Patient Service Representative

Qualifications:

· High school diploma/Equivalency required.

· One year’s experience performing prior authorizations in a healthcare facility, medical billing office or insurance company required.

· Strong knowledge of regulatory standards and compliance requirements, working knowledge of business office procedures and equipment.

· 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. Knowledge of patient electronic medical records required.

· Ability to project a professional image.

· Detail oriented

· Patient advocacy focused

Summary:

The PSR plays a critical customer service role in our organization. In most cases, The PSR is the initial and final point of contact for our patients. Primary responsibilities are to complete the registration process for patients at check-in and check-out. This includes verifying and updating the patient’s demographic, insurance and payment information. This position is also responsible for scheduling appointments, answering patient inquiries, scheduling appointments, medication refills, referral information, prior authorizations as well as general information regarding each department within the practice.

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.

Job Type: Full-time

Pay: $18.00 - $22.00 per hour

Benefits:

• Dental insurance
• Disability insurance
• Employee assistance program
• Employee discount
• Flexible spending account
• Health insurance
• Life insurance
• Paid time off
• Retirement plan
• Tuition reimbursement
• Vision insurance

Work Location: In person

Salary : $18 - $22