Patient Service Representative

4 weeks ago

Lansdale, Pennsylvania, United States Philadelphia Hand to Shoulder Center Full time
Job Title: Patient Service Representative

Philadelphia Hand to Shoulder Center, a Premier Orthopaedics partner, is seeking a Patient Service Representative to work at our Lansdale, PA therapy office.

Job Summary:

The Patient Service Representative will be responsible for providing exceptional patient service, managing patient flow, and ensuring a smooth registration process. This role requires strong communication skills, attention to detail, and the ability to work in a fast-paced environment.

Key Responsibilities:
  • Promptly greet and acknowledge patients, informing providers of their arrival.
  • Answer incoming calls in a timely manner, accurately supplying requested information to callers, and relaying written or verbal messages as needed.
  • Instruct patients in the completion of medical history and other patient information forms, making necessary corrections to the patient's account.
  • Obtain accurate and complete demographic and insurance information from patients, collecting required financial contract/consent forms, and reviewing patients and guarantors' information to ensure all necessary documents are populated, completed, and signed correctly.
  • Identify and collect co-payments, co-insurances, and past-due account balances.
  • Explain financial requirements to patients in response to questions on billing and insurance matters, referring complex questions to the Practice Billing Department.
  • Evaluate patient financial status and establish payment plans as needed, based on authority levels.
  • Accurately complete and interpret insurance and benefits verification, notifying patients, designated family members, physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
  • Scan all new or updated patient information into the EMR system, including photo ID, insurance cards, referrals, and patient paperwork.
  • Schedule follow-up appointments and notify patients if service requires an authorization or referral, sending the request to the PCP in a timely manner.
  • Maintain general knowledge of insurance plans accepted by PHSC.
  • Record all record requests in the system, reviewing HIPAA requirements and patient Medical Record Request forms prior to releasing patient information to any person other than the verified patient.
  • Communicate with patients in the lobby if the physician or provider is running behind schedule.
  • Review and prepare charts for the following day according to the practice schedule.
  • Maintain a secure and accurate cash drawer, daily balancing the cash drawer, and closing batch.
  • Protect patients' rights by maintaining the confidentiality of personal and financial information, maintaining patient confidentiality consistent with HIPAA requirements.
Requirements:
  • High 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.
  • Allscripts Pro Suite or another Electronic Medical Records experience is highly preferred.
  • Previous experience in collecting money is preferred.
  • Knowledge of insurance rules and regulations, including eligibility and referral requirements.
  • Able to verify the eligibility of each payer, per patient, according to defined parameters.
  • Knowledge of medical terminology and HIPAA Guidelines.
  • Skill in customer service.
  • Skill in communicating effectively with physicians, staff, and the public.
  • Ability to demonstrate empathy, concern, good listening skills, and compassion for all patients.

Philadelphia Hand to Shoulder Center offers a part-time benefits package, including a 401k plan with company match, paid time off and paid sick leave accrual, employee assistance program, and benefits eligibility on the 1st of the month after hire date.

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