Patient Service Representative
2 weeks ago
The Patient Service Representative - Operations is responsible for discussing insurance coverage, including usual and customary charges, Medicare and Medical Assistance availability, reimbursement options available for services, educating patients regarding the Clinic's billing and credit policies, work with patient's insurance carrier to verify benefits coverage for treatment, and discuss any credit concerns regarding a past due account and make special arrangements if necessary to assure payment will be made in a timely manner.
Job Relationships
Reports to the Operations Manager or Director of the service line
Principal Responsibilities
- Verify/secure referrals.
- Verify coverage and benefits prior to treatment.
- Secure prior-approval and pre-authorizations.
- Perform review and action of Bad Debt, Collections, and Denials.
- Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff.
- Prepare account action worksheets and submit to Patient Accounting for charge corrections.
- Provide a positive impression to patients about the Clinic's billing department.
- Enter/edit patient insurance coverage/demographic information when necessary.
- Inform patients of the Clinic's billing and credit policies.
- Answer questions that patients may have in regard to insurance coverage and other billing issues.
- Respond to patient's verbal and written requests in a timely fashion.
- Maintain statistics.
- Maintain proficiency with insurance and billing issues by participating in Patient Accounting meetings and training sessions as appropriate.
- Must be empathetic, yet responsive to patients while adhering to Patient Accounting billing practices and guidelines.
- Provide coverage at other Springfield Clinic locations as assigned.
- Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- Perform other job duties as assigned.
- High School graduate or GED required.
- Minimum two to three (2-3) years experience in medical billing and insurance preferred.
- Ability to handle multiple tasks and prioritize in a fast-paced environment required.
- Computer skills, including Microsoft Office, preferred.
- Strong verbal communication and listening skills are required.
- Knowledge of the computer systems with emphasis on registration and insurance screens.
- Knowledge of Medicare, medical assistance and other third party payors.
- Ability to work with patients of all ages in a courteous and professional manner. Must be empathetic, yet responsive to Patient Accounting billing policies and guidelines.
- Ability to tactfully work with patients with past due accounts.
- Ability to meet quality and performance guidelines and work with patients in a courteous and professional manner.
- Must have the ability to maintain composure under stress.
- Manual dexterity required for use of telephone headset, calculator and computer keyboard.
- Work in office environment.
- Use of telephone required.
- Involves frequent contact with staff and the public.
- Requires siting for long periods of time.
- Some bending and stretching required.
PHI/Privacy Level
HIPAA1
-
Patient Service Representative
2 weeks ago
Springfield, United States Springfield Clinic Full timeThe Patient Service Representative - Operations is responsible for discussing insurance coverage, including usual and customary charges, Medicare and Medical Assistance availability, reimbursement options available for services, educating patients regarding the Clinic's billing and credit policies, work with patient's insurance carrier to verify benefits...
-
Patient Service Representative
4 days ago
Springfield, United States Springfield Clinic Full timeThe Patient Service Representative - Operations is responsible for discussing insurance coverage, including usual and customary charges, Medicare and Medical Assistance availability, reimbursement options available for services, educating patients regarding the Clinic's billing and credit policies, work with patient's insurance carrier to verify benefits...
-
Patient Service Representative R30773
1 day ago
Springfield, United States Baystate Health Full time**Category(s)**: Administrative Support, Customer Service **Full Time / Part Time**: Per Diem **Shift**: First **Summary**: In collaboration with the multi-disciplinary care team performs the administrative tasks necessary to support exceptional patient-centered care; such as, reception, registration, demographic and insurance verification, answer telephone...
-
Patient Care Representative
21 hours ago
Springfield, United States Cardiology Consultants of Philadelphia, PC Full timeCardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive cardiology care and currently has over 40 locations throughout the Philadelphia area.We are currently hiring for a full-time Patient Care Representative to work at our Springfield, PA...
-
Patient Care Representative
2 weeks ago
Springfield, United States Cardiolgy Consultants of Philadephia Full timeCardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive cardiology care and currently has over 40 locations throughout the Philadelphia area. We are currently hiring for a full-time Patient Care Representative to work at our Springfield, PA...
-
Patient Care Representative
2 weeks ago
Springfield, United States Cardiolgy Consultants of Philadephia Full timeCardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive cardiology care and currently has over 40 locations throughout the Philadelphia area. We are currently hiring for a full-time Patient Care Representative to work at our Springfield, PA...
-
PATIENT ACCESS REPRESENTATIVE
6 days ago
Springfield, PA 19064, USA, United States Medix Full timeThe Patient Access Representative (PAR) is responsible for patient registration, scheduling, customer service and clerical support. Duties include accepting, recording and verifying insurance information, processing preauthorization requests, collecting copays and account balance payments, scanning documents into EMR and other administrative tasks related to...
-
Client Service Representative
2 weeks ago
Springfield, United States VCA Antech, Inc. Full timeVCA Old Marple Animal Hospital is seeking an experienced Client Service Representative to join our well-established, multi-doctor, 24 hour emergency/general practice located in Springfield, Pennsylvania. Client Service Representative We are seeking an experienced Client Service Representative to join our team, minimum five years customer service experience...
-
Patient Services Coordinator
7 days ago
Springfield, United States RMA Network Full timeWe are currently seeking a full-time Front Desk/Patient Services Coordinator to join our growing team in Springfield, NJ. Scheduled work hours: Monday - Friday, 8:30am-4:30pm with rotating holidays out of our Basking Ridge location.This Patient Services Coordinator maintains patient satisfaction by answering patient phone calls, scheduling appointments,...
-
Patient Service Specialist
1 week ago
Springfield, United States Springfield Hospital Inc. Full timeJob DescriptionJob DescriptionDescription:The Patient Service Specialist will:Demonstrate the ability to perform all front-end administrative duties to best meet patient needs. Consistently demonstrate excellence in customer service. Represent Springfield Hospital in a positive helpful manner. Commit to acceptable level of availability. Be responsible for...
-
Patient Services Coordinator
6 days ago
Springfield, United States RMA Network Full timeWe are currently seeking a full-time Front Desk/Patient Services Coordinator to join our growing team in Springfield, NJ. Scheduled work hours: Monday - Friday, 8:30am-4:30pm with rotating holidays out of our Basking Ridge location. This Patient Services Coordinator maintains patient satisfaction by answering patient phone calls, scheduling appointments,...
-
Patient Services Coordinator
7 days ago
Springfield, United States Reproductive Medicine Associates Full timeWe are currently seeking a full-time Front Desk/ Patient Services Coordinator to join our growing team in Springfield, NJ. Scheduled work hours: Monday - Friday, 8:30 am-4:30 pm with rotating holidays out of our Basking Ridge location. This Patient S Patient Services, Coordinator, Patient, Healthcare, Skills
-
Springfield, Missouri, United States Mercy Full timeOverview: We’re a Little Different Our mission is clear. We bring to life a healing ministry through our compassionate care and exceptional service. At Mercy, we believe in careers that match the unique gifts of unique individuals – careers that not only make the most of your skills and talents, but also your heart. Join us and discover why Modern...
-
Member Services Representative
3 weeks ago
Springfield, United States Health New England Full timeJob DescriptionJob DescriptionSUMMARY: The Member Services Representative provides superior customer service to members, providers, and employer groups.ESSENTIAL FUNCTIONS:Responds to inquiries from members, providers, and employer groups, providing superior product and benefit information for multiple HNE plansResearches and resolves complex member...
-
Product Service Representative
4 weeks ago
Springfield, United States MAT Holdings Full time**Product Service Representative** * 118 W Rock St, Springfield, MN 56087, USA * Full-time **Company Description** Welcome to the exciting world of MAT Holdings, Inc. We are an entrepreneurial manufacturer and distributor leveraging a vast network of global and domestic resources to deliver quality and value to our customers. You will find our products in...
-
Patient Services Coordinator
3 weeks ago
Springfield, United States CPO SERVICES, INC Full timeJob DescriptionJob DescriptionDescription:The essential functions and activities of this position surround all administrative aspects involved within the patient experience. The activities necessary for our office to successfully welcome, host and tell our guests goodbye include but are not limited to the following:Scheduling patients according to their...
-
311 Call Center Service Representative
3 weeks ago
Springfield, United States City of Springfield, Massachusetts Full timeResponsible for answering questions, providing information, and requesting services from City departments. Work is performed under the supervision of the 311 Call Center Director. No supervision is exercised over other employees. Essential Function Call Center, Representative, Customer Service, Service, Retail
-
Patient Care Representative
2 weeks ago
Springfield, United States VHC Health Full timePatient Care Representative - Primary Care West Springfield Job Description Purpose & Scope: Schedules, meets, greets, and registers patients in a friendly, courteous, and professional manner. Answers and routes telephone calls and messages. Coordinates insurance verifications and preauthorizations. Takes payments and completes daily batching. Maintains...
-
PATIENT CARE REPRESENTATIVE
7 days ago
Springfield, PA 19064, USA, United States Cardiology Consultants of Philadelphia, PC Full timeCardiology Consultants of Philadelphia is a professional medical organization committed to the healing mission of Medicine. CCP specializes in providing comprehensive cardiology care and currently has over 40 locations throughout the Philadelphia area.We are currently hiring for a full-time Patient Care Representative to work at our Springfield, PA...
-
Springfield, United States CoxHealth Full timeThe Billing Specialist will assist with all facets of hospital billing process. This position is responsible for attaining and maintaining comprehensive knowledge of billing regulations and guidelines by carries. Has a basic knowledge of all office f Billing Specialist, Financial, Billing, Patient, Specialist, Healthcare, Service
