Patient Service Representative - Endocrinology

Principal Responsibilities

• Verify/secure referrals.
• Verify coverage and benefits prior to treatment.
• Secure prior-approval and pre-authorizations.
• Perform review and action of Bad Debt, Collections, and Denials.
• Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff.
• Prepare account action worksheets and submit to Patient Accounting for charge corrections.
• Provide a positive impression to patients about the Clinic's billing department.
• Answer questions that patients may have in regard to insurance coverage and other billing issues.
• Respond to patient's verbal and written requests in a timely fashion.
• Maintain statistics.
• Provide coverage at other Springfield Clinic locations as assigned.
• Comply with the Springfield Clinic incident reporting policy and procedures.
• Adhere to all OSHA and Springfield Clinic training & accomplishments as required per policy.
• Provide excellent customer service and adhere to Springfield Clinic's Code of Conduct and Ethics Standards.
• Perform other job duties as assigned.

Education/Experience

• A high school diploma or equivalent required.
• Minimum two to three (2-3) years experience in medical billing and insurance preferred.

Knowledge, Skills And Abilities

• Ability to handle multiple tasks and prioritize in a fast-paced environment required.
• Computer skills, including Microsoft Office, preferred.
• Strong verbal communication and listening skills are required.
• Knowledge of the computer systems with emphasis on registration and insurance screens.
• Knowledge of Medicare, medical assistance and other third party payors.
• Ability to work with patients of all ages in a courteous and professional manner.
• Must be empathetic, yet responsive to Patient Accounting billing policies and guidelines.
• Ability to tactfully work with patients with past due accounts.
• Ability to meet quality and performance guidelines and work with patients in a courteous and professional manner.
• Must have the ability to maintain composure under stress.
• Manual dexterity required for use of telephone headset, calculator and computer keyboard.

Working Environment

• Work in office environment.
• Use of telephone required.
• Involves frequent contact with staff and the public.
• Requires sitting for long periods of time.
• Sometimes involves bending and stretching.