Patient Service Representative Multi Specialty Women's Clinic Lead

1 month ago

Lafayette, Colorado, United States Intermountain Healthcare Full time
Job Summary

This role is responsible for overseeing the patient service representative team in a multi-specialty women's clinic, ensuring timely and accurate scheduling and registration activities. The ideal candidate will have excellent communication and organizational skills, with the ability to lead a team and provide support for cash reconciliation functions.

Key Responsibilities
  • Acts as a team lead to schedule daily workloads and ensure timely and accurate scheduling and registration activities.
  • 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 PSR associates, and documents findings.
  • Assists in the preparation of periodic reports crucial to leadership decision-making processes.
  • Coordinates with clinical staff to obtain charge information for all patients, codes procedures performed and diagnosis on charge, and acts as a resource for practice managers and physicians with denials and coding questions.
  • 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.
  • 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 systems.
  • 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, and completes the Medicare Secondary Payer (MSP) questionnaire when applicable.
  • 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, and refers potentially eligible patients to financial counseling and/or contract eligibility vendors.
  • Collects patient payments, provides accurate receipts, posts payments in systems, reconciles receipts with cash collected, and completes required balancing forms.
  • Maintains department and/or individual work queues and reports as required.
  • Prepares medical records for patient appointments by compiling information from various sources, including authorizations and non-Epic documentation, and accurately scans medical records as required for Medical Group or specialty offices.
  • Promotes the mission, vision, and values of SCL Health and abides by service behavior standards.
  • Performs other duties as assigned.
Requirements
  • High school diploma or equivalent is required.
  • One (1) year front office or revenue cycle experience in a healthcare organization is required.
  • Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required.
  • Demonstrate understanding of health insurance and medical costs.
  • 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 PSR associates, other colleagues, and patients' needs.
Physical Requirements

Interact with others by effectively communicating, both orally and in writing. Operate computers and other office equipment requiring the ability to move fingers and hands. See and read computer monitors and documents. Remain sitting or standing for long periods of time to perform work on a computer, telephone, or other equipment. May require lifting and transporting objects and office supplies, bending, kneeling, and reaching.

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