Patient Service Center Rep II, Days - THOP Memorial

About the role

The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties.

Responsibilities

• Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call
• Responsible for timely scheduling, provide callers with important information related to their appointment
• Verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
• Verifies order is complete and matches scheduled procedure, including indexing and exporting physicians orders to correct account number
• Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre-payment for future services/performing collection efforts
• Creates a complete pre-registration account for an upcoming inpatient/surgical admission
• Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility

Requirements

• Ability to work in a production driven call-center environment
• Familiarity with working with dual computer monitors
• Basic typing ability
• Working knowledge of Windows based computer environment
• Ability to multitask in multiple systems (financial clearance and scheduling) simultaneously
• Extensive multitasking ability
• Strong written and verbal communication skills

Qualifications

Required: High school diploma or GED. Preferred: Two plus years of college, completion of related medical certification program, telephone/call center experience, pre-registration and/or scheduling experience, and 2-3 years of customer service experience.

Skills

Spanish bilingual skills are preferred.

Work Environment

The work environment characteristics include an office work environment and hospital work environment. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.