Patient Service Representative

Patient Service Representative

Requirements

• High school diploma or equivalent.
• One to two years related customer service experience.
• Experience handling difficult caller/customers/patients.
• CRT/PC experience in a customer service setting.

Responsibilities

• Provides efficient, high-quality service to patients who arrive for appointments or who telephone or visit in person to request appointments or information on tests and procedures, bills and charges, referrals, and other matters.
• Greets and accurately registers patients in EMR system verifying essential billing and demographic information.
• Coordinates scheduling of patient appointments (phone and in-person requests) accurately and efficiently.
• Answers multiple incoming telephone lines, accurately determining the appropriate recipient of the call or message and referring them promptly and appropriately.
• Distributes communications accurately, based on practice protocol. Includes pagers, faxes, emails.
• Resolves a variety of patient questions, including HMO referrals, billing and queries about services and test results; refers complex issues to practice manager or a clinical staff member, as appropriate.
• Schedules future appointments and requisitions, laboratory tests, radiology procedures and other special diagnostic tests as needed. May coordinate with appropriate sections of hospital admission and/or outpatient admissions and surgery.
• Notifies patient care area when patient has arrived and is ready to be seen. Attends to waiting patients in reception and ensures that they are seen in a timely manner or are promptly notified of unexpected delays.
• Accurately identifies type of insurance from card, understands different types of payers, and verifies eligibility if necessary.
• Performs other related duties as required.
• Ensures entry at time of service of billing information on the patient and payer and accurate follow-up on missing information.
• Reviews encounter forms for accuracy and completeness, checks with physician for missing information.
• Enters patient charges into the EMR system according to established policies and procedures.
• Batches encounter forms and balances charges.
• Releases information from records, only according to corporate policies and procedures.
• Ensures the availability of properly prepared patient medical records, daily schedules and related forms. Maintains medical record including loose filing and re-filing of charts daily. Pull and prepares charts for appointments.
• Maintains confidentiality around all patient information, both in front of each patient being treated and around other patients in the area.

Preferred Qualifications

• Experience handling difficult caller/customers/patients.
• Working knowledge of eClinicalWorks and scheduling sections of the eClinicalWorks system preferred.
• Preferably Bilingual.