What are the responsibilities and job description for the Patient Care Representative position at OrthoConnecticut?
GENERAL STATEMENT OF DUTIES:
The primary responsibility of the Patient Care Representative is to greet and register patients arriving for appointments with physicians and ensure all required patient information is collected and input. Thoroughly and accurately complete patient registration to include, but not limited to collecting/verifying insurance information and eligibility if not collected in advance of appointment.
Schedule: Monday-Friday 8am-5pm- working 1 weekend a month and 1 late night until 7pm on a rotation basis for OrthoCare
Benefits
- 401(k) matching profit sharing
- Health/Dental/Vision Insurance
- FSA/HSA options
- Life insurance/AD&D/STD/LTD
- Paid time off
- Employee Discount Program
- Wellness Program
RESPONSIBILITIES:
- Greets and registers patients in a prompt, pleasant and helpful manner; instructs patients to sign in; request and scan insurance cards; provide the appropriate secretary with the sign in sheet at end of session
- Verify and update all required information (demographic and insurance) and accurately enter data into Centricity
- Assures assignment of benefits by obtaining guarantors signature
- Assures patient has received and acknowledged receipt of OrthoConnecticut HIPPA brochure
- Assists patients in completing required medical history forms
- Collects all co-pays, unpaid balances and installment payments, generates a receipt and batches receipts with payments at the end of each
Call Center
- Schedule new patients for all physicians in accordance with core schedule and on-call schedule
- Follow protocol pertaining to any daily changes in physician’s schedule
- Thoroughly and accurately complete patient registration:
- Reason for appointment
- Physician preference
- Workers compensation or motor vehicle related injury
- Insurance card required at time of appointment
- Physician referral insurance requirements
- Collect all required meaningful use information
- Ethnicity
- Smoking History
- Active medications
- Medication Allergies
- Prepping Accounts
- Print out daily charge tickets in advance of scheduled appointments and preps per policy
- Review 90 day globals
- Add/verify co-pay collection
- Verify PCP and referring physician
- Confirm physician referral requirements
- Review eligibility reports for inactives and AAA’s
- Maintain patient log for purposes of tracking daily registration activities
REQUIRED KNOWLEDGE, SKILLS AND ABILITIES:
- High school graduation or GED; post graduate degree preferred
- At least one year of work experience in a medical office setting
- Knowledge of medical office procedures and insurance verification
- Ability to demonstrate a mature, dependable, and responsible approach when interacting with patients, physicians, co-workers, and additional outside sources
- Proactive self-starter
- Understands referral requirements of major third party payers
- Ability to multi-task, prioritize and exceptional attention to detail
- Excellent organizational, verbal and written communication skills
ACCEPTABLE EXPERIENCE AND TRAINING:
- Knowledge of medical terminology desirable
- One year office work / medical assisting experience
- Computer savvy
- Previous insurance experience is desirable
- Must be able to multi-task
OrthoConnecticut, delivering exceptional care and real results has always been our mission, though we did things a little differently when we opened our doors in 1954. Today, we provide orthopedic care in a new state-of-the-art Musculoskeletal Center of Excellence, in which we provide the full spectrum of high-quality services under one roof. Now we can diagnose and treat the complete range of musculoskeletal issues for all ages in one easily accessible location with minimal wait time and a more efficient patient experience. One thing that hasn't changed since in 1954: our commitment to you
OrthoConnecticut is an equal opportunity employer. We celebrate diversity and are committed to creating an inclusive environment for all employees.
The above statement reflects the general duties considered necessary to describe the principal functions of the job as identified and shall not be considered as a detailed description of all the work requirements that may be inherent in the job.