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Patient Service Representative
2 months ago
This role focuses on activities related to revenue cycle operations, including billing, collections, and payment processing. The Patient Service Representative will perform administrative and financial-clearance duties necessary to facilitate the procurement of clinical services by patients.
Key Responsibilities- Conducts Pre-Registration tasks for specified inpatients and outpatients prior to their date of service, including collecting demographic, financial, and clinical information necessary for financial clearance.
- Obtains consent for treatments and authorizations as necessary, and explains signature requirements to patients and their representatives in a manner that is easily understood.
- Verifies the validity of insurance coverage via eligibility tools and ensures the appropriate plan codes have been added to registration based on the information provided.
- Collects the appropriate information for auto and worker's compensation registrations, including information collected from the responsible party.
- Notifies patients of financial liabilities as determined by insurance benefits, coverage limits, and appointment/procedure-specific charges.
- Takes an active role in the collection of patient payments, understands all collection policies and procedures, and communicates these policies effectively to patients.
- Posts collected payments in the system of record and verifies the appropriate dollar amount and volume are posted in compliance with department guidelines.
- Provides Financial Counselor contact information to patients qualifying for state-sponsored financial assistance and documents patient's financial state and related information in the system of record.
- Obtains authorization, pre-certification, referral, and/or notification as necessary, and attaches verification to patient's account and documents information in the system of record.
- Takes personal responsibility to provide excellent customer service and delivers exceptional professional courtesy to all patients.
- Interacts with physicians, nursing units, and office staff in a courteous and professional manner.
- Maintains and hospital financial information confidentially in accordance with all hospital policy and any state or federal regulations.
- Meets the requirements of area-specific benchmarks related to productivity and customer service.
- High school diploma
- One (1) year of medical office, insurance, physician's office practice, or hospital registration experience.
- Bilingual
