Patient Service Representative
3 days ago
The Springfield Clinic is seeking a highly skilled and detail-oriented Patient Service Representative to join our team. As a Patient Service Representative, you will play a critical role in ensuring that patients receive excellent care and service while navigating the complexities of medical billing and insurance.
Key Responsibilities:- Verify and secure referrals for patients.
- Verify coverage and benefits prior to treatment to ensure seamless patient care.
- Secure prior-approval and pre-authorizations for medical services.
- Perform review and action of Bad Debt, Collections, and Denials to ensure accurate billing and payment.
- Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff.
- Prepare account action worksheets and submit to Patient Accounting for charge corrections.
- Provide a positive impression to patients about the Clinic's billing department.
- Enter/edit patient insurance coverage/demographic information when necessary.
- Inform patients of the Clinic's billing and credit policies.
- Answer questions that patients may have in regard to insurance coverage and other billing issues.
- Respond to patient's verbal and written requests in a timely fashion.
- Maintain statistics to track patient satisfaction and billing performance.
- Maintain proficiency with insurance and billing issues by participating in Patient Accounting meetings and training sessions as appropriate.
- Must be empathetic, yet responsive to patients while adhering to Patient Accounting billing practices and guidelines.
- Provide coverage at other Springfield Clinic locations as assigned.
- Comply with the Springfield Clinic incident reporting policy and procedures.
- Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
- Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
- High School graduate or GED required.
- Minimum two to three (2-3) years experience in medical billing and insurance preferred.
- Ability to handle multiple tasks and prioritize in a fast-paced environment required.
- Computer skills, including Microsoft Office, preferred.
- Strong verbal communication and listening skills are required.
- Knowledge of the computer systems with emphasis on registration and insurance screens.
- Knowledge of Medicare, medical assistance and other third party payors.
- Ability to work with patients of all ages in a courteous and professional manner. Must be empathetic, yet responsive to Patient Accounting billing policies and guidelines.
- Ability to tactfully work with patients with past due accounts.
- Ability to meet quality and performance guidelines and work with patients in a courteous and professional manner.
- Must have the ability to maintain composure under stress.
- Manual dexterity required for use of telephone headset, calculator and computer keyboard.
- Work in office environment.
- Use of telephone required.
- Involves frequent contact with staff and the public.
- Requires sitting for long periods of time.
- Some bending and stretching required.
As a Patient Service Representative at the Springfield Clinic, you will have the opportunity to make a positive impact on the lives of our patients and their families. If you are a detail-oriented and customer-focused individual with a passion for medical billing and insurance, we encourage you to apply for this exciting opportunity.
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