Orthopedic Clinic Receptionist

4 days ago

Wayne, Pennsylvania, United States The Center for Orthopedic and Research E Full time
Job Overview

We are seeking a highly skilled Patient Service Representative to join our team at The Center for Orthopedic and Research Excellence in Wayne, PA.

Estimated Salary: $45,000 - $60,000 per year

About the Role

This is a full-time position responsible for providing exceptional patient service, managing front office operations, and ensuring seamless communication with healthcare providers and patients.

The ideal candidate will possess excellent communication skills, a strong understanding of medical terminology, and the ability to work effectively in a fast-paced environment.

Key Responsibilities
  • Promptly greet and acknowledge patients, informing MAs and Providers of their arrival.
  • Answer all 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 the patient's account as required.
  • Obtain accurate and complete demographic and insurance information from patients, collecting required financial contract/consent form(s), 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 questions on billing and insurance matters, referring complex insurance/benefits questions to the Practice Billing Department.
  • Evaluate patient financial status, establishing payment plans as needed based upon 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 services require an authorization or referral, sending requests to PCPs 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 physicians or providers are running behind schedule.
  • Review and prepare charts for the following day according to practice schedules.
  • Maintain a secure and accurate cash drawer, daily balancing the cash drawer, and closing batch.
Qualifications
  • High school diploma/GED or equivalent working knowledge experience preferred.
  • Minimum 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, 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.

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