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Senior Patient Services Representative
2 months ago
The comprehensive job description encompasses all necessary skills, prior experience, and qualifications that candidates are expected to possess.
Overview:
Welcomes, guides, directs, and organizes patients and visitors. Acts as a communication bridge between patients and healthcare support personnel. May assist with various tasks within the clinic. Confirms insurance benefits and aids in referrals. Collects payments and prepares cash for deposits.
Key Responsibilities:
- Ensures a smooth patient check-in process, verifies demographic and insurance details, and inputs data into the computer system. Guarantees the accuracy of information in patient accounts.
- Assists with answering calls, taking messages, and addressing inquiries from patients and staff.
- Responds promptly to requests for patient account corrections and/or updates.
- Schedules patient appointments in line with physician protocols.
- Collects payment amounts at the time of service; gathers outstanding balance amounts and/or arranges payment plans as necessary.
The following tasks may also be performed:
- Checks in patients, verifies and updates essential information in the medical record. Aids patients in completing all required forms.
- Schedules appointments according to clinician templates and adheres to office scheduling policies.
- Assists front office lead/supervisor with additional administrative tasks such as front-end duties, claim denials, work queues, and rectifying errors to ensure clean claims.
- Greets visitors and responds to routine requests for information.
- Adheres to guidelines related to the Health Insurance Portability and Accountability Act (HIPAA), aimed at preventing unauthorized disclosure of Protected Health Information (PHI).
- Maintains strict confidentiality.
- Utilizes effective oral and written communication skills to convey ideas clearly and positively, consistent with the organization's mission.
- Follows established policies, procedures, objectives, quality assurance, safety, environmental, and infection control protocols.
- Performs job duties in alignment with the organization's mission and Code of Ethics, supporting cultural diversity objectives.
- Supports and complies with the organization's service guarantee.
- Completes other related tasks as assigned by leadership.
Qualifications:
- High school diploma or equivalent.
- Familiarity with managed care is preferred.
- Ability to operate a 10-key calculator by touch, along with telephone, computer, copier, and fax machine.
- Excellent interpersonal and communication skills, along with strong mathematical knowledge, are essential.
- Some college education is preferred.
- Three or more years of experience in a healthcare setting.
- Advanced skills in ICD9 and CPT coding are preferred.
- Experience with charge posting or collections is preferred.
Work Type:
Full Time
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