Patient Service Representative

About the role

Performs reception, registration, and billing functions in the front office of the Medical Practice to facilitate the effective delivery of patient care.

Responsibilities

• Maintains exemplary patient satisfaction and participates as an engaged team member
• Greets and directs patients and visitors according to established office protocols
• Informs patients of delays in care; communicates schedule changes to physicians, clinical assistants, and other staff as appropriate
• Maintains and corrects environment for cleanliness and safety
• Schedules appointments, registers demographic and billing information, determines eligibility to accommodate patient's care in the medical office
• Successfully uses the EMR and other computer applications to accomplish tasks according to policies and procedures
• Maintains medical records including preparation of charts, filing of correspondence and test results
• Prepares encounter forms and other supporting billing documentation
• Maintains and distributes provider schedules including application of templates, hold times, etc.
• Determines and collects co-pays and deductibles from patients; requests payments of self-pay balances according to policies
• Responsible for preparation of cash receipts, bank deposits and balancing of cash drawer on a daily basis
• Converts provider written description of diagnosis to appropriate ICD-9 code
• Posts charges and payments to patient accounts
• Reviews and corrects rejected or denied claims
• Reviews and assists in collections of past due accounts
• Prepares phone notes for communication to the provider from patients, pharmacists, and other healthcare sources
• Makes calls to patients to remind them of pending appointments or communication from provider
• Distributes mail and other communication to patients, providers, and staff
• Determines eligibility and obtains authorization for services
• Schedules tests and appointments for referred services
• Tracks referrals made for specified services
• Participates in quality initiatives and safety functions
• Assists in identifying and ordering needed supplies
• Remains informed and compliant with current Health System policies and procedures

Decision Making & Working Relationships

Independent judgment in planning the sequence of operations and making decisions in a complex technical or professional field. Works directly with patients and/or customers, internal/external customers, other healthcare professionals and staff, and frequently with individuals at director level or above.

Required Skills & Experience

• One (1) year of experience
• Demonstrated PC skills
• Effective organization of multi-task role
• Understanding of healthcare delivery and billing processes in the medical office
• Ability to accurately record and interpret data
• Effective interpersonal, written, and oral communication skills
• Ability to organize and prioritize work in an effective and efficient manner

Required Education

High School Diploma or GED.