Patient Service Representative (Metabolic)

Patient Service Representative

Essential Functions And Duties

• Patient Scheduling
• Accurately schedules appointments based on department scheduling guidelines.
• Maintains department appointment requests, waitlist and follow up reports using electronic health system.
• Uses real time eligibility (RTE) for insurance benefits to accurately route scheduling requests or schedule appointments.
• Ensures authorization is linked to all appointments at the time of check in.
• Reconciles daily schedules with appointment reports.
• Responsible for addressing registration related work queue items that require resolution prior to encounter closure.
• Patient Registration
• Accurately records patient demographics, insurance and billing information at the time of scheduling, check in, and check out.
• Courteously and confidently requests appropriate patient payments from patients/guardians.
• Accurately processes all payment types (copays, co-insurance, prepayment, deductible, self-pay balances).
• Completes daily deposits and batch reports.
• Provides patient with printed After Visit Summary upon request, schedules follow up visits as needed, collects any copay that remains due for the day’s services.
• Clinic Daily Operations
• Maintains patient access related departmental files, programs and lists.
• Performs daily readiness activities such as turning on computers, equipment, kiosks, readying patient waiting areas and check in areas, ensuring supplies are fully stocked.
• Assists with processing and resolving incoming and outgoing electronic and telephone messages, worklist entries and basic work queue items within the electronic health record in accordance with established protocols.
• Enters level support and knowledge of document collection and distribution, locating and distributing patient documents and information to appropriate staff members.
• Faxing, scanning, indexing medical records into document management system.
• Opening and distributing incoming communications (mail, paper and electronic faxes).
• Customer Service
• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
• Supports the vision, mission, and values of the organization in all respects.
• Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Supports onboarding process of new caregivers to the department.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Education Required: High school diploma or GED.

Preferred: N/A

Licensure/Certification/Registration Required: Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.

Preferred: N/A

Experience Required: N/A

Preferred: One year of clerical support in a healthcare setting or related experience.

Basic medical terminology.