Patient Service Representative

Description

Performs Electronic Insurance Verification or calls applicable insurance carriers.

• Registers patients; obtains necessary demographic, consent and insurance information from the patient and enters it in the computer.
• Scans applicable demographic, photo IDs, insurance cards, and any other necessary forms into the patient’s chart.
• Proficient in electronic signatures for consents through electronic device. 
• Performs Electronic Insurance Verifications or calls applicable insurance carriers.
• Answers the telephone and directs calls and messages to the appropriate recipient.
• Schedules patient appointments with acknowledgment of how the patient would prefer the appointment confirmation through the EMR
• Manually confirms patient appointments, if necessary. 
• Prepares the patient charts daily, as necessary. 
• Communicate through messaging and Phone Notes in EMR. 
• Schedules patient appointments with acknowledgment of how the patient would prefer the appointment confirmation through the EMR
• Manually confirms patient appointments, if necessary. 
• Collects co-pays and payments via check, cash or debit/credit card. 
• Prepare co-pay payments and other payments to practice billing department no later than 3 days from the date of service.
• Participates with any department quality indicators.
• Completes daily, weekly, and monthly checklists as assigned with duties that may include office cleanliness, security, and other item requiring monitoring.
• Maintains compliance with all hospital policies as well as compliance with all State, Federal and CMS policies of licensing and certification. 
• Responsible to maintain medical record privacy and security according to hospital policies and procedures at all times.
• Demonstrate a clear understanding of, and commitment to, the hospital’s mission, vision and values as well as the service excellence standards while completing all tasks and responsibilities.
• Provides coverage for other DECH physician offices when necessary.
• Seeks out needed information by staying informed and involved by attending meetings; reading memos, policies, meeting minutes, newsletters, email and other appropriate information in a timely manner.
• Reliable attendance and punctuality, including observing appropriate break times and extending a scheduled shift when necessary to meet patient demands
• Performs duties in a safe manner, in compliance with all safety policies and procedures
• Complies with the Code of Conduct and all appropriate policies and procedures
• Other duties, as assigned, that are relevant to the position and department

PHYSICAL EFFORT AND ENVIRONMENT 

Moderate: Occasionally lifts up to 25 pounds independently. Occasionally pushes/pulls 100 pounds. Stands or walks often. Office environment/exam rooms.

EXPOSURE RISK 

Exposure Category I: Employee at risk for exposure to blood borne pathogens.

QUALITY IMPROVEMENT 

• Maintains current knowledge of the hospital-wide Quality Improvement Program.
• Collaborates with management to improve the effectiveness of the department through the Quality Improvement plans and processes.
• Participates in the departmental and hospital-wide Quality Improvement activities as directed by the manager.

 COMPLIANCE 

• Adheres to the federal, state, and local statutes and regulations.
• Adheres to the Compliance Program policies and procedures of Down East Community.
• Adheres to all Privacy and Security policies and procedures of Down East Community.
• Communicates any concern related to compliance issues to manager of department or Compliance Officer.
• Communicates any concern related to confidentiality issues to the Privacy Officer.

*DECH is an equal opportunity employer.

Requirements

JOB SUMMARY AND SCOPE 

Performs secretarial functions to support the provision of care within the medical practice. Interacts with patients, families and staff member to maximize successful patient outcomes.

 MINIMUM REQUIREMENTS 

• High School Diploma
• Proficient in typing, telephone communication, Microsoft Office (Word, Excel and Outlook)
• Knowledge of Electronic Medical Record.
• Associate degree from a medical secretary program or 2 years experience in an office setting.