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Patient Service Representative

2 months ago

Phoenix, United States Circle Full time
Job Details

Level
Undisclosed

Job Location
Downtown Family Health Center - Phoenix, AZ

Remote Type
N/A

Position Type
Full Time

Education Level
Undisclosed

Salary Range
Undisclosed

Travel Percentage
Undisclosed

Job Shift
Day

Job Category
Undisclosed

Description

Essential Duties:

Duties include, but are not limited to:

Obtains authorization for patients, through pre-certification process.

Acquires authorization for ancillary testing, inpatient admissions, referral to specialist, prescription, durable medical equipment, etc.

Maintains current knowledge of practice sites managed care contracts and guidelines.

Adheres to guidelines of contractual managed care regarding referrals and testing.

Complete intake paperwork with patient. Ensuring the attestation is signed by the patient.

Set up, records and monitors in the EMR all data related to the authorization/pre-certification process.

Cancels and reschedules patient appointments as necessary according to availability, backlog and at request of immediate supervisor.

Greets and acknowledges patients and visitors. Follows standard operating procedures on checking patients in and follows standard operating procedures on appropriate patient check out.

Answers telephone and takes messages and/or routs call to appropriate personnel.

Schedules patient appointments, both over the phone and in person, as determined by protocols established by the Physician and the necessity of continuity of care.

Notifies appropriate departments and physicians regarding admissions, referrals, and authorization in a timely manner.

Is fully cross-trained in all front office functions.

Follow the release of information process when records are requested

Ensures integrity of accounts receivable through accurate registration and insurance verification.

Disseminates insurance information on covered services and protocols and ancillary services.

Ensure referrals are addressed in a timely manner

Contact the patient regarding any pending referrals

11a-8p Monday - Friday Shift

Qualifications

Basic Knowledge and Skills:

Good verbal and written communication skills

Detail oriented and ability to take direction

High school diploma or equivalency

Strong computer skills: MS Office Suite

Effectively utilize electronic medical records

Able to work with minimal supervision successfully

Bilingual (Spanish/English) required