Patient Services Coordinator

2 weeks ago

Bel Air, Maryland, United States PRISM Vision Group Full time
Job Title: Patient Services Representative

At PRISM Vision Group, we are seeking a highly skilled and detail-oriented Patient Services Representative to join our team. As a key member of our clinical operations care team, you will play a vital role in providing exceptional patient experiences and ensuring seamless access to our medical services.

Key Responsibilities:
  • Execute patient scheduling for optimal patient experience while maintaining office efficiency.
  • Manage scheduling of cancellations, missed visits, recalls, and tickler deployment daily and timely.
  • Verify insurance information, benefits, and insurance referral requirements to ensure access based on third-party reimbursement criteria.
  • Provide immediate service recovery by taking ownership of any problems that may arise and resolving them utilizing appropriate rationale and understanding of when to alert and involve Office Manager or Front Desk Supervisor.
  • Interact with patients and collaborate with providers and clinicians to appropriately schedule appointments considering scheduling guidelines per division/specialty/provider, resource availability, special needs, timeframes, medical necessity, and payer and contractual guidelines.
  • Maintain a working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
  • Obtain and/or verify that all demographic, financial, and insurance coverage information is accurate, up-to-date, and complete, and that financial clearance has been obtained inclusive of all required referrals/authorizations.
  • Provide patient/guarantor with detailed benefit and authorization requirements and co-pay, deductible, and co-insurance self-pay responsibility.
  • Reconcile all collections and transactions at the end of each shift, including initial cash funds, and appropriately secure all day-end monies in designated locked boxes.
Requirements:
  • High School Graduate or General Education Degree (GED) experience in patient-facing healthcare function or hospitality customer service function.
  • Working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
  • Knowledge of insurance referral requirements to ensure access based on third-party reimbursement criteria.
  • Excellent verbal and written communications skills in English. Bi-Lingual (English/Spanish, English/Polish, English/French, English/Arabic) a plus.
  • Excellent critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.
  • Excellent mathematical and cash management skills.
  • Excellent interpersonal skills and ability to work effectively with physicians, co-workers, other departments, and patients of all ages, and from across a broad range of cultural and social economic backgrounds.
  • Ability to work as an integral team member under minimal supervision, in a fast-paced, complex environment.
  • Ability to show tolerance and sensitivity in stressful situations and safeguard confidential information in accordance with established policies and HIPAA regulations.
  • Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systems.
Work Environment:

An office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood-borne pathogens.

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