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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 Center for Orthopedic and Research Excellence. 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, informing medical assistants and providers of their arrival.
- Answer incoming calls in a timely manner, accurately supplying requested information to callers and relaying written or verbal messages as needed.
- Instruct patients in completing medical history and other patient information forms, making necessary corrections to their account as needed.
- 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.
- Explain financial requirements to patients in response to their questions on billing and insurance matters, referring complex insurance/benefits questions to the Practice Billing Department.
- 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 primary care physician in a timely manner.
- Record all record requests in the system and review HIPAA requirements and patient Medical Record Request form prior to releasing patient information to any person other than the verified patient.
- Communicate with patients in the lobby if the physician or provider is running behind schedule.
- Review and prepare 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.
- Protect patients' rights by maintaining the confidentiality of personal and financial information, maintaining patient confidentiality 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. Athena or another Electronic Medical Records experience is highly preferred.
- Must be able to communicate effectively with physicians, staff members, patients, and the public and be capable of establishing good working relationships with both internal and external stakeholders.
- Previous experience in collecting money is preferred.
- Knowledge of insurance rules and regulations including eligibility and referral requirements.
- Skill in customer service.
