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Patient Service Representative

2 months ago

Bryn Mawr, United States Premier Orthopaedics Full time

Premier Orthopedics and Sports Medicine is looking for aPatient Service Representative to join our Bryn Mawr, PA Physical Therapy clinicSchedule: Monday-Friday: 3 days/week 7:00am-3:30pm and 2 days/week 10:00am-7:00pm.The Company: Premier Orthopaedics is a full-service orthopaedic practice formed in 2000 that specializes in the diagnosis and care for a wide range of orthopaedic injuries and conditions. Through partnership with the Healthcare Outcomes Performance Company (HOPCo), we have grown to over 50 specialty locations and over 100 physicians across the Greater Philadelphia regionWe're proud of the company we've built as we've grown to over 1000 employees to make Premier a place that people love to come to work every dayAtPremier Orthopaedics, we are dedicated to taking care of you so you can take care of business Our robust benefits package includes the following:Competitive Health, Pharmacy, Vision, and Dental Plan BenefitsDisability and Protective BenefitsHSA with qualifying HDHP plans with company match401k plan with company matchEmployee Assistance Program that is available 24/7 to provide supportBenefits eligibility on the 1st of the month after hire dateESSENTIAL FUNCTIONSPromptly greets and acknowledges patients. Informs Aides and Providers of the patient's arrival.Answers all incoming calls in a timely manner and accurately supplies requested information to callers; relays written or verbal messages as needed.Instructs patients in the completion of medical history and other patient information forms and makes any necessary corrections to the patient's account as needed.Obtains accurate and complete demographic and insurance information from patients and collects required financial contract/consent form(s), as well as review patients and guarantors' information assuring all necessary documents are populated, completed, and signed correctly. Ensures all required authorizations and/or referrals are attached to patient appointments for that date of service.Identifies and collects co-payments, co-insurances, and past-due account balances.Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to the Practice Billing Department.Evaluates patient financial status and establishes payment plans as needed based upon authority levels.Accurately completes and interprets insurance and benefits verification. Notifies patients, designated family member(s), physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.Scans all new or updated patient information into the EMR system (including but not limited to photo ID, insurance cards, referrals, and patient paperwork).Schedules follow-up appointments and notifies patient if service requires an authorization or referral, and sends the request to PCP in a timely manner.Maintains general knowledge of insurance plans accepted by Premier.Records all record requests in the system and reviews HIPAA requirements and patient Medical Record Request form prior to the release of patient information to any person other than the verified patient.QUALIFICATIONSHigh school diploma/GED or equivalent working knowledge experience preferred.Minimum of one-two years of patient registration/front office experience in a medical or healthcare setting.Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems. Athena or another Electronic Medical Records experience is highly preferred.Must be able to communicate effectively with providers, staff members, patients, and the public and be capable of establishing good working relationships with both internal and external stakeholders.Previous experience in collecting money is preferred.Knowledge of insurance rules and regulations including eligibility and referral requirements.Skill in customer service.Ability to demonstrate empathy, concern, good listening skills, and compassion for all patients.