Patient Service Representative
7 days ago
Job Summary:
The Patient Service Specialist will function as a member of the administration team, completing assigned daily front-end tasks to ensure smooth day-to-day operations in the SMG physician practice.
Key Responsibilities:
- Answer calls and route telephone calls appropriately, taking messages and following through with each message to ensure the appropriate physician/staff member receives the information.
- Provide routine information to callers and give only authorized medical advice from a provider.
- Provide a high level of customer service to all new and existing patients of the practice.
- Create patient cases and document telephone calls and messages into Athena or other EMR.
- Schedule patient appointments and appropriate testing for patients as requested.
- Register patients in EMR and verify information, including demographics and obtain accurate health insurance information.
- Conduct eligibility checks to ensure insurance is reflected accurately.
- Collect required insurance co-pays from patients, including any prior balances.
- Follow scheduling notes and direct schedules patient visits in other SMG practices as advised.
- Perform pre-visit planning daily for all upcoming scheduled appointments, including running insurance eligibility.
- Responsible to obtain prior authorizations and/or insurance referrals as per practice need.
- Perform outreach to select patient groups as directed for patient care and quality measurement/guidelines.
- Schedule specialty appointments/testing as required.
- Perform work in EMR buckets as directed and per practice need.
- Responsible to inform manager of administrative supply needs or assist with ordering.
- Follow up with providers on missing slips and create claims in Athena.
- Responsible to work assigned revenue cycle buckets as directed.
- Must be able to work independently with little supervision.
- Adhere to SMG policies and always use discretion to ensure patient confidentiality.
Requirements:
- Strong customer service excellence expected.
- Excellent communication and interpersonal skills required.
- High School Diploma or equivalent required.
- One to three years as a medical secretary preferred.
- Experience with EMR strongly preferred.
- Experience with Microsoft Office, Word, Excel, and Outlook preferred.
About Steward Health Care:
Steward Health Care is a different kind of health care company designed to provide better, more proactive care at a sustainable cost.
Our doctors can be certain that we share their interests and those of their patients.
We are on a mission to revolutionize the way health care is delivered - creating healthier lives, thriving communities, and a better world.
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