Patient Services Representative

Responsibilities

• Registering all patients and collecting required documentation including creating a medical record for new patients including all necessary forms.
• Verifying insurance eligibility & PCP for each patient at every visit and accurately enter into the practice management system.
• Is knowledgeable about different types of insurance and their general rules (i.e. PPO/HMO and PCP/referral rules).
• Verifying scheduled appointments when a patient presents as an appointment/walk in to ensure that they still want/need other scheduled appointments.
• Collecting all co-payments and visit payments at each visit at the time of registration.
• Scheduling appointments, changing appointments and canceling appointments as needed.
• Demonstrating excellent customer service skills; greeting all patients promptly upon entering the patient waiting area, and responding promptly & appropriately to their requests.
• Using appropriate phone etiquette, treating all callers with courtesy and respect.
• Being attentive to all callers placed on hold and diligently monitors time spent on hold.
• Making appropriate referrals to the Patient Billing Coordinator for patients who cannot pay their co-payment.
• Monitoring DNKA’s (no show appointments) on a daily basis; logging all DNKA’s and sending appropriate notification to the patient notifying them that they have missed their appointment.
• Monitoring the Referral Log on a daily basis; following up on referrals from 30 days prior to ensure that the patient kept their referral appointment and that all consultation reports have been received.
• Being knowledgeable about the sliding fee scale and having the ability to communicate required documentation & requirements to patients.
• Actively participating in Patient Wait Time Studies and Patient Satisfaction Surveys.
• Ensuring that all required Studies/Surveys are submitted on a daily basis.
• Being knowledgeable about policies and procedures related to patient registration, documentation requirements and collection, HIPAA/Confidentiality and all other policies and procedures related to this position.
• Maintaining confidentiality of all aspects of the center including, but not limited to, patient confidentiality, financials, and employee relations.

Qualifications

• A High School Diploma or Equivalency.
• PSR experience is preferred.
• Bilingual is preferred.