient and the care team members.Essential Functions (Medical):Informs patient prior to visit about the fee assessment process or co-paysPerforms patient pre-registration function and runs eligibility reports to determine insurance coverage.Verifies third-party insurance coverage via on-line verification or telephone.Receives and acknowledges all health center patients and visitors.Maintains and verifies patient schedule.Reviews sections of the patient information forms.Collects all co-payments or initial fees from patients prior to the patient seeing the provider.Obtains patient's signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.).Scan patient's identification and insurance Cards into the EMR SystemServices a minimum of 35 to 40 patients daily.Schedules appointments in the EMR System.Backfills the Medical Assistant to record messages for providers (for ex: RX refills, pharmacy, calls from other health care providers, etc.)Handles and processes a high volume of phone calls (70-80 a day)Places calls to patients to remind them of their appointments.Contact patients who have missed their appointments, ascertain why, and reschedule if necessary.Facilitates scheduling referral appointments for patients if needed.Inputs data into computer system on an as needed basisProvides printed patient instructions, community resources, clinical visit summary and any lab, diagnostic study, or referral orders.Performs batching process and real time check out to include creation of daily batch and end of day batch reconciliation.Assist with scheduling activities to support improving patient access including no show reports and care gap report.Makes change and issues a receipt to the patient.Registers and updates patient, emergency contact, financial and insurance informationProcesses referrals on an as needed basisPerforms other duties as assignedExperience and SkillsQualifications/Experience:General education degree or high school diplomaThree (3) to five (5) years' experience in medical settingKnowledge of medical and terminology, procedures, and diagnosisKnowledge of computer and relevant software applications (Microsoft Suite EMR)Knowledge of general administrative and clerical proceduresWorking knowledge of medical insurance

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