PATIENT SERVICE ASSOCIATE - ORTHO SPORTS MED - CASUAL

About the role

The primary role is to perform administrative and secretarial functions in direct support of the Physician Practice. The position involves direct customer contact to obtain accurate demographic and insurance information and to facilitate scheduling patients for appointments and procedures. The role also includes communicating with internal and external customers, facilitating referrals, authorizations, scheduling, and patient flow.

Responsibilities

• Ensure positive customer service atmosphere and interaction in reception area.
• Interact with co-workers and internal customers in a respectful and professional manner.
• Process telephone calls and messages promptly, accurately, courteously, and efficiently.
• Follow recommended department guidelines for triage and scheduling of patients.
• Process patient information.
• Interview and pre-register patients at the time of or prior to the visit date.
• Enter all information into the billing system per established policies and procedures.
• Accurately code visits based on diagnoses given.
• Identify coding discrepancies and seek clarification to maximize reimbursement/minimize rejections.
• Enter all charges/codes into billing system accurately.
• Accomplish financial objectives by making every effort to collect payment at the time of visit.
• Accurately complete cash sheets.
• Deliver cash and cash sheets daily to appropriate place.
• Maintain and decrease departmental costs.
• Schedule patients for appropriate intervals and provider based on protocols.
• Assist patients to access specialty care and testing per physician order where applicable by office location.
• Provide instructions and directions based on protocols and physician orders.
• Facilitate patient access to care.
• Process referrals in a timely manner.
• Cookise and submit necessary information to obtain timely authorizations.
• Demonstrate accountability for professional development.
• Perform effectively in the role of preceptor/mentor to new hires and/or students.
• Seek assistance from immediate supervisor when appropriate.
• Support performance improvement initiatives within the physician practice.
• Participate in data collection as directed by the manager/physician.
• Incorporate into practice performance improvement initiatives that have been implemented.
• Maintain the environment of care.
• Ensure that supplies are replenished daily.
• Consistently maintain a clean safe environment.

Requirements

• High School Diploma, GED or higher level of education.
• Strong leadership ability, good organizational skills, independent and critical thinking skills, sound judgment, and knowledge of legal aspects and liability of nursing practice.
• Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
• Previous outpatient office experience.
• Two years’ experience in a medical/billing/fiscal or customer service function strongly preferred.
• Medical terminology and third-party health care coverage experience preferred.
• Experience in healthcare setting.

Qualifications

• License, Certification & Clearances Act 34-PA Criminal Record Check from the PA State Police system.

Skills

• Effective communication skills.
• Customer service skills.
• Organizational skills.
• Ability to work independently and under pressure.
• Attention to detail.
• Knowledge of medical terminology and third-party health care coverage.

Benefits

Position Type/Expected Hours of Work: Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations.

Pay

Not specified.

Schedule

Incumbent will be scheduled based on operational need (rotate shifts, standby, on-call, etc.). Travel may be expected locally between System locations.