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Northern Light Eastern Maine Medical Center
Department: Physician Practice Central Ops
Position is located: Cianchette Professional Building
Work Type: Full Time
Hours Per Week: 40.00
Work Schedule: 8:30 AM to 5:00 PM
This position is eligible for a $1,000 (minus tax) sign on bonus
Summary :
The Patient Service Representative I is a supporting position and is responsible for a variety of activities related to patient in-take and care. The Patient Services Representative I is generally the first point of contact for patients entering the practice. Activities may include but are not limited to greeting and checking in patients, verifying, and updating insurance information and confirming other patient information, scheduling patient appointments, answering phones, updating demographic information, processing referrals, payment collection and posting, charge reconciliation, chart preparation and other duties as assigned.
Responsibilities :
People • Communicates Effectively • Demonstrates effective and courteous Customer, Physician/Practice Staff and other hospital staff communication skills • Communicates in a way that conveys understanding and respect to a diverse patient and work population • Answers all calls promptly and courteously • Responds to and resolves issues promptly through effective communication. • Uses appropriate chain of command • Feedback is provided in a constructive manner • Demonstrates problem solving skills by responding to and resolving issues promptly through effective communication skills • Maintains adaptability in work schedule to meet patient/departmental needs • Develops and maintains positive working relationships • Acts as a resource to coworkers • Confirms patient identity by using the full name • Participates in problem solving groups as requested. Attends all practice staff meetings May serve as a receptionist to patients by: • Greeting patients, having patient(s) sign appropriate forms/consents. • Verifying and updating demographic/insurance information on all encounter forms and systems per protocol. Notifying registration of changes if applicable. • Demonstrating mastery of appropriate practice software and registration tool protocols. • Scheduling tests, procedures, referral appointments with scheduling center, agencies and/or other provider groups and forwarding order form and/or records to appropriate depart/office. Documenting information in Patient's chart. Processing insurance referral/prior authorization and document this per protocol. • Retrieving and processing messages per protocol. Training • Assists with orientating and training/cross-training of new and established employees as assigned. • Provides coverage in other areas as needed • Effectively covers other support positions (e.g. phones, insurance referrals, scheduler) as needed Service • Demonstrates mastery of appropriate scheduling and registration protocols, if appropriate • Takes ownership for determining customers’ needs and offering assistance • Schedules outpatient testing per orders/referral process, inputs appointment dates and times into patient EMR, if appropriate • Recognizes problems and offers constructive solutions • Performs other duties as assigned by practice leadership Quality • Reviews material submitted by Health Plans and Managed Care Organizations to gain full understanding of benefit coverage and precertification/authorization, if appropriate • Quality review procedures are followed to ensure accounts are brought to a timely and accurate resolution, if appropriate • Ability to prioritize and perform multiple duties, simultaneously • Ability to take ownership of work and follow up on responsibilities • Speaks, spells, and writes clearly, concisely and to the point • Consistently follows Patient Identification IDD by using two patient identifiers related to the registration process • Patient Identification Manager will be alerted if duplication medical record numbers are identified • Proper name format is consistently followed • Managed care organizations are correctly identified and selected as part of the registration process, if appropriate • Timely modifications of registrations are done in order to ensure billing of encounters, if appropriate • Uses independent judgment when necessary • Assists Office Manager with patient complaints related to billing invoices, if appropriate • Appropriately refers patients/staff with issues/concerns to the direct supervisor • Performs Service Recovery when necessary • Has 100% of iCare, employee updates and any other in-services meetings and training as assigned • Maintains documented evidence of continuing education Finance • Insurance verification and precertification is performed prior to elective inpatient admission to ensure accounts are secured upon admission, if appropriate • Names, dates, and times of conversations with businesses, insurances, managed care organizations, Utilization Review, and patients are documented, if appropriate • Insurance verification and precertification is performed on high dollar outpatient areas to ensure reimbursement, if appropriate • Understands the implication both clinically and financially of registration errors and the impact on the organization, if appropriate • Referral calls are made to PCP for Managed Care patients, if appropriate • Correct insurance is identified and selected when appropriate within the registration fields, if appropriate • Policy numbers are entered correctly into the registration fields, if appropriate • Ensures that referral authorization numbers are submitted to Patient Account Services in a timely manner and understands the implications if this is not done, if appropriate • Finishes work on time 95% of the time, avoiding overtime. • Prepares billing sheets and codes invoices prior to sending to Accounts Payable, if appropriate • Collects payments (cash, co-payments, cash, checks and other forms of payment for services rendered; reconciles cash drawer/journal per EMMC policy; promptly secures/delivers the cash deposits in the designated EMMC safe or other designated area for transit to the Fiscal Services Department, if appropriate • Oversees daily audit/cash control, if appropriate Growth • Promotes services at Northern Light Eastern Maine Medical Center • Meets continuing education requirements set forth by the practice • Seeks opportunities for enhancement of skills • Assists with answering questions and directing practice staff to appropriate resources • Attends 100% of employee updates.
Other Information :
Competencies and Skills
Education
Working Conditions
Full Time
$34k-41k (estimate)
06/08/2023
06/26/2024
northernlight.co.uk
Brewer, ME
<25
The job skills required for Patient Service Rep I include Scheduling, Billing, Commitment, Communication Skills, Communicates Effectively, Leadership, etc. Having related job skills and expertise will give you an advantage when applying to be a Patient Service Rep I. That makes you unique and can impact how much salary you can get paid. Below are job openings related to skills required by Patient Service Rep I. Select any job title you are interested in and start to search job requirements.
The following is the career advancement route for Patient Service Rep I positions, which can be used as a reference in future career path planning. As a Patient Service Rep I, it can be promoted into senior positions as a Patient Referral Specialist that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Patient Service Rep I. You can explore the career advancement for a Patient Service Rep I below and select your interested title to get hiring information.
If you are interested in becoming a Patient Service Rep, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Patient Service Rep for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Patient Service Rep job description and responsibilities
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Patient confidentiality must remain a primary concern.
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Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Patient Service Rep jobs
A patient service representative needs to have strong organizational skills along with the ability to think on their feet when faced with new situations that arise throughout each day within a professional medical environment.
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Step 3: View the best colleges and universities for Patient Service Rep.