Patient Services Representative - Bariatric Clinic | Full-Time, Day Shift

About the role

Patient Services Representatives are the first point of contact for patients, creating a welcoming and efficient environment while guiding them through the initial stages of their healthcare experience.

Responsibilities

• Greet patients, collect accurate demographic information (e.g., name, address, phone number, date of birth, insurance information) and enter it into the system.
• Update existing patient records with any changes and obtain applicable consents and required forms.
• Verify patients' insurance coverage by contacting providers, using online verification systems, or EHR Real Time Eligibility, ensuring correct coverage on the patient’s account.
• Ensure necessary pre-authorizations or referrals for services are obtained and explain insurance benefits and financial responsibilities to patients.
• Provide exceptional customer service by answering phones promptly and professionally, addressing concerns, and providing information.
• Adhere to all HIPAA regulations and maintain patient confidentiality.
• Collect co-pays, deductibles, co-insurance, and balance payments in accordance with hospital policy.
• Assure hospital compliance with all regulatory agency requirements and maintain work queues for efficient claims processing and patient satisfaction.
• Assist patients with navigating and using the online patient portal.
• Be flexible and adaptive as work assignments and areas may shift based on business needs and priorities.

Requirements

• High School Diploma or GED required.
• Six months of office and/or call center, customer service, or healthcare experience preferred.
• Knowledge of computers and standard office equipment required; proficiency in data entry preferred.
• Graduate of an accredited medical receptionist or similar program, or two years in a healthcare setting is preferred.
• American Heart Association Basic Life Support certification required.

Mental/Physical Requirements

• Ability to concentrate, pay close attention to detail, and perform duties under time restrictions.
• Normal mental concentration on variable operations for short periods and moderate concentration with repetitive operations for long periods.
• Work involves extensive computer use with frequent interruptions.
• Ability to stand, walk, sit, and reach; must assist and transport patients in wheelchairs.
• Ability to lift 10 lbs required.

Working Conditions

• Standard office conditions with more than average noise.
• Periodic contact with fumes, noise, chemicals, hazards, and/or diseases.
• Ability to work shifts is required.