GENERAL SUMMARY The Patient Service Representative I is responsible for providing customer service and ensuring the patient experience, either by phone or in person, is exemplary. The Patient Service Representative I will coordinate clerical tasks such as answering the phones, greeting patients and visitors, and scheduling appointments in a professional and timely manner. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and any outstanding balances. The Patient Service Representative I must ensure that all procedures, from identifying correct patient files to verifying insurance information, are closely followed to create a seamless patient experience between clerical and clinical staff.ESSENTIAL JOB FUNCTION/COMPETENCIESResponsibilities include but are not limited to:
- Welcomes and greets all patients and visitors, in person or over the phone.
- Is responsible for keeping the front desk area clean and organized.
- Registers new patients and updates existing patient demographics by collecting detailed patient information including personal and financial information (ex. co-payments and insurance cards).
- Collects outstanding patient balances.
- Obtains referrals and authorizations when required.
- Scans incoming faxes, consents, reports, and all other patient information into patient chart.
- Generates batch transmittal reports for each day.
- Facilitates the patient flow by notifying the provider or other medical staff of the patients' arrival, being aware of delays, and communicating with patients and clinical staff.
- Schedules follow up services and office visits for patients.
- Responds to inquiries by patients, prospective patients, and visitors in a courteous manner.
- Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment.
- Protects patient confidentiality, making sure protected health information (PHI) is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended.
- Ensures proper hand off of responsibilities once their task is completed.
- Meets established attendance criteria and starts work promptly. Punctual and dependent for assigned/confirmed shifts.
- Respects and acknowledges the organizations commitment to cultural diversity, which is expressed through behavior, language and actions.
- Consistently demonstrates good use of time and resources.
- Ensuring that all medical records are accurate and complete.
- Performs other position related duties as assigned.
CERTIFICATIONS, LICENSURES OR REGISTRY REQUIREMENTS
KNOWLEDGE | SKILLS | ABILITIES
- Skill in using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs.
- Ability to answer multiple incoming telephone calls.
- Demonstrate excellent organizational skills, multi-tasked abilities, and the ability to perform well in stressful situations.
- Customer-oriented with ability to remain calm in difficult situations.
- Ability to work independently and manage multiple deadlines.
- Ability to comprehend established office routines and policies.
- Ability to keep financial records and perform mathematical tasks.
- Knowledge of Medical Terminology.
- Excellent verbal and written communication skills.
- Proficient interpersonal relations skills.
- Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.).
- Ability to navigate online health insurance portals to verify benefits.
- Regularly adheres and supports compliance and accreditation efforts as assigned including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse.
- Complies with HR confidentiality standards.
RequirementsEDUCATION REQUIREMENTSHigh School Diploma or equivalent required.Some college work preferred.EXPERIENCE REQUIREMENTSMinimum of 1-3 years' customer service experience required. Experience in a medical office; specifically, urology, preferred.Basic knowledge and understanding of CPT procedure coding and ICD-10 diagnostic coding preferred.REQUIRED TRAVELN/APHYSICAL DEMANDSCarrying WeightFrequency1-25 lbs.Frequent from 34% to 66%26-50 lbs.Occasionally from 2% to 33%Pushing/PullingFrequency1-25 lbs.Seldom, up to 2%100 + lbs.Seldom, up to 2%Lifting - Height, WeightFrequencyFloor to Chest, 1 -25 lbs.Occasional: from 2% to 33%Floor to Chest, 26-50 lbs.Seldom: up to 2%Floor to Waist, 1-25 lbs.Occasional: from 2% to 33%Floor to Waist, 26-50 lbs.Seldom: up to 2%