The Patient Services Representative will greet patients, activate patient files, and move patients through a pre-determined schedule of appointments. This position requires a high commitment to service excellence. Facilitates and coordinates all the patient healthcare needs.
Duties and Responsibilities- Answers calls following company scripts and follows telephone etiquette.
- All calls must be followed up and/or returned before the end of each workday.
- Greets and directs patients throughout the center.
- Conducts all activities in a polite, courteous, and professional manner and abides by company policies and procedures.
- Promotes and reinforces patient centered medical home concepts with patients and staff.
- Must verify patients' health insurance for eligibility.
- Responsible for checking in/out in a timely manner and verifies that all tests ordered by physician were performed before the patient leaves.
- Responsible for requesting in network referrals as ordered by PCP upon check out.
- Responsible for scanning patient documents such as patient registration form, insurance cards and identification cards in the EHR.
- Schedules patient appointments as needed.
- Sort and distribute faxes.
- Collects patient payments and ensures payments are properly recorded and processed.
- Prepares patient co-pays for Billing Dept. Balance receipts and send for deposit.
- Always maintain work area clean and organized work area.
- Complies with HIPAA regulations.
- Responsible for verifying and updating patient demographic information on all encounters.
- Responsible for preparing the transportation list for the next workday.
- Responsible for confirming appointments for the following workday.
- Responsible for calling all patients that did not show-up to their appointment to reschedule their appointment.
- Responsible for assisting with HEDIS process and procedures.
- Performs other duties as assigned.
QualificationsEducation/Experience:- High School Diploma or equivalent
- Bi-lingual English/Spanish preferred; must be able to read, write and speak English.
- Basic computer knowledge: MS Word and MS Excel, internet, document with Electronic Health Records and/or authorization system with minimal typing/spelling errors, send e-faxes and email.
- Excellent and strong people skill; independent decision making and customer service oriented.
- Receptionist/clerical experience required; healthcare environment preferred.
Clinical Care provides equal employment opportunity to all applicants and employees. No person is to be discriminated against in any aspect of the employment relationship due to race, religion, color, sex, age, national origin, disability status, genetics, citizenship status, marital status, protected veteran status, sexual orientation, gender identity or expression, or any other characteristic protected by federal, state, or local laws.