What are the responsibilities and job description for the Patient Services Representative position at Primary Care & Hope Clinic?
Description
Reports To: Office Manager
Employee Status: Non-Exempt (Regarding Overtime)
Position Summary: Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of service functions.
Essential Functions
- Represent PC&HC to the patients in a courteous and professional manner. Provide prompt, efficient and accurate patient service.
- Greet, assist and direct patients appropriately.
- Assist patients in making appointments with assigned provider.
- Assist in Call Center by answering telephone, screens calls, provides information to patients and other callers as directed.
- Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.
- Treat all patient information confidentially and in accordance with established HIPAA regulations.
- Make patient appointments in accordance with PC&HC scheduling guidelines.
- Register patients, obtain and enter all necessary demographic and insurance related information needed as record for registration and billing of all patients’ visits.
- Coordinate information from patients to ensure accurate billing and maximum reimbursement.
- Establish a new electronic patient account/record and accurately enters all patient information into the computer system according to established procedures.
- Update and correct patient account information in the computer system during each visit.
- Ensure new and updated documentation is filed in the medical record.
- Medical Record administration.
- Verify insurance coverage eligibility prior to the provision of services according to established procedures.
- Inform patient of and collect co-pays and deductibles prior to scheduled services.
- Prepare and issues receipts, process credit card payments.
- Provide information on account status.
- Improve the patient experience and health care processes and help assure the provision of high quality health care, as well as an ongoing process of performance improvement.
- Maintain a work area that reflects a professional environment at all times.
Marginal Functions
- Assist in the opening and closing security procedures of the building.
- Fill-in for absenteeism, including at other PC&HC locations.
- Perform all other duties as required or assigned.
Requirements
Requirements:
- Must be 18 years of age or older.
- Must have a High School diploma or equivalent.
- Must have the ability to manage a fast-paced environment without sacrificing efficiency and accuracy.
- Must follow all HIPAA and OSHA requirements.
- Must be able to operate or have the ability to be trained to operate office equipment.
- Must be supportive of our mission to provide healthcare to the underinsured and uninsured.
This document is intended to describe the general nature and level of work performed. It is not intended to serve, as an exhaustive list of all duties, skills, and responsibilities required of personnel so classified.