Patient Services Representative, FT, Days

About the role

Responsible for aspects of front office management and operation as assigned, including patient registration, billing, and front-desk support within a multi-specialty group practice setting.

Responsibilities

• Complete and accurate patient registration, pre-certification, charge capture, and diagnosis coding.
• Post all payments and balance with computer reports at day end.
• Gather charge information, code diagnoses and procedures, enter into the database, and complete the billing process.
• File insurance claims and assist patients in completing insurance forms.
• Process unpaid accounts by contacting patients and third-party payers.
• Serve as liaison between patients and medical support staff; greet patients and visitors promptly and courteously.
• Check in patients, verify and update insurance information, and obtain required signatures.
• Maintain appointment book and follow office scheduling policies.
• Provide front office phone support as outlined through cross-training.
• Screen visitors and respond to routine requests for information.
• Gather, accurately code, and post outpatient charges.
• Process vouchers and private payments; update registration screens based on payment information.
• Research address verification as needed; process mail return statements and outgoing statements.
• Acquire billing information for all physicians for all patients seen in the practice.
• Perform cashiering functions including monitoring and balancing cash drawer daily; prepare daily cash deposits.
• Receive payments from patients and issue receipts; code and post payments and maintain required records.
• Work with patients to secure prepayment sources or financial agreements prior to providing service.
• Participate with other staff to achieve account resolution; assist with outpatient coding and error resolution.
• Process edits and customer service/collection requests for resolution within specified time frames.
• Identify trends and communicate problems to management; update patient account database.
• Maintain and update current information on physicians’ schedules.
• Schedule surgeries, ancillary services, follow-up outpatient appointments, and admissions as requested.
• Answer questions regarding patient appointments and testing; assemble patients’ charts for next-day visits.
• Update patient profiles ensuring completeness and accuracy; oversee waiting area and coordinate patient movement.
• Assist patients with questions on insurance claims, disability insurance benefits, home health care, medical equipment, and surgical care.
• Process benefit correspondence, signatures, and insurance forms to expedite payment of outstanding claims.
• Assist patients in completing necessary forms to obtain hospitalization or surgical pre-certification from insurance companies.
• Follow up with insurance companies to ensure coverage is approved and claims are paid as directed.
• Maintain files with referral slips, medical authorizations, and insurance slips.
• Research information needed to complete outpatient billing; obtain charge information from physicians.
• Code procedures performed and diagnoses on charge tickets; key charge information into online entry program.
• Process and distribute copies of billings according to clinic policies.
• Pull charts for scheduled appointments in advance; deliver, transport, sort, and file returned charts.
• Pick up lab reports, dictations, X-rays, and correspondence; continually check for misfiled charts and refile accordingly.
• Maintain orderly files; file all medical reports; purge obsolete records and destroy outdated records following established procedures.
• Make up new patient charts and repair damaged charts; assist in locating and filing records.
• Work with medical assistants and other staff to route patient charts to proper locations; follow medical records policies and procedures.
• Collect payments at time of service for daily outpatient visit services.
• Review each account via computer to ensure timely payment; perform collection actions including telephone contact and resubmitting claims.
• Evaluate patient financial status and establish budget payment plans; review accounts for possible assignment to collection agency.
• Identify and resolve patient billing complaints; participate with other staff to follow up on accounts until zero balance or turned over for collection.
• Gather and verify superbills for specified practice on a daily basis; enter all charge and same-day payment information for patient visits.
• Verify accuracy of coding, charging, and patient insurance status; print daily reports and verify charge entry balancing at day end.
• Back up and close computer files on a daily basis, logging as appropriate.
• Register new patients after verifying patient status on computer inquiry; update financial information as indicated.
• Maintain strictest confidentiality; perform related work as required.

Minimum Requirements

• Education: High school diploma or equivalent OR post-high school diploma; associate degree in technical specialty program of 18 months minimum preferred.
• Experience: No previous experience required; multi-specialty group practice setting experience preferred.

Knowledge, Skills, and Abilities

• Basic understanding of ICD-9 and CPT coding preferred.

Work Shift

Day (United States of America)

Location

Patewood Outpatient Center / Medical Offices – Vascular Medicine Program