Position Summary :

Responsible for obtaining registration information, insurance information and verification, and authorizations from new and established patients.

Responsible for screening, scheduling and directing patients to appropriate providers and services. Conveys a positive image of Carle and providers information to patients to fully utilize and benefit from Carle services both on the telephone and face-to-face and to ensure that needs of patients are met.

Checks patients in upon their arrival for scheduled appointments and facilitates up-front collection of co-payments.

Qualifications :

EXPERIENCE REQUIREMENTS

Two (2) years of relevant business, healthcare or finance work experience.

SKILLS AND KNOWLEDGE

Must have strong communication skills and work well with all employees and the public at large; observes high standard of confidentiality.

Must maintain positive attitude when working.

Ability to deal with a large volume of calls and multiple tasks concurrently; memory for details essential.

Must be able to prioritize and complete tasks under stressful conditions with interruptions.

Ability to accept and implement change and function in instances where decisions are not always apparent.

Required to apply routine decisions to defined problems.

Responsible for selecting courses of action that have substantial effect on customer satisfaction and revenues, where decisions are guided only by general policy;

required to deal with issues of a complex nature, requiring good judgment.

Must be self-motivated and dependable, must possess knowledge and skills to work effectively with patients and their families.

Essential Functions :

• Accurately and efficiently completes registration for new and existing patients.
• Checks patients in upon their arrival for scheduled appointments.
• Accurately explains and completes registration and admitting forms. Obtains signatures from patients and policyholders.

Explains and gets patient signatures for Consents, Assignment of Benefits, ABN's and Notice of Non Coverage forms.

• Performs tasks related to cash drawer management including co-pay collections.
• Requests, locates, sends and receives patient medical records as needed.
• Receives all incoming telephone calls.
• Checks patients out in a prompt and friendly manner.
• Demonstrates customer service excellence in accordance to Carle policy.
• Adheres to and enforces Carle policies and procedures.
• Attends meetings to enhance knowledge.
• Performs all other duties as assigned.
• Adheres to and enforces Carle Foundation Administrative and Departmental policies and procedures.
• Demonstrates competency in all aspects of the Patient Services Representative role.
• Suggests ways to improve processes.

Last updated : 2024-05-21