Patient Service Representative

1 month ago

Collegeville, Pennsylvania, United States The Center for Orthopedic and Research E Full time
Job Title: Patient Service Representative

We are seeking a highly skilled 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 play a critical role in ensuring the smooth operation of our front office, providing exceptional patient care, and maintaining accurate records.

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, reviewing 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.
  • Maintain a clean and organized front office workspace.
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.

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