Patient Service Representative
4 days ago
This is a Full-Time position (80 hours per pay period) with a 8:30AM - 5PM schedule (typically during weekdays and rotating every other weekend) located at our hospital. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why Work with UsAWARD-WINNING WORKPLACE:
- Made Becker's 150 Top Places to Work for 2024
- Recognized by Newsweek as one of America's Greatest Workplaces for Diversity in 2024
- #5 in Fortune Best Workplaces in Healthcare 2023
- #78 in PEOPLE Companies that Care 2023
- #95 in Fortune 100 Best Companies to Work for 2023
- Nearly a quarter of our employees have been with us for over 10 years
As a Patient Service Representative, you will be responsible for sending referrals to post-acute providers and placement, coordinating transportation services, creating durable medical equipment referrals and delivering equipment to patients' rooms that is already in house, calling and waiting for insurance authorizations and notification to insurance of stability for patient transfer, sending CMS medical records for discharge appeals, and sending Medi-Cal admin day referrals.
Key Responsibilities- Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate medical record number, scheduling, and referral/authorization, point of service payment collection, document collection and arrival/check-in functions
- Responding to customer billing and payment inquires as needed
- Effectively managing the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; collecting patient payment responsibility and accurately preparing end of day reporting or payment reconciliation as needed
- Escalating billing inquiries as needed
- Accurately scheduling patient appointments. Successful scheduling includes, but is not limited to, exhibiting proficiency in appointment scheduling procedures, accurate documentation and routing of messages, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, performing key user duties with minimal errors
- May be responsible for initiating and validating referrals/authorizations
- Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership in order to resolve concerns
- Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies
- Excellent communication and customer service skills
- Strong organizational and analytical skills; innovative with ability to identify and solve problems
- 1 year of experience in a customer service or healthcare/medical office environment preferred
- Able to adapt, prioritize and meet deadlines
- Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers
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