What are the responsibilities and job description for the Patient Services Representative I position at Good Shepherd Rehabilitation?
JOB SUMMARY
Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.
Maintain pleasant and positive disposition during every patient interaction to ensure a positive patient experience
Instruct patients to complete documents and forms such as intake and insurance forms.
Schedule, cancel and confirm patient appointments.
Compile, record and archive medical charts, reports, and correspondence with confidentiality.
Operate telephones and direct calls, emails and documents to appropriate staff.
Transmit correspondence and medical records by mail, e-mail, or fax.
Verify insurance via various methods (phone, internet, etc), obtain authorizations and certifications and explain patient responsibility forms.
Perform financial functions with accuracy (i.e. charge entry) to ensure optimal payment for services.
Assist billing department with insurance denials via monitoring and working worklists in the electronic medical records system
Assists in patient care and related activities as instructed by the physical therapist, physical therapist assistant, occupational therapist, certified occupational therapist assistant or speech language pathologist.
Manages patient interactions and implements service recovery techniques to ensure positive patient relations.
Clean and organize work area and disinfect equipment after treatment
Participate in daily log recording as required per site.
Change linens, such as bed sheets and pillow cases.
Contribute to a creative culture of daily continuous improvement
ESSENTIAL FUNCTIONS
PATIENT/CUSTOMER
Essential Accountabilities
Ensures communication and collaboration with supervisors and fellow co-workers to serve patients and other customers to the best of his/her ability.
Is professional in all actions and appearance
Ensure compliance with regulatory parameters
Uses resources wisely – as if they were one’s own.
Demonstrates understanding and ownership of how his/her role contributes to achieving the success of the Department and the Health System.
Demonstrates a personal commitment to ensuring a clean and safe working environment.
Anticipates patients’/customers’ needs and acts accordingly.
Works to enhance patient satisfaction
Assist patients and families
Analyzes problems from the customers’ point of view.
Honors patient/customer/employee confidentiality.
Seeks feedback on how to improve performance and offers constructive feedback, as well.
Applies learning for improved performance.
Presents self professionally & demonstrates professional behavior during interactions with others
Strives to understand and value differences in others’ race, nationality, gender, age, background, experience, and style.
Customer Service Skills
Utilizes AIDET principles to enhance communication.
PATIENT/EMPLOYEE SAFETY ACCOUNTABILITIES
Patient Care Providers
Participates in Entity and Department wide initiatives for Patient /Employee safety
Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position.
Validation of annual competencies required for the position
OPERATIONS
Essential Accountabilities
Scheduling Functions
Patient Identification
Pre-Reg/Registration-Patient Information Updates
Check-in Process
Check-out Process
Cash Collection
Reconciliation and deposit.
Insurance Verification Process
Email
Management of Medical Records
Financial Counselor
Department Productivity and goals (site specific)
Site Opening Function
Site Closing Function
Ability to Multi-Task
Understanding Clinical Work Processes
Attendance/Time Management
Involvement in Departmental Meetings
Personal Impact
Health System ID is worn in accordance to GSPP policy
Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)
Flexible and readily adopts new processes and engages in practice operation changes
QUALIFICATIONS:
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education
High School Diploma required
Associate's Degree preferred
Work Experience
Previous healthcare experience preferred
Licenses / Certifications
IDX Certification required
Sunrise Billing system certification may be required
Salary.com Estimation for Patient Services Representative I in Philadelphia, PA
$41,747 to $50,156
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