Overview

The Patient Service Associate is responsible to ensure smooth clinic, patient and billing flow by greeting and directing patients to their various appointments, preparing the daily clinic schedule and updating the physicians’ schedules, maintaining patient files and records, interfacing with the different corporate departments and by receiving and directly patient questions to appropriate people. Works as a team member to facilitate patient care and optimize the revenue.

Responsibilities

• Handle high volume incoming calls.
• Review the charts and insurance referrals/authorizations and taking appropriate action to assure proper maximal reimbursement.
• To assist the physicians and/or administrators in all business and patient care responsibilities.
• Coordinates office communication flow.
• Communicates effectively and courteously with and demonstrates a caring attitude toward patients and their families.
• Greet, direct and assist large numbers of visitors and refers visitors to various areas.
• Ensure all patient demographic and insurance information.
• Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etc… as necessary.
• Review patient intake information to verify insurance coverage.
• Verify patient insurance information, call for insurance authorization, patient address, telephone, etc.
• Responsible for scheduling new and follow up appointments including patient testing.
• Acts in a non-directive, non-judgmental manner, recognizing an individual’s religious, ethical and moral opinions and beliefs.
• Brings new ideas, positive attitude and lots of energy.
• Responsible for maintaining and recording patient schedule.
• Identify and collect co-pays, deductibles and other payments.
• Reconcile patient payments on a daily basis received to cash box and receipt journal.
• Prepare billing sheets.
• Review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etc
• Direct billing inquiries to appropriate Regional Office.
• Ensure the clinical staff submits all outpatient billing sheets daily.
• Maintains patient confidentiality.
• Patient chart management, preparation, maintenance, filing, copying, requesting records, etc…
• Provides assistance to other team members when needed.
• Performs other duties as assigned.
• Assures all charge tickets are accounted for and checked off against patient sign in sheet and schedule for optimal billings.
• Displays exceptional customer service skills in responding to all inquiries from patients, insurance carriers, outside agencies, internal departments and coworkers.
• Daily review of charts on patients who have appointments for the following day to verify that all appropriate referral and authorization information has been received.
• Coordinate flow of insurance information with the clinic sites and corporate office.
• Data entry of registration.
• Request insurance codes as needed.
• Maintain audit logs of billings.
• Reception desk and telephones as needed.

Qualifications

• High School diploma or equivalent required.
• Three years recent experience in a related position in a medical office experience preferred.
• Ability to prioritize jobs duties and meet deadlines.
• Ability to effectively work on many tasks at one time.
• Have superior customer service and verbal and written communication skills.
• Strong computer knowledge; experience preferred.
• Knowledge of common safety hazards and precautions to establish a safe work environment.
• Knowledge of medical terminology, obstetrical and/or perinatal coding, office billing forms, insurance and government payer regulations and other third party billing requirements preferred.
• Must be able to work cooperatively in a team environment.
• Ability to handle stressful situations.
• Excellent organizational, time management, and attention to detail capabilities. 
• Must be able to travel to satellite office during the week. Mileage is reimbursable.

Benefits and Compensation

Benefits for Full Time employee and qualified dependents:

• Health Insurance including prescription drugs
• Dental Insurance
• Vision Insurance
• Life Insurance
• Short- and Long-Term disability options
• Employee stock purchase program – 15% discount*
• 401k with company match**
• Long Term Care (LTC)
• Pre-tax Health Savings Account (HSA)
• Pre-tax Flexible Spending Accounts (FSA)
• Aflac Hospital, Critical Illness and Accident plans
• Identity Protection
• Employee Assistance Program (EAP)

*Part Time Regular employee classifications also receive this benefit

** Available to part-time regular and part-time casual employees age 21 and over

About Us

Pediatrix® Medical Group (Pediatrix) are one of the nation’s leading providers of highly specialized health care for women, babies and children. Since 1979, Pediatrix-affiliated clinicians have been committed to providing coordinated, compassionate and clinically excellent services across the continuum of care, both in hospital settings and office-based practices. Specialties including obstetrics, maternal-fetal medicine, and neonatology are complemented by 18 pediatric subspecialties and a newly expanded area of primary and urgent care clinics. The group’s high-quality, evidence-based care is bolstered by investments in research, education, quality-improvement and safety initiatives.

Today through almost 8,000 employees in 38 states, dedicated teams including physicians, advanced practitioners, clinical leaders, business and operational experts work together every day to fulfill our mission to take great care of the patient®. We invite you to join the Pediatrix® family and help shape the future of health care for women, babies and children.

Please Note: Fraudulent job postings/job scams are becoming increasingly common. All genuine Pediatrix job postings can be found through the Pediatrix Careers site: www.pediatrix.com/careers.

Pediatrix is an Equal Opportunity Employer

All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability or veteran status.