Patient Services Representative

GENERAL JOB DESCRIPTION: Perform all responsibilities of the reception area, which primarily involves; checking in and checking out patients, scheduling new and follow-up appointments, verifying insurance benefits, and collecting payments due at time of service.

ESSENTIAL FUNCTIONS:

• Answer telephones, schedule appointments and redirect to appropriate departments as needed.
• Schedule and reschedule appointments for patients with attention to all insurance rules and limitations per physician preferences, including physical therapy appointments.
• Confirm appointments in advance; reach out to patient when necessary.
• Prepare schedules for clinic and identify any issues prior to visit.
• Greet patients, check-in and help patients complete necessary intake forms.
• Confirm, capture, and correct any changes in patient demographics and insurance.
• Verify insurance and obtain benefits as needed; identify remaining deductible amount and/or copay to collect.
• Collect patient payment according to the patient’s benefits and as noted within the EHR and other applicable software.
• Collect and scan patient’s insurance card and photo ID.
• Balance payments received and prepare deposit daily.
• Complete all scheduling tasks, messages, requests, referrals, and faxes.
• Return voicemails as well as making second and third attempts to patients who have left voicemails.
• Provide EOB to patients and thoroughly explain balance as needed.
• Collate, sort and identify a variety of medical information for scanning/queuing into EMR system
• Sort faxes and assist with any fax failures and distributing to appropriate departments as needed.
• Assist with Release of Information requests by completing in office or sending to third party accordingly.
• All other duties as assigned.

Education:

• High School diploma

Experience:

• Previous experience in a medical office setting
• Computer experience

Skills:

• Knowledge of medical and insurance terminology
• Attention to detail
• Ability to multitask between multiple applications
• Ability to effectively communicate both orally and written
• Ability to work in a fast paced environment