Patient Services Specialist 2

Duties

• Assists patients and other visitors by performing patient related duties to include check-in or check-out, scheduling, insurance verification and answering and responding to phones inquiries.
• Arranges follow-up visits and referral appointments.
• Registers patients by collecting and verifying insurance information.
• Verifies patient demographics and enters changes into computer system.
• Directs patients to appropriate waiting areas.
• Accepts payments for physician/clinic services according to established guidelines.
• Posts payments and enters charges into computer utilizing appropriate codes.
• Generates daily payment reports and verifies cash drawer against report.
• Provides accurate patient, medical, financial or procedural information to patients or approved outside entities.
• Discusses financial arrangements with patients, as requested.
• Responds to routine escalated inquiries concerning services, hours of operation, etc.
• Ensures any patient complaints are handled appropriately.
• Assists with medical records duties by pulling charts for scheduled and walk-in appointments, prescription refills and other requests.
• Retrieves, transports, sorts and files medical records.
• Copies medical records chart for patient transfers and referrals as requested.
• Assists in training, mentoring and providing assistance to junior staff as requested.

KEY SUCCESS FACTORS

• Strong listening, interpersonal and communication (oral and written) skills, and professional, pleasant and respectful telephone etiquette.
• Ability to adapt communication style to suit different audiences.
• Empathetic listener, sensitive, upbeat, optimistic, articulate, gracious and tactful.
• Knowledge of patient registration procedures and documentation.
• Knowledge of medical insurance claims procedures and documentation.
• Needs to have thorough understanding of the Out of Network process.
• Skilled in the use of personal computers and related software applications.
• Skilled in preparing and maintaining patient records.
• Able to analyze unpaid third-party claims and delinquent accounts to determine appropriate follow-up actions to ensure payment.
• Able to mentor and train staff.

Qualifications

• H.S. Diploma/GED Equivalent
• 1 Year of Experience