Patient Service Coordinator

1 week ago

Malvern, Arkansas, United States Premier Orthopaedics Full time
Patient Service Representative

Premier Orthopaedics and Sports Medicine is seeking a highly skilled Patient Service Representative to join our team in Malvern, PA.

About the Company

Premier Orthopaedics is a leading orthopaedic practice with over 50 specialty locations and 100 physicians across the Greater Philadelphia region. We pride ourselves on providing exceptional patient care and a positive work environment.

Job Summary

The Patient Service Representative will be responsible for providing exceptional patient service, managing front office operations, and ensuring seamless communication between patients, providers, and staff.

Key Responsibilities
  • Promptly greet and acknowledge patients, informing MAs 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 patient accounts.
  • 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 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 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, notifying patients if service requires an authorization or referral, and sending requests to PCPs in a timely manner.
  • Record all record requests in the system, reviewing HIPAA requirements and patient Medical Record Request forms 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 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, and skill in customer service are essential.

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