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Patient Services Representative II
2 months ago
POSITION SUMMARY
Under the supervision of the MedPro ASC Supervisor, the ASC Patient Services Representative II is tasked with overseeing pre-certification processes and managing patient admissions efficiently.
KEY RESPONSIBILITIES
- Always identify yourself to both internal and external clients by displaying your identification badge.
- Welcome patients courteously and respectfully, addressing inquiries and directing requests effectively.
- Answer phone calls promptly and professionally, adhering to established customer service standards.
- Utilize computer systems in accordance with company guidelines.
- Adhere to MedPro policies, carrier regulations, and other protocols relevant to the Ambulatory Surgical Center.
- Manage ASC pre-certifications.
- Confirm insurance eligibility and benefits for all patients scheduled at the ASC.
- Calculate estimated patient prepayments for facility services, anesthesia, and physician fees due at check-in.
- Contact patients via phone to inform them of verified benefits and the estimated amount due.
- Assist patients in arranging payment plans for procedures as per established office protocols.
- Accurately input insurance details into the practice management system.
- Register new patients in the practice management system.
- Complete all tasks promptly, following documented procedures.
- Notify the ASC Business Office Supervisor regarding scheduled procedures that are not payable in an ASC setting or those requiring third-party payment for implantable devices.
- Patient Admissions
- Prepare patient charts, including clinical and financial documents, ahead of appointments according to documented procedures.
- Ensure all necessary referral and authorization information is verified prior to appointments.
- Confirm that patients have been informed of any outstanding payments due at the time of service.
- Count cash drawers before and after transactions.
- Check in patients promptly, following documented procedures.
- Verify and update patient demographics and insurance information during each encounter.
- Collect all payments due at the time of service, adhering to established protocols for receipts and deposits.
- Perform additional duties as assigned by management willingly and efficiently.
CORPORATE CULTURE RESPONSIBILITIES
- Comply with all corporate and department-specific policies and procedures.
- Participate in all required corporate and department-specific training sessions.
- Uphold the organization's Purpose, Values, and Vision.
- Adhere to Corporate Culture Responsibilities.
- Accept other assigned duties with a positive attitude.
EDUCATION AND EXPERIENCE REQUIREMENTS
- A minimum of a high school diploma or equivalent is required.
SKILLS AND ABILITIES
- Ability to prioritize and manage multiple tasks effectively.
- Exhibit strong customer service skills, excellent interpersonal abilities, attention to detail, and proficiency in verbal and written communication.
- Demonstrate integrity and character, embracing change and positively impacting patients and colleagues.
- Work collaboratively with staff at all organizational levels.
- Display computer proficiency (i.e., PC Windows, MS Office) and the ability to learn new applications quickly.
- Maintain acceptable typing speed and accuracy, with ten-key touch skills.
- Proficient in English, both written and verbal communication.
- Communicate effectively with individuals from diverse socio-economic backgrounds.
- Commit to protecting confidential information and records.
PHYSICAL REQUIREMENTS
- Strength: Sedentary (exerting up to 10 pounds of force occasionally).
- Standing/Walking: Occasionally; activity exists up to 1/3 of the time.
- Keyboarding/Dexterity: Frequently; activity exists from 3/4 of the time.
- Ability to focus on a computer screen for extended periods.
- Perform repetitive hand and finger motions consistently.
- Effective verbal communication is essential.
- Visual and auditory capabilities are required.
EMOTIONAL REQUIREMENTS
- Exhibit stable work behaviors consistently.
- Possess adequate coping skills for individual challenges.
- Maintain professionalism under workload and time constraints.
- Ability to work under stress while remaining calm and professional.
WORK ENVIRONMENT
- Office setting.
- Experience frequent interruptions in daily functions.
- May require extended hours to meet departmental needs.
