Patient Service Representative - PRN

JOB TITLE: Patient Service Representative

GENERAL SUMMARY OF DUTIES:

The Patient Services Rep performs general business office functions that may include some or all of the following: charge capture and over-the-counter payment posting; insurance verification and eligibility; insurance pre-authorization/pre-certifications; counseling patients and families on insurance and payment issues prior to surgery. Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner. Registers patients in the system. Collects and revises all patient insurance information. Collects co-pays, deductibles and other out of pocket amounts at the time of service. Posts approved adjustments to patient accounts. Balances receipts, reconciles daily work batches.

The Front Desk / Patient Services Rep will:

1. Greet patients upon arrival and check patients in on a daily basis.

2. Collect all co-pays/ coinsurances and back balances from patients if applicable.

3. Obtain photo ID and insurance card to be scanned into system.

4. Verify and set correct insurance to the chart in Next Gen for appropriate billing.

5. Attach correct billing data to each encounter at check in and resolve each claim edit as applicable at check out.

6. Check patients out as needed to assist with patient flow.

7. Ensure that applicable procedures/studies are scheduled/preop instructions are given

8. Prepare deposits, and ensure deposits are taken to the bank in a timely manner.

9. Prepare end of day packet and upload according to SOX approved workflow

10. Create new patient chart in the computer system upon patient's arrival.

11. Send all paperwork to appropriate departments via inter-office mail.

12. Book appointments in scheduling system when applicable.

13. Confirm appointments for the following business day as needed.

14. Ensure procedure scheduling is being completed by the front office staff.

15. Assist with office duties that can be performed at the check in/out desk.

10 Assist with maintaining a pristine, professional office.

11 Maintain a neat and clean work environment.

REQUIREMENTS:

• High school diploma or GED required.
• College degree a plus.
• Two years minimum front office experience in a medical environment.

Benefits:

• Comprehensive health, dental, and vision insurance
• Health Savings Account with an employer contribution
• Life Insurance
• PTO
• 401(k) retirement plan with a company match
• And more!

Equal Employment Opportunity & Work Force Diversity

Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.