Patient Services Representative

Duties And Responsibilities

• Answers calls following company scripts and follows telephone etiquette.
• All calls must be followed up and/or returned before the end of each workday.
• Greets and directs patients throughout the center.
• Conducts all activities in a polite, courteous, and professional manner and abides by company policies and procedures.
• Promotes and reinforces patient centered medical home concepts with patients and staff.
• Must verify patients' health insurance for eligibility.
• Responsible for checking in/out in a timely manner and verifies that all tests ordered by physician were performed before the patient leaves.
• Responsible for requesting in network referrals as ordered by PCP upon check out.
• Responsible for scanning patient documents such as patient registration form, insurance cards and identification cards in the EHR.
• Schedules patient appointments as needed.
• Sorts and distributes faxes.
• Collections patient payments and ensures payments are properly recorded and processed.
• Prepares patient co-pays for Billing Dept. Balance receipts and send for deposit.
• Always maintains work area clean and organized work area.
• Complies with HIPAA regulations.
• Responsible for verifying and updating patient demographic information on all encounters.
• Responsible for preparing the transportation list for the next workday.
• Responsible for confirming appointments for the following workday.
• Responsible for calling all patients that did not show-up to their appointment to reschedule their appointment.
• Responsible for assisting with HEDIS process and procedures.
• Performs other duties as assigned.

Qualifications

• Education/Experience: High School Diploma or equivalent. Bi-lingual English/Spanish preferred; must be able to read, write and speak English. Basic computer knowledge: MS Word and MS Excel, internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.
• Receptionist/clerical experience required; healthcare environment preferred.

Skills

• Basic computer skills to be able to recognize and understand our appointment system.
• Excellent and strong people skill; independent decision making and customer service oriented.
• Excellent communication, Customer Service, and telephone skills.
• Cheerful, pleasant, knowledgeable, and professional demeanor, must always display a smile.
• Strong organizational skills and ability to multitask effectively.
• Detail oriented and able to work efficiently in a stressful environment.
• Strong sense of teamwork and able to manage high volume of interpersonal relationships with tact and diplomacy.
• Able to always respect and maintain patient confidentiality.
• Able to follow policies, procedures, work flexible schedules and locations.
• Able to work independently and relate well with all levels of individuals within the organization.

Benefits

Job Type: Full-time