Patient Representative - BMH ED & QUICKCARE PLUS - PRN

Responsibilities

Greets and/or registers patients accurately and efficiently.

Verifies insurance eligibility using online systems.

Provides and/or completes required patient forms.

Collections and enter payments, follows required balancing procedures.

Analyzes, interprets and enters physician orders.

Schedules and communicates appointment information accurately and efficiently for multiple facilities and ancillary departments.

Verifies insurance for scheduled and urgent emergent patients following guidelines established per payer and obtains authorization based on payer specific criteria.

Accurately completes assigned work queues.

Identify financial counseling needs.

Maintains confidentiality in verbal, written and electronic communication.

Follows established processes, protocols, and workflows.

Takes initiative to resolve problems and meet patient needs.

Requirements

• Current knowledge of billing and coding requirements and the ability to apply these based on industry standards is required.
• Ability to resolve patient financial issues and negotiate payment arrangements.
• Representatives must fully understand the ramifications and impact of incomplete or inaccurate information to patient care and the overall revenue cycle.
• Employees providing direct patient care must demonstrate competencies specific to the population served.
• High school diploma or general education degree (GED) required.
• Previous customer service experience required.
• Medical Terminology, CPT and ICD-10 coding strongly preferred.
• Basic typing at 45 WPM, basic ten key, and computer skills within a Windows environment.
• Experience with multiple computer applications/operating systems, and office machines.
• Knowledge of HIPAA and confidentiality requirements, insurance payer regulations and requirements, and patient rights.
• Knowledge of revenue cycle components and his/her role in the ability to impact the overall process.
• Knowledge of the impact of accurate registration has on patient satisfaction.
• Analytical skills to solve simple to semi complex problems.
• Organization, prioritization and time management skills.
• Concentrate and pay close attention to detail.
• Ability to multi-task.
• Be flexible to facilitate change.
• Ability to maintain composure in a position that has considerable deadlines, customer contact and high volumes of work which produces levels of mental/visual fatigue which are typical of jobs that perform a wide variety of duties with frequent and significant uncontrollable deadlines.
• Work may include the operation of and full attention to a personal computer or CRT up to 40 percent of the time.
• The job produces some physical demands. Typical of jobs that include regular walking, standing, stooping, bending, sitting, and some lifting of light weight objects.

Qualifications

• PRN Position Must be able to work a minimum of 4 - full 12 hour shifts a month in the BMH ED / Quickcare Plus.
• This includes a minimum of 2 weekend shifts and 2 weekday shifts.
• Available to cover either night or day shift.
• 7am - 7pm / 7pm - 7am.
• Provide unavailability 1 month in advance.
• Earns sick time but not PTO.
• Not benefit eligible.
• Possession of flexible availability beyond the minimum requirement and occasional assistance with last-minute coverage needs is preferred.

Skills

• Basic typing at 45 WPM, basic ten key, and computer skills within a Windows environment.
• Experience with multiple computer applications/operating systems, and office machines.
• Knowledge of HIPAA and confidentiality requirements, insurance payer regulations and requirements, and patient rights.
• Knowledge of revenue cycle components and his/her role in the ability to impact the overall process.
• Knowledge of the impact of accurate registration has on patient satisfaction.
• Analytical skills to solve simple to semi complex problems.
• Organization, prioritization and time management skills.
• Concentrate and pay close attention to detail.
• Ability to multi-task.
• Ability to maintain composure in a position that has considerable deadlines, customer contact and high volumes of work which produces levels of mental/visual fatigue which are typical of jobs that perform a wide variety of duties with frequent and significant uncontrollable deadlines.

Benefits

• No benefits are offered for this position.

Pay

• Details about pay are not specified in the job posting.

Schedule

• Shifts are variable and part-time.
• Scheduled Weekly Hours: 10.