Patient Service Representative

Meharry Medical College
  • Nashville, Tennessee
  • Instant Apply
2 days ago

Job Description

Responsible for performing all aspects of the patient encounter from scheduling appointments, registering new patients, screening by phone or in person all patients through the check-out process.

Essential Functions (Principal Duties and Job Responsibilities):
A. Front Office & Patient Flow
  • Customer Service: Serves as the first point of contact, answering phones in a professional manner, greeting all patients upon arrival, and confirming appointment times.
  • Patient Flow: Directs patients to appropriate clinical areas to ensure smooth operational activity and monitors the waiting room to maintain safety and cleanliness standards.
  • Communication: Explains walk-in and appointment procedures to prospective patients, referral sources, and the general public.
B. Scheduling & Registration
  • Appointment Management: Accurately schedules new and return patient appointments based on physician or student doctor availability and medical specialty protocols.
  • Registration: Obtains, verifies, and records patient demographic and insurance information required by the appointment system.
  • Insurance Verification: Verifies financial eligibility for all scheduled patients and obtains necessary authorization based on specific insurance requirements.
C. Financial & Revenue Cycle
  • Collections: Responsible for point-of-service collections, including co-payments, deductibles, non-covered services, and self-pay balances.
  • Cash Handling: Receives and processes payments according to cash management policy; balances the cash drawer at the end of every shift/day using the daily balancing proof sheet.

Knowledge, Skills and Abilities Required:
  • Medical Terminology: Sufficient proficiency in medical terminology to accurately identify and explain medical procedures to patients, third-party payers, and facility personnel.
  • Coding & Billing: Knowledge of CPT/CDT and current ICD coding standards (e.g., ICD-10).
  • Insurance Proficiency: Sufficient knowledge of insurance plans to correctly interpret patient financial information and assess the need for prior authorizations and referrals.
  • Office Procedures: Thorough understanding of general medical office procedures and protocols, including familiarity with substance abuse treatment environments.
  • Records Management: Strict adherence to patient confidentiality standards (HIPAA) and release of information protocols; ability to file accurately using numerical and alphabetical systems.
  • Technology: Proficiency with standard office hardware (computers, copiers, fax machines) and software applications.

Knowledge, Skills, Abilities Preferred:
  • Communication: Excellent oral and written communication skills, with professional and courteous telephone etiquette.
  • Customer Service: Ability to interact positively and professionally with the general public, staff, and clients.
  • Work Ethic: Skilled at managing multiple priorities and working effectively under pressure in a busy clinical environment.

Education and Experience Required:

  • Education: High School Diploma or GED required. Associate's degree or relevant certification (e.g., Medical Office Specialist) preferred.
  • Experience: One (1) to two (2) years of experience working in a fast-paced medical office, clinic, or hospital setting required.

Numbers & Facts

LocationNashville, Tennessee

Skills

  • Balance Sheetunmatched
  • Billingunmatched
  • Calendar Managementunmatched
  • Cash Managementunmatched
  • Co-Paymentsunmatched
  • Coding Standardsunmatched
  • Communication Skillsunmatched
  • Computer Hardwareunmatched
  • Copying Machinesunmatched
  • Current Procedural Terminology (CPT)unmatched
  • Customer Support/Serviceunmatched
  • Demographicsunmatched
  • Fax Machinesunmatched
  • Financial Analysisunmatched
  • HIPAA (Health Insurance Portability and Accountability Act)unmatched
  • Hospitalunmatched
  • ICD-10unmatched
  • Insuranceunmatched
  • International Classification of Diseases (ICD)unmatched
  • Medical Officeunmatched
  • Medical Protocolsunmatched
  • Medical Recordsunmatched
  • Medical Terminologyunmatched
  • Medical Treatmentunmatched
  • Multitaskingunmatched
  • Patient Assessmentunmatched
  • Patient Careunmatched
  • Patient Confidentialityunmatched
  • Patient Registrationunmatched
  • Presentation/Verbal Skillsunmatched
  • Records Managementunmatched
  • Safety Standardsunmatched
  • Substance Abuse Treatmentunmatched
  • Telephone Skillsunmatched
  • Third-Party Payerunmatched
  • Writing Skillsunmatched

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