Patient Service Representative
3 weeks ago
We are seeking a highly skilled and compassionate Patient Service Representative to join our team at Northern Light Mercy Hospital. As a key member of our Physician Practice Central Ops, you will play a vital role in providing exceptional patient care and administrative support.
Key Responsibilities- Treat patients and customers with politeness, promptness, and helpfulness, adhering to our organization's values and standards.
- Participate in regular huddles and team meetings to improve workflows and contribute to better patient outcomes.
- Maintain productivity and efficiency in workflow to accommodate the volume and acuity of the practice.
- Handle difficult conversations with patients and internal customers.
- Register patient demographic and insurance information accurately and provide necessary forms for completion.
- Provide excellent customer service for incoming inquiries, screen calls, document messages, and route to the appropriate individual.
- Schedule, reschedule, confirm, acknowledge, and cancel patient appointments, including surgical and ancillary services.
- Collect co-pays and patient due balances.
- Utilize insurance verification systems and take appropriate action based on eligibility responses.
- Obtain patient consents and signatures, schedule follow-up appointments when necessary.
- Perform end-of-day reconciliation of payments, appointments, and validation.
- Investigate and problem-solve insurance denials to recover lost revenue and improve claim submission.
- Participate in the referral process and initiate, receive, and process insurance and services referrals.
- Process health information requests in accordance with organization and MMA policy.
- Screen and invite patients to the electronic patient portal.
- Display cooperative behavior, interact positively with others, and promote a team environment.
- Act as a backup for coworkers as needed.
- Demonstrate and promote the mission and values of the organization.
- Ensure compliance with hospital, state, and federal regulations.
- Work in accordance with HIPAA standards and uphold the law.
- High School Diploma or General Educational Development (GED)
- Prolonged periods of sitting, lifting, moving, and loading 20-30 pounds
- Work with computers, typing, reading, or writing
- Behaves with Integrity and Builds Trust
- Cultivates Respect
- Effectively Communicates
- Fosters Accountability
- Practices Compassion
- Provides Patient-Centered Care
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