Patient Service Specialist

4 weeks ago

Nashville, United States Tennessee Orthopaedic Alliance Full time

Job Type

Full-time

Description

Our Patient Service Specialist serves a very important role in the operation of our TOA clinics. The Patient Service Specialist assists in the operations of each clerical department, demonstrating a broad and encompassing knowledge of clinical operations, as well as our practice in general. This position can be called upon to step in and help in numerous roles, or in numerous clinic locations, depending on the need at the time.

  • Patient Service Representative: Working in our Patient Access area, providing check-in and check-out functions. In this capacity, being committed to providing excellent, friendly care for our patients and their families is essential. Responsibilities include: Making charts, entering demographics, checking current insurance, gaining referral information, collecting co-pays and past balances, and making return appointments.
  • Surgery Scheduling: In the surgery scheduler function, you will; obtain benefits and precertification, schedule with hospitals or surgery center, give surgery packets to patients, schedule therapy, schedule any specialist that need supplies for surgery, and complete all necessary documentation for TOA.
  • Patient Access: As an appointment scheduler, your patience, knowledge, and problem solving skills will be greatly utilized as you help our patients connect with the care they need. Specifically, you will: answer phones to schedule appointments with patients and doctor's offices, schedule per individual doctor's specializations and personal specifications, obtain faxed referrals from outside physician offices and contact patient for scheduling, submit all documentation in accordance with TOA guidelines..
  • Verification of Insurance: Verify all insurances for patients scheduled with physicians for office visits at TOA, contact outside insurance companies for benefits not provided through RTS or other internet sources, maintain staying at least one day ahead of schedule, distributing any insurance errors to schedulers to contact patients for correct information, update insurance information as necessary, submit daily reports of errors before and after corrections, assist with any insurance questions doctors, nurses, schedulers, and patients may have
  • Revenue Cycle Activities: You may also be asked to work on revenue cycle activities, such as daily deposits, reconciling unapplied funds, and self-pay issues
  • Other Activities: Because of the role, the Clerical Float will be called upon to pitch in and help out in a number of different areas as specific clinic needs arise.
Requirements
  • High school diploma or equivalent is required.
  • At least one year medical office administration experience is preferred, experience in an orthopaedic office is a plus
  • Exceptional customer service and patient focus. Our Clerical Floats must make each encounter as positive as possible, realizing we are there to serve them in the most professional manner
  • Knowledge of Insurance, particularly health insurance provisions is essential,
  • Previous experience including collecting copayment, deductibles, coinsurance, and balances
  • Experience with an EHR or NextGen is a plus
  • Focus on attention to detail, ensuring that all documentation is entered accurately and swiftly
  • The ability to multi-task and maintain flexibility - including flexibility in work schedules to adjust to necessary clinic hours
  • Collaboration, working closely with clinical colleagues and administrative team mates to develop a cohesive, high performing team
  • An energetic and enthusiastic pace at work, with the ability to swiftly and accurately manage the flow of patients through the clinic, without any diminishing focus on patient care
  • Dependability, with a reliance on the capacity to be at work on-time, every day so our patients can receive the care they need in a timely manner

TOA is an equal opportunity employer. TOA conducts drug screens and background checks on applicants who accept employment offers

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