Patient Representative III

Job Summary:  Responsible for registration of patients for the Outpatient area, including lab, radiology, and physical therapy; secondary responsible for the registration of patients to emergency room and inpatient. This position involves registering patients, scheduling appointments, obtaining authorization, when required, for all outpatient appointments, maintaining medical records, answering phones, greeting patients and processing fees for service.

• Knowledge of policy/ procedures in department.
• Assures the readiness of the reception area for each working day. Have all front desk activities fully operational at the start of business hours.
• Greet patients and visitors; direct all people to the appropriate location and services.
• Register patients according to facility protocols with no errors.
• Initiate prior authorization with third-party payers, when required.
• Complete Patient Liability Estimate to give to patients, for each visit, scheduled or unscheduled.
• Determine the financial status of patients and their insurance eligibility for outpatient services.
• Assist patients in accurately completing the appropriate forms and document all information according to facility protocols.
• Collect fees according to the facility protocol.
• Maintain forms and office supplies required for desk operations.
• Act as an alternative clerk in ER Registration, as needed.
• Schedule/ cancel patient appointments; all outpatient diagnostic and ER as needed.
• Responsible for verifying all NH registration and data-entry in appropriate and accurate, to ensure billing is correct.
• Responsible for NH billing to Oklahoma Medicaid.
• Respect and maintain privacy and dignity of patients; always assure patient confidentiality.
• Participate in staff and educational meetings.
• On all outpatient orders, make sure there is a written diagnosis and a physician signature. (Electronic signature is not acceptable)
• All other duties as assigned by immediate supervisor and/or Director.

Regulatory Requirements:

• High School graduate or GED equivalent.
• Three (3) years of medical billing experience, or two (2) years of healthcare insurance knowledge and exposure in a healthcare setting.

Language Skills:

• Able to communicate effectively in English, both verbally and in writing.
• Excellent interpersonal skills.
• Additional languages preferred.

Skills:

• Basic computer knowledge.
• Medical Terminology preferred.

• Must give attention to detail, competent in computer applications.

• Ability to interact effectively and in a supportive manner with people of all backgrounds.
• Knowledge of phone etiquette and office skills.

Physical Demands:

• Requires prolonged sitting position and keying into a P.C.
• Occasionally lifts supplies and equipment up to 50 lbs.
• Requires hand-eye coordination and manual dexterity, mobility and hearing to normal range.
• There will be occasional reaching, stooping, bending, kneeling and/ or crouching