Patient Services Representative, Maternal Fetal Medicine, Full Time, Days

Inspire health. Serve with compassion. Be the difference.

About the role

Incumbents are responsible for aspects of Physician Practice front office management and operation as assigned. May be responsible for some or all front office functions.

Responsibilities

• Responsible for complete and accurate patient registration, pre-certification, charge capture, and accurately coding diagnoses given by physicians.
• Post all payments and balance with the computer reports at day end.
• Arrange for patient pre-payments and enforce financial agreements prior to providing service.
• Gather charge information, code, enter into database, complete billing process, and distribute billing information.
• File insurance claims and assist patients in completing insurance forms.
• Process unpaid accounts by contacting patients and third-party payers.
• Act as liaison between patient and medical support staff; greet patients and visitors promptly and courteously.
• Check in patients, verify and update necessary insurance information in the patient accounting system; obtain signatures on required forms.
• Maintain appointment book and follow office scheduling policies; provide front office phone support as needed.
• Screen visitors and respond to routine requests for information.
• Gather, accurately code, and post outpatient charges; process vouchers and private payments.
• Research address verification as needed; process mail return statements and outgoing statements.
• Acquire billing information for all doctors for all patients seen in 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, maintaining required records, reports, and files.
• Work with patients to secure prepayment sources or financial agreements prior to providing service.
• Assist with outpatient coding and error resolution; process edits and Customer Service and Collection Requests within specified time frames.
• Identify trends and communicate problems to management; update patient account database.
• Maintain and update current information on physician’s schedules; schedule surgeries, ancillary services, and follow-up appointments.
• Answer questions regarding patient appointments and testing; assemble patients’ charts for next-day visits.
• Update profiles on all patients, 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 forms for hospitalization or surgical pre-certification; follow up with insurance companies to ensure coverage approval.
• Post all actions and maintain permanent records of patient accounts; answer patient questions regarding their accounts.
• Confirm workers’ compensation claims with employees; prepare disability claims in a timely manner.
• Maintain files with referral slips, medical authorizations, and insurance slips.
• Research all information needed to complete the outpatient billing process, including obtaining charge information from physicians.
• Code information about procedures performed and diagnosis on charges; key charge information into the online entry program.
• Process and distribute copies of billings according to clinic policies; assist with outpatient coding and error resolution.
• Pull charts for scheduled appointments in advance; deliver, transport, sort, and file returned charts.
• Pick up lab reports, dictations, X-rays, and correspondence; check for misfiled charts and refile according to the filing system.
• Maintain orderly files; file all medical reports; purge obsolete records following established procedures.
• Make up new patient charts; repair damaged charts; assist in locating and filing records.
• Collect payments at the time of service for daily outpatient visits; review accounts to ensure timely payments.
• Perform collection actions including contacting patients by telephone and resubmitting claims to third-party reimburses.
• Evaluate patient financial status and establish budget payment plans; review accounts for possible assignment to collection agency.
• Identify and resolve patient billing complaints; participate in follow-up on accounts until zero balance or turned over for collection.
• Gather and verify superbills for specified practice on a daily basis; enter charge and same-day payment information for patient visits.
• Print daily reports, verifying charge entry balancing at day end; back up and close computer files daily.
• Register new patients after verifying patient status on computer inquiry; update financial information as indicated.
• Maintain strictest confidentiality; perform related work as required.
• Maintain neat and professional appearance; demonstrate commitment to service and uphold office manual guidelines.

Requirements

• High School Diploma or equivalent.
• No previous experience required.

Preferred Qualifications

• Associate's Degree in a technical specialty program of 18 months minimum in length.
• Experience in a multi-specialty group practice setting.
• Basic understanding of ICD-9 and CPT coding.

Schedule

Day (United States of America)