Patient Services Representative

SCHEDULE:
wk1: Mon, Tue, Wed, Thurs, Sat
wk2: Sun, Tue, Wed, Thurs, Fri

Under the general direction of the Registration Services Team Lead, Lead Registrar, Supervisor, Manager, and/or Director, performs a variety of complex duties for the registration of patients.
I. Major Responsibilities:
1. Accurately obtains and enters demographic, insurance and other related patient information into the computer-based patient registration/scheduling system. Ensures all patient and/or witness signatures are collected on appropriate paperwork such as HIPAA, Consent to Treat, etc.
2. Obtains and verifies patient insurance coverage and follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and physician referrals for treatment are obtained prior to patient visits. Follows up to correct discrepancies as required.
3. Obtains and verifies workman’s compensation and automobile coverage when required
4. Schedules and/or arrives Radiology, Lab and basic ancillary service appointments.
5. Arrives and completes Emergency Department and Labor & Delivery demographic and insurance collection
6. Coordinates the provision of multiple services to patients.
7. Collects patient liabilities including deductibles, copays, coinsurances, self-pay payments, cosmetic procedure payments, and patient balances as appropriate, prior to or on the date of service.
8. Performs Surgical Day admissions
9. Performs bed control, transfers, discharges and admissions tasks
10. Provides patient with standard information regarding their personal preparation for scheduled procedures and services.
11. Assesses patients’ financial needs and directs accordingly to financial counseling and refers to appropriate person or area.
12. Provides a variety of related clerical duties, such as retrieving medical and other records, faxing, collating, typing, transcribing, taking and relaying messages, transcribe paper orders when applicable, mailing packets, etc.
13. Maintains accurate and timely records, logs, files and related information as required.
14. Completes online death certificate registry.
15. Receive and secure patient valuables.
16. Monitors and maintains Patient Access and Revenue Cycle Work queues to ensure accurate and timely billing.
Standard Staffing Level Responsibilities:
1. Complies with established departmental policies, procedures and objectives.
2. Attends variety of meetings, conferences, seminars as required or directed.
3. Demonstrates use of Quality Improvement in daily operations.
4. Complies with all health and safety regulations and requirements.
5. Respects diverse views and approaches, demonstrates Standards of Respect, and contributes to creating and maintaining an environment of professionalism, tolerance, civility and acceptance toward all employees, patients and visitors.
6. Maintains, regular, reliable, and predictable attendance.
7. Performs other similar and related duties as required or directed.
All responsibilities are essential job functions.
II. Position Qualifications:
License/Certification/Education:
Required:
1. High school graduate or GED required.
Preferred:
1. Associate Degree or certificate in Healthcare related field.
Experience/Skills:
Required:
1. Proficient data-entry skills with attention to detail.
1. Must have computer skills that include use of Windows and the ability to navigate.
2. Customer service skills both verbal and written; with a variety of internal and external customers.
3. Ability to work in a high volume, team-oriented environment.
4. English speaking, reading and writing skills.
Preferred:
1. 1-2 years of data entry and/or customer service experience
2. Experience in hospital admissions, insurance, billing, scheduling or telephone customer service.
3. Previous insurance verification experience.
4. Bilingual speaking, reading, and writing skills.
5. Demonstrated knowledge of medical terminology.