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Patient Service Representative

2 months ago

Lowell, Massachusetts, United States Tufts Medicine Full time
Job Summary

This role is responsible for facilitating revenue cycle operations, including billing, collections, and payment processing. The Patient Service Representative will perform administrative and financial-clearance duties to ensure the procurement of clinical services by patients. This includes collecting patient demographic and financial information, scheduling services, and handling referrals from primary care doctors.

Key Responsibilities
  • Conduct pre-registration tasks for inpatients and outpatients, including collecting demographic, financial, and clinical information.
  • Obtain consent for treatments and authorizations as necessary.
  • Verify insurance coverage and ensure accurate plan codes are added to registration.
  • Collect information for auto and worker's compensation registrations.
  • Notify patients of financial liabilities and collect payments.
  • Post collected payments and verify dollar amounts.
  • Provide financial counselor contact information to patients qualifying for state-sponsored financial assistance.
  • Obtain authorization, pre-certification, referral, and/or notification as necessary.
  • Provide excellent customer service and deliver professional courtesy to patients.
  • Interact with physicians, nursing units, and office staff in a courteous and professional manner.
  • Maintain hospital financial information confidentially.
  • Meet area-specific benchmarks related to productivity and customer service.
Requirements
  • Frequent sitting, occasional standing or working, and lifting of 10-15 pounds.
  • Manual dexterity using fine hand manipulations for computer keyboard operation.
  • Ability to see computer screen and read reports.
  • Ability to hear instructions from physicians and other clinical or nursing staff.
Preferred Qualifications
  • High school diploma.
  • One year of medical office, insurance, physician's office practice, or hospital registration experience.
  • Bilingual.