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Patient Service Representative
2 months ago
We are seeking a highly organized and detail-oriented Patient Service Representative to join our team at the Philadelphia Hand to Shoulder Center. As a Patient Service Representative, you will be responsible for providing exceptional patient care and administrative support to our healthcare team.
Key Responsibilities- Promptly greet and acknowledge patients, ensuring a positive and welcoming experience.
- Inform Providers of patient arrivals and answer incoming calls in a timely manner, providing accurate information to callers.
- Instruct patients in the completion of medical history and other patient information forms, making any 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, explaining financial requirements to patients in response to billing and insurance questions.
- 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 and record all record requests in the system, reviewing HIPAA requirements and patient Medical Record Request forms prior to releasing patient information.
- Communicate with patients in the lobby if physicians or providers are running behind schedule, reviewing and preparing 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, protecting patients' rights by maintaining the confidentiality of personal and financial information consistent with HIPAA 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.
