Patient Service Representative Lead

2 days ago


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

We are seeking a highly skilled and organized Patient Service Representative Lead to join our team at Intermountain Healthcare. As a key member of our revenue cycle team, you will be responsible for leading daily workloads, ensuring timely and accurate scheduling and registration activities, and providing support for cash reconciliation functions.

Key Responsibilities
  1. Team Leadership: Schedule daily workloads, ensure timely and accurate scheduling and registration activities, and provide support for cash reconciliation functions.
  2. Scheduling and Registration: Coordinate scheduling with practitioners' schedules to ensure proper coverage of patient appointments and out-of-office calls. Facilitate training of new hires and other training initiatives.
  3. Charge and Coding: Coordinate with clinical staff to obtain charge information for all patients. Code procedures performed and diagnosis on charge. Act as a resource for Practice Managers and Physicians with denials and coding questions.
  4. Patient Communication: Greet patients, answer phones, take messages, return calls, and provide needed information while documenting all phone calls accurately and completely in the electronic medical record.
  5. Registration and Verification: Schedule patient appointments, register patients, confirm, enter, and/or update all required demographic data on patient and guarantor on registration system.
  6. Insurance and Billing: Obtain copies of insurance cards, forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization.
  7. Financial Counseling: Inform self-pay patients of liability due and prepayment requirements. Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances.
  8. Payment and Reconciliation: Collect patient payments, provide accurate receipt, post payments in system, reconcile receipts with cash collected, and complete required balancing forms.
  9. Quality Assurance: Maintain department and/or individual work queues and reports as required. Prepare medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation.
Requirements
  • High school diploma or equivalent
  • One (1) year front office or revenue cycle experience in a healthcare organization
  • Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts
  • 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
Work Environment

This position requires regular interaction with others, operating computers and other office equipment, and remaining sitting or standing for long periods of time. May require lifting and transporting objects and office supplies, bending, kneeling, and reaching.



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