Patient Service Representative - Plastic Surgery - La Jolla

Duties

• Interacting with patients and providers to gather information for accurate registration.
• Assigning of Medical Record Number, appointment scheduling, point of service payment collection, document collection and check-out functions.
• Responding to customer billing and payment inquires.
• Effectively managing the check in or check out process, which includes identification verification; confirming demographic and insurance information; ensuring appropriate forms are provided, signed, and witnessed at the time of the patient visit and accurately preparing end of day reporting or payment reconciliation.
• Scheduling and confirming appointments in person or over the phone and entering appropriate insurance.
• Initiating and validating referrals/authorizations.
• Having a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to identify the need to involve leadership to resolve concerns.

Required Qualifications

• Must be able to demonstrate proficiency of computer applications, excellent mathematical skills and ability to handle monies.
• Excellent communication and customer service skills.
• Strong organizational and analytical skills; innovative with ability to identify and solve problems.

Preferred Qualifications

• 1 year of experience in customer service or a healthcare/medical office environment preferred.
• Able to adapt, prioritize and meet deadlines.
• Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers.