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Healthcare Customer Service Specialist

2 months ago

Exton, Pennsylvania, United States Center for Orthopedic and Research Excel Full time
Job Overview

Center for Orthopedic and Research Excel is seeking a dedicated Patient Service Representative to join our dynamic team.

Work Schedule: Monday-Friday, 3:30 PM - 8:00 PM.

About Us: Center for Orthopedic and Research Excel is a comprehensive orthopedic practice committed to delivering exceptional care for a variety of orthopedic conditions. We pride ourselves on our growth and the strong relationships we have built within the community.

Our commitment to our employees is reflected in our comprehensive benefits package, which includes:

  • Competitive Health, Pharmacy, Vision, and Dental Benefits
  • Disability and Protective Coverage
  • Health Savings Account with company contribution
  • 401(k) plan with employer match
  • 24/7 Employee Assistance Program
  • Benefits eligibility starting the first of the month following your hire date

Key Responsibilities:

  • Greet and acknowledge patients promptly, ensuring smooth communication with Medical Assistants and Providers regarding patient arrivals.
  • Handle incoming calls efficiently, providing accurate information and relaying messages as necessary.
  • Guide patients in completing medical history and other necessary forms, making corrections to patient accounts as required.
  • Collect and verify complete demographic and insurance information, ensuring all necessary documents are accurately completed and signed.
  • Identify and collect co-payments, co-insurances, and outstanding balances from patients.
  • Clarify financial obligations to patients, directing complex inquiries to the Billing Department.
  • Assess patient financial situations and establish payment plans as needed.
  • Conduct insurance and benefits verification, notifying relevant parties of any coverage issues.
  • Input new or updated patient information into the Electronic Medical Records (EMR) system.
  • Schedule follow-up appointments and communicate any authorization or referral requirements to patients.
  • Document all record requests and adhere to HIPAA regulations regarding patient information confidentiality.
  • Maintain communication with patients in the waiting area regarding any delays.
  • Prepare patient charts for the next day’s appointments according to the practice schedule.
  • Manage a secure cash drawer, ensuring daily balances and accurate closing procedures.
  • Uphold patient confidentiality and protect personal and financial information in compliance with HIPAA standards.
  • Keep the front office workspace organized and clean.

Qualifications:

  • High school diploma or GED, or equivalent experience preferred.
  • 1-2 years of experience in patient registration or front office roles within a healthcare environment.
  • Familiarity with insurance regulations, medical terminology, and scheduling software; experience with EMR systems is highly desirable.
  • Strong communication skills to effectively interact with physicians, staff, patients, and the public.
  • Prior experience in financial collections is advantageous.
  • Understanding of insurance eligibility and referral processes.
  • Exceptional customer service skills.