Patient Service Representative Multi Specialty Women's Clinic Coordinator
4 days ago
This position is responsible for providing exceptional patient service and support to patients and staff at the Women's Clinic. The Patient Service Representative will be the primary point of contact for patients, handling billing, follow-up, and resolving issues related to patient accounts.
Key Responsibilities- Scheduling and Registration
Acts as a team lead to schedule daily workloads and ensure timely and accurate scheduling and registration activities. Provides support for cash reconciliation functions and assists Patient Service Representatives in problem-solving more complicated issues. - Coordination and Training
Coordinates scheduling with practitioners' schedules to ensure proper coverage of patient appointments and out-of-office calls. Facilitates training of new hires and other training initiatives. Performs quality assurance reviews on Patient Service Representatives, documents findings, and provides information to leadership. - Charge Coordination and Denials
Coordinates with clinical staff to obtain charge information for all patients. Codes procedures performed and diagnosis on charge. Acts as a resource for Practice Managers and Physicians with denials and coding questions. Coordinates copies of medical documentation with physician charges to support billing to third-party payers. - Patient Communication and Support
Greets patients, answers phones, takes messages, returns calls, and provides needed information while documenting all phone calls accurately and completely in the electronic medical record (EMR). - Scheduling and Registration
Schedules patient appointments for visits, procedures, diagnostic tests, referrals, and/or consultations. Registers patients, confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. - Insurance Verification and Coordination
Obtains copies of insurance cards, forms of ID, and signature(s) on all required forms. Verifies information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Completes the Medicare Secondary Payer (MSP) questionnaire when applicable. - Financial Counseling and Collections
Informs self-pay patients of liability due and prepayment requirements. Prepares estimates of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refers potentially eligible patients to financial counseling and/or contract eligibility vendors. - Payment Processing and Reconciliation
Collects patient payments and provides accurate receipts. Posts payments in the system. Reconciles receipts with cash collected and completes required balancing forms. Documents patient account notes for all interactions/transactions. - Department and Individual Work Queues
Maintains department and/or individual work queues and reports as required. - Medical Records Preparation
Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office. - Company Values and Mission
Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
- High school diploma or equivalent is required.
- One (1) year front office or revenue cycle experience in a healthcare organization is required.
- Excellent customer service skills, in person and via telephone.
- Strong communication skills.
- Excellent organizational skills.
- Proficient computer skills.
- A team player who handles multiple projects simultaneously in a fast-paced environment.
- Leads a positive work environment that is supportive of Patient Service Representative associates, other colleagues, and patients' needs.
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