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Patient Service Representative Lead
2 months ago
Location field must contain 'city, state' or a zip code to perform a radius search (e.g.,
Denver, CO
or
46122 ). City and state must be separated by a comma followed by a space (e.g.,
Houston, TX )
Job Description:This position is responsible for billing, follow-up, andresolving issues that delay or prevent payment of the patient's accountwithin Intermountain's policies and procedures.
1.Acts as a team lead to schedule daily work load and ensure timely andaccurate scheduling and registration activities. Provide support for cashreconciliation functions (if applicable). Assists PSRs in problem solvingmore complicated issues.2. Coordinates scheduling with that of the practitioners schedules to ensureproper coverage of patient appointments and out-of-office calls. Facilitatestraining of new hires and other training initiatives. Performs qualityassurance reviews on PSR Associates, documents findings, and providesinformation to leadership. Assists in the preparation of periodic reportscrucial to the leadership decision making process.3. Coordinates with clinical staff to obtain charge information for allpatients. Codes procedures performed and diagnosis on charge. Acts as aresource for Practice Managers and Physicians with denials and codingquestions. Coordinates copies of medical documentation with physician chargesto support billing to third-party payers. Resolves complex patient billinginquiries and problems.4. Greets patients. Answer phones, takes messages, returns calls andprovides needed information, while documenting all phone calls accuratelyand completely in the electronic medical record (EMR).5. Schedules patient appointments for visits, procedures, diagnostictests, referrals and/or consultations.6. Registers patients. Confirms, enters, and/or updates all requireddemographic data on patient and guarantor on registration system. Followsprocedures when identifying patients.7. Obtains copies of insurance card(s), forms of ID, andsignature(s) on all required forms. Verify information on appropriateaccounts to determine insurance coordination of benefits,pre-certification/prior-authorization. Complete the Medicare Secondary Payer(MSP) questionnaire when applicable. Verifies insurance to determinecoordination of benefits and obtains authorization and/or referrals asrequired. Screens for non-covered services and waiver of liability (ABN)through automated screening at time of service.8. Informs self-pay patients of liability due and prepayment requirements.Prepare estimate of procedures, calculates advance payment requirements onprevious or bad debt and current balances. Refer potentially eligible patientsto financial counseling and/or contract eligibility vendor(s). Refercomplex or non-compliant patient financial issues to Clinic Manager or RevenueService Center.9. Collects patient payments and provides accurate receipt. Posts payments insystem. Reconciles receipts with cash collected and complete requiredbalancing forms. Documents patient account notes for allinteractions/transactions.10. Maintains department and/or individual work queues and reports asrequired.11. Prepares medical records for patient appointments by compiling informationfrom various sources to include authorizations and non-Epic documentation.Accurately scans medical records as required for Medical Group or specialtyoffice.12. Promotes mission, vision, and values of SCL Health, and abides byservice behavior standards.13. Performs other duties as assigned.
Minimum Qualifications
RequiredHigh school diploma or equivalent is preferred
One (1) year front office or revenue cycle experience in a health careorganization is required
PreferredTo perform this job successfully, an individual must be able to perform eachessential dutysatisfactorily. The requirements list must be representative ofthe knowledge, skills, minimum education, training, licensure,experience, and/or ability required. Reasonable accommodations may be madeto enable individuals with disabilities to perform the essential functions.1. Regular attendance to perfor work on site during regularly scheduledbusiness hours or scheduled shifts is required2. Demonstrate understanding of health insurance and medical costs.3. Excellent customer service skills, in person and via telephone.4. Strong communication skills.5. Excellent organizational skills.6. Proficient computer skills.7. A team player who handles multiple projects simultaneously in a fast pacedenvironment.8. Leads a positive work environment that is supportive of PSR associates,other colleagues, and patients needs.
Physical Requirements:Interact with others by effectively communicating,both orally and in writing.- and -Operate computers and other office equipmentrequiring the ability to move fingers and hands.- and -See and read computermonitors and documents.- and -Remain sitting or standing for long periods oftime to perform work on a computer, telephone, or other equipment.- and-May require lifting and transporting objects and office supplies,bending, kneeling and reaching.
Anticipated job posting close date:08/04/2024
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