Description

Description: DAMIAN FAMILY CARE CENTERS, INC. is a Federally Qualified Health Center with 14 community based health centers located in the metro NYC area, Suffolk County and Upstate, NY, providing primary care, behavioral health and specialized care at all sites. Damian is seeking to add a Patient Service Representative to it's team. The position is at our Firehouse Health Center located in Jamaica, NY. Selected candidate will be reporting to the Senior Practice Administrator.

Position Summary: Primary responsibilities are to complete the registration process for patients at check-in and check-out; verify and update the patient’s demographics, insurance and payment information, schedule appointments, answer patient inquiries of all types, assist with medication refills, provide referral information to patients, prior authorizations as well as general information regarding each department within the practice; verify patient’s insurance coverage and collect co-payments; process credit card and cash payments.

Essential Functions:

Greet and direct patients.

Schedule patient appointments following protocol and guidelines provided to assist clinical staff in maintaining optimal patient flow, perform reminder calls to patients, obtain patient address, contact details, insurance information and medical history.

Verify patient’s insurance coverage and collect co-payments, process credit card and cash payments. Maintain patient data up-to-date and verify patient information at every visit. Work under the guidance of Supervisor and follow departmental policies and procedures. Escalate patient’s unusual behavior to Supervisor. Inform patients about delays and waiting times. Review patient accounts, identify delinquent accounts and collect due amounts. Attend educational trainings for professional development.

Answers patient inquiries of all types in an effort to streamline the process for patients and reduce workloads of providers and their medical assistants. Stay updated with information regarding insurance programs and funding sources. Assist patients in filing patient forms. Screen patients for financial assistance and assist them in preparing required funding documentations.

Sort and deliver mail, faxes, medical records and other correspondence, photocopies and faxes documents and maintains an adequate supply of all patient forms and documents as needed. Establish effect rapport with patients, external vendors, other departmental staff including but not limited to clinical staff. Process medication prior authorizations and submit medical records to insurance carriers to expedite prior authorization processes. Manage correspondence with insurance companies, physicians, specialists, pharmacies and patients as required. Secure patients’ demographics and medical information by using great discretion and ensuring that all procedures are in sync with HIPAA compliance and regulation. Establish effective rapport with patients, external vendors, other departmental staff including but not limited to clinical staff. Support site and department quality improvement initiatives. Verbalizes knowledge and demonstrates competency in applying EHR policies and procedures related to essential job functions, which includes but is not limited to: patient registration and scheduling processes, collection of demographic and insurance information, verification of insurance coverage, sliding fee schedules, scanning documents, and obtaining all consents. Demonstrates respect for the cultural and religious diversities and needs of patients, families, employees, and external customers. Creates and maintains an atmosphere of courtesy and respect toward others.

Conforms to policies and regulations governing patient rights, confidentiality and HIPAA Privacy and Security Rule. Demonstrates willingness and the ability to assume additional responsibilities without adversely affecting the quality and quantity of work output.

Enhances professional growth through educational programs and in-service offerings. Maintains a consistent and flexible pattern of attendance and punctuality in accordance with Damian’s policies. Conforms to agency guidelines regarding dress code; maintains a well-groomed and neat appearance. Maintains good personal hygiene. Performs all related duties, as assigned or unrelated duties, as requested during emergencies.

Requirements

Qualifications: Applicant must have a High school diploma/Equivalency required with one year’s experience performing prior authorizations in a healthcare facility, medical billing office or insurance company. Must have a strong knowledge of regulator standards and compliance requirements, working knowledge of business office procedures and equipment. The position requires a lot of talking face-to face and over the telephone; to patients, internal staff and external vendors. Individual must be a great communicator, with exceptional writing and verbal skills. Stellar interpersonal and customer service skills required. Must be able to multi-task and exercise independent judgment and maintain patient and organization confidentiality. Must be computer literate. have Knowledge of patient electronic medical records and the ability to project a professional image. Applicant must be detail oriented, patient advocacy focused and have the ability to interact effectively and professionally with persons from diverse cultural, socioeconomic, education, racial and ethnic backgrounds.