Patient Service Representative

3 days ago


Springfield, Massachusetts, United States Baystate Health Full time
Job Summary

We are seeking a highly skilled and detail-oriented Patient Service Representative to join our team at Baystate Health. As a Patient Service Representative, you will play a critical role in providing exceptional patient-centered care, ensuring a positive experience for our patients and their families.

Key Responsibilities
  • Managing the Patient Experience: Greet patients promptly and warmly, demonstrating a high level of interest and concern. Maintain patient confidentiality and verify reason for visit. Gather and/or verify patient demographics and confirm referrals or pre-authorizations as necessary.
  • Insurance Verification: Request proof of insurance and verify using appropriate systems. Initiate contact for financial counseling and assist patients or customers in filling out and completing medical release of information accurately.
  • Payments: Collect co-payments and payments on account balances, and reconcile collections and billing information. Provide receipts and secure cash drawers according to departmental procedures.
  • Communication: Develop and maintain working relationships with coworkers and providers, other agencies, and ancillaries. Receive and provide information as necessary while complying with policies and regulations.
  • Check out: Review patient information to ensure necessary information is provided, schedule follow-up/next visits, and provide referrals. Time stamp patient out in appropriate system(s) and offer a departure summary to every patient.
  • Telephone: Answer telephones in a prompt and courteous manner, routing calls to the appropriate person and/or creating messages in the system.
  • Appointments: Schedule/create new, follow-up, or walk-in appointments according to practice guidelines, ensuring duplicate medical record numbers are not created. Make reminder calls to patients and cancel appointments, managing wait lists and no-shows.
  • Mail Processing/Faxes: Open, sort, and distribute all incoming mail and faxes daily according to practice guidelines.
  • Documentation: Print orders, letters, or one or two pages of medical records, directing or assisting in contacting HIM for later records, obtaining appropriate releases or approvals in compliance with practice policy and regulations.
  • Schedules: Work physician schedules to ensure patients are seen in accordance with practice guidelines, working with physicians and practice managers or supervisors to schedule or reschedule appointments as needed.
  • Leadership: Take responsibility for learning and following procedures and policies of the practice.
  • Interpreter Services: Provide interpreter services for nurses, providers, and social services staff as needed, accurately interpreting questions, information, and instructions for patients and providers, and explaining cultural differences to promote understanding and facilitate quality patient care.
Requirements
  • GED or HiSET (Required)
  • Equal Employment Opportunity Employer

Baystate Health is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, marital status, national origin, ancestry, age, genetic information, disability, or protected veteran status.



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