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Patient Services Representative

2 months ago


Kailua, Hawaii, United States Navient Full time
Job Summary

The Patient Business Services Representative II is a key member of our team at Navient, responsible for ensuring seamless patient registration and billing processes. This role requires strong communication and problem-solving skills, as well as the ability to work independently and make responsible decisions.

Key Responsibilities
  • Access Registration Tasks: Complete patient registration, obtain and verify health plan coverage, accurately document patient demographics and health plan information, and support access registration, insurance verification, and authorization functions.
  • Ensure Compliance: Work within federal, state regulations, department/division, and all Compliance Policies, maintaining clear, concise, and accurate documentation of all attempts and/or contacts made and received for accounts in accordance with company and client specifications.
  • Continuing Education: Maintain current knowledge of and comply with all federal and state rules and regulations governing phone calls and collections, including HIPAA, FDCPA, Privacy Act, FCRA, etc.
Requirements
  • High school diploma
  • Minimum of 1 year of medical/physician office experience
  • Minimum of 1 year of basic computer skills to include MS Office apps: Outlook, Word, Excel
  • EPIC experience
Preferred Qualifications
  • Clinic or hospital registration experience
  • Demonstrate knowledge of communication regulations relating to HIPAA and TCPA and other FCC requirements
  • Experience with Insurance payers (Medicare, Medicaid, Commercial, Workers Compensation)
  • Remote working experience
  • Dedication to treating both internal and external constituents as clients and customers, maintaining a flexible customer service approach and orientation that emphasizes service satisfaction and quality.