Patient Service Rep

Responsibilities

• Trips and tracks telephone contacts; directs calls to appropriate party.
• Takes accurate messages and follows established procedures to obtain information and assess urgency of call.
• Maintains a log of phone messages to ensure complete follow-through.
• Obtains patient registration information upon initial telephone contact.
• Courteously and accurately completes patient registration form/screen during initial telephone contact.
• Schedules appointments to ensure an efficient flow of patients; confirms patient appointments as required.
• Reschedules appointments as necessary and tracks missed appointments.
• Obtains necessary authorization numbers and referrals according to third party payer requirements.
• Obtains and verifies all financial information to ensure accuracy and completeness of all necessary forms.
• May create and maintain patient medical records.
• Checks patients in when they arrive at the office.
• Ensures complete and accurate demographic and insurance information upon registration.
• Requests appropriate patient identification and obtains a copy of current insurance card.
• Collects co-payment.
• Posts co-payment as per procedure.
• Maintains patient flow in waiting room to ensure prompt processing of all patients; notifies medical staff of patient arrival.
• Performs discharge functions, including scheduling of physician appointments, diagnostic testing, and hospital procedures.
• Confirms that all necessary ICD-9 and CPT codes are in the medical record and obtains any missing information prior to patient departure.
• Reconciles and batches encounter forms at the end of the day.
• Maintains quality assurance, safety, and environmental and infection control in accordance with established policies and procedures.
• Protects and preserves the patient’s right to privacy and confidentiality.

Qualifications

• BASIC KNOWLEDGE:
• Knowledge normally acquired through completion of one-year Medical Office Management program or equivalent experience in a health care environment.
• Demonstrated knowledge and skills necessary to provide care to patients with consideration of human developmental stages and cultural patterns.
• EXPERIENCE:
• Two years’ experience in health care environment.
• Proficient in English language and computer skills.
• Familiarity with medical terminology.
• Excellent interpersonal and communication skills.