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Patient Services Representative
4 months ago
Provides support with the daily activities of the clinic front desk including, patient registration, check-in and out process, appointment scheduling, and telephone coverage.
Essential Duties and Responsibilities include the following. Other duties may be assigned.
Greets and directs patients, salespeople, and visitors with a smile.
Schedules appointments, follow up appointments and enters appointment date and time ensuring that schedule optimizes patient’s satisfaction and reflects appropriate clinician and effective use of clinical hours.
Organizes and maintains EMR system for patient charts.
Registers patients by verifying that patient's record is up to date and accurate, including verification of insurance coverage. Makes appropriate changes and ensures required information is collected and scanned.
Answers telephone and either responds to inquiry, directs caller to appropriate personnel, or initiates communication for response by medical personnel.
Monitors no-shows/cancellations for available slots where the same day appointments can be scheduled.
Removes the day’s cancellations if a patient calls Front Desk to cancel.
Prepares all billings for processing. Responsible for determining, collecting co-pays, deductibles and addressing prior balances entering charges and payments with minimal errors.
Responds timely to Central Billing Office requests and work queues.
Participates in CPI program. Maintains compliance, is knowledgeable, and utilizes the guidelines of all state and federal laws and regulations as they pertain to the position including, but not limited to; Health Insurance Portability Accountability Act (HIPAA), Scope of Practice, Accreditation Standards, Occupational Safety and Health Administration (OSHA), Bureau of Primary Health Care/ Health Resources and Services Administration (BPHC/HRSA), National Committee for Quality Assurance/Patient Centered Medical Home (NCQA-PCMH), Centers for Medicare and Medicaid Services (CMS), Clinical Laboratory Improvement Amendment (CLIA), Joint Commission on Accreditation of healthcare Organizations (JCAHO), and other HRSA related regulatory functions and/or agencies that Family Circle of Care participates in.
Patient Centered Responsibilities
Participates in team huddles to promote clear communication amongst care team and treating provider.
Conducts reminder calls to patients prior to scheduled visits.
Informs patients of Sliding Fee Scale and assists patients to fill out forms as needed.
Supervisory Responsibilities
This job has no supervisory responsibilities.
Competencies
To perform the job successfully, an individual should demonstrate the following competencies:
Customer Service - Responds promptly to customer needs; responds to requests for service and assistance; meets commitments; Manages difficult or emotional customer situations.
Communications - Expresses ideas and thoughts verbally; expresses ideas and thoughts in written form; exhibits good listening and comprehension; keeps others adequately informed; selects and uses appropriate communication methods.
Diversity - Shows respect and sensitivity for cultural differences.
Ethics - Treats people with respect; inspires the trust of others; works with integrity and principles; upholds organizational values.
Personal Appearance - Dresses appropriately for position; keeps self well groomed.
Attendance/Punctuality - Is consistently at work and on time.
Safety and Security - Observes safety and security procedures; reports potentially unsafe conditions; uses equipment and materials properly.
Qualifications To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education and/or Experience
High school diploma or general education degree (GED); at least 1 year of experience in an office or medical office setting preferred but not required.
Computer Skills
To perform this job successfully, an individual should have knowledge of Internet Explorer Internet software, Electronic Medical Record software, and 10-key by touch data entry.
Equipment
Fax and scanner.
Certificates, Licenses, Registrations
No required licenses or certifications.
Physical Demands The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee is regularly required to sit and talk or hear. The employee is required to use hands to finger, handle, or feel and reach with hands and arms. The employee is occasionally required to stand and walk. The employee must occasionally lift and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.
Work Environment The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
While performing the duties of this Job, the employee may be exposed to airborne particles, blood and bodily fluids. The noise level in the work environment is moderate.
