Customer Service Representative
3 weeks ago
General Position Summary: Responsible for providing organizational, patient support services for the Outpatient Pavilion. Greets, assists, guides, patients, families and visitors. Registers, pre-registers, attains demographic and insurance information; and provide financial services for all patients. Essential Functions / Major Responsibilities: Uses A.I.D.E.T. (Acknowledge, Introduce, Duration, Explanation, Thank you) in every patient transaction. Greets patients with a smile. States, “Welcome to Summit.” Makes eye contact with every patient. Uses the patient name in every conversation with the patient. Answers phones in a pleasant, helpful manner. Thanks patients. Assists patients with Pre-registration/Registration. Maintains an efficient patient flow through the check-in process. Collects co-pays, co-insurance, deductible, and payment on any outstanding balance for every patient. Responsible for daily balancing of payments received. Verifies patient information and updates as needed. Explains processes such as registration and scheduling. Ensure that all of the patient’s questions are answered. Introduces themselves (and coworkers when appropriate) to every patient. Informs patient of delay in schedules and how long the wait will be. Treats all patients and visitors with courtesy and respect. Directs patients to appropriate department/area. Keeps the check-in area tidy and free from debris. Explains and enrolls patients in the patient portal. Ability to work under high pressure and volume. Individual performance will be evaluated on a daily, monthly and annual basis. Coordinates services with other departments. Supports the physicians as necessary. Meets CG-CAHPS performance goals. Maintains HIPAA compliance in all circumstances. Displays proper etiquette and mannerisms that reflect the SHINE Behavior Standards. Promotes the Patient Safety Standards as a core value of the organization. Secondary Functions: Participates in departmental and association wide informational meetings and in-services, including staff meetings, association wide forums, and seminars. Reviews department and association wide policies and procedures annually. All other duties as assigned. Job Scope: This job involves: Regular and recurring work situations. A moderate level of complexity. Typical operation from established and well-known procedures. Performance of duties under moderate direction. Supervisory Responsibility: Customer Service Representative I: None. Interpersonal Contacts: Contacts: Are normally made with others both inside and outside the association. Are normally made with own department, staff, and supervisor as well as with other departments or locations. Frequently contain confidential/sensitive information necessitating discretion at all times. Includes discussing financial obligations with Community Clinic patients requiring diplomacy and discretion. Includes face-to-face, telephone, and e-mail. Includes contact with staff, patients, and physicians. Specific Job Skills & Mental Activities: This position requires operational knowledge of all office equipment in the clinic, including: fax, printer, phone systems, computer, and commonly used hospital computer programs (including Hospital Information Systems, MS Office, e-mail, intranet, internet, etc.). Must be service oriented and have excellent customer service skills, computer skills, organizational skills, multitasking skills, professional interpersonal skills, time management skills, the ability to prioritize work, and telephone etiquette. Must be able to read, write, speak, and understand English. Must be able to type 35+ wpm. Competency: 90 days Uses A.I.D.E.T. (Acknowledge, Introduce, Duration, Explanation, Thank you) in every patient transaction. Greets patients with a smile even on the phone. Pre-registration/Registration of patient into Electronic Health Record (EHR). Collects co-pays, co-insurance, deductible, and payment on any outstanding Summit Healthcare balance for every patient. Responsible for daily balancing of payments received. Verifies insurance eligibility and benefits and coordinates insurance authorizations. Conducts accurate data entry (95% accuracy expected). Verifies patient information and updates as needed. Schedules appointments and testing. 120 days Explains processes such as registration and scheduling. Ensure that all of the patient’s questions are answered. Introduce themselves (and coworkers when appropriate) to every patient. Inform patient of delays and estimated wait time. Treat all patients and visitors with courtesy and respect. Keeps the lobby tidy and free from debris. Answers and distributes all phone calls, mail, and other correspondence. Maintains, collects, and distributes medical records. Prepares and verifies chart completions and registers patients. Appointment reminder calls. Orders and maintains office supplies. Directs patients to appropriate clinics/areas. 180 days Ability to work under high pressure and volume. Individual performance will be evaluated on a daily, monthly and annual basis. Files various paperwork and reports. Gather and maintain statistical information for financial reporting. Coordinates services with other departments. Displays proper etiquette and mannerisms that reflect the SHINE Behavior Guidelines. Promotes the Patient Safety Standards as a core value of the organization. Supports the physicians as necessary. Meets patient satisfaction performance goals. Orders office supplies. Prepares medical records for archival. Participates in 80% departmental meetings and in-services, including staff meetings, association wide forums, and seminars. Reviews department and association wide policies and procedures annually. All other duties as assigned. Education and/or Experience: Customer Service Representative I: High school diploma or equivalent (required). Basic computer skills (required). Medical terminology (preferred). Knowledge of basic coding, i.e.: ICD-10-CM, CPT, (preferred). Physical Demands & Job Conditions: Light Exert up to 20 lbs. of force occasionally, and/or up to 10 lbs. of force frequently, and/or a negligible amount of force constantly to move objects. Physical demands are in excess of those of sedentary work. Light work usually requires walking or standing to a significant degree. The worker is exposed to extensive close work, extensive computer work, and encounters with upset/disturbed individuals. Physical motions include finger dexterity, standing, walking, stooping, talking, reaching, feeling, sitting, bending, kneeling, grasping, listening/hearing, handling, lifting up to 60 pounds, and repetitive motions of the hands, wrists, and feet. This is considered a safety sensitive position. OSHA Exposure Category: OSHA Exposure Category 2 Involves no regular exposure to blood, body fluids, or tissues, but may require unplanned tasks that involve exposure to blood, body fluids, or tissue. Education High School or better #J-18808-Ljbffr
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