The Patient Services Representative Senior acts as a mentor to new entry-level Patient Services Representatives and is responsible for ensuring the integrity of clinic data and patient information, answering telephones, taking concise messages, scanning and indexing information into the medical record, handling requests for medical records and basic scheduling.
This position requires population specific competencies. Adheres to National Patient Safety Goals as appropriate based on the level of patient contact this position requires.
REQUIRED QUALIFICATIONS
EXPERIENCE:
- 3 years experience in a health care setting to include both interpersonal & telephone customer service
SKILLS:
- Knowledge of Microsoft Office
PREFERRED QUALIFICATIONS
EXPERIENCE:
- Experience in the following areas: responsibility for cashier procedures and/or basic accounting, clinic check in/out procedures, basic health insurance, HMO, PPO, and basic medical terminology, general knowledge of CPT and ICD-9 coding
INTEGRIS Health is an Equal Opportunity Employer. All applicants will receive consideration regardless of membership in any protected status as defined by applicable state or federal law, including protected veteran or disability status.
The Patient Services Representative Senior responsibilities include, but are not limited to, the following:
- Enters daily charges accurately, including time of service payments
- Balances end of day business transactions accurately
- Makes appointments for visits and, if an emergency, informs a clinical employee or provider
- Verifies insurance eligibility and benefits
- Accurately enters patient demographics into the practice management system
- Completes out-going referrals
- Assists in training new employees
- Responsible for receiving and/or dispatching incoming phone calls
- Contacts third party payers for benefit and pre-certification information and enters information into the billing system
- Collects checks and cash for co-pays and deductibles; collects deposits and/or makes financial arrangements with guarantor
- Performs financial counseling to patient/family as it pertains to ambulatory care billing processes and procedures
- Works directly with the clinical staff to ensure proper patient placement
- Performs check in and out duties accurately and timely
- Takes messages when answering the telephone, correctly spelling names and identifying patient by two patient identifiers according to National Patient Safety Goals
- Takes clear and concise messages from pharmacies, physicians and hospital personnel; directs the message to the Clinical employee and/or Provider
- Manages large call volume while maintaining excellent telephone etiquette
- Organizes workflow to meet patient needs in a timely manner.
The Patient Services Representative Senior reports to the Office Manager/Supervisor.
Must be able to handle a high volume of telephone calls (potentially hundreds per day), and high volume of patient interaction (potentially hundreds per day), i.e., scheduling appointments, discussing billing problems, setting up payment arrangements, collecting past due payments. Must be able to handle multiple tasks and work in a high stress environment. May be required to drive
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.
The Patient Services Representative Senior responsibilities include, but are not limited to, the following:
- Enters daily charges accurately, including time of service payments
- Balances end of day business transactions accurately
- Makes appointments for visits and, if an emergency, informs a clinical employee or provider
- Verifies insurance eligibility and benefits
- Accurately enters patient demographics into the practice management system
- Completes out-going referrals
- Assists in training new employees
- Responsible for receiving and/or dispatching incoming phone calls
- Contacts third party payers for benefit and pre-certification information and enters information into the billing system
- Collects checks and cash for co-pays and deductibles; collects deposits and/or makes financial arrangements with guarantor
- Performs financial counseling to patient/family as it pertains to ambulatory care billing processes and procedures
- Works directly with the clinical staff to ensure proper patient placement
- Performs check in and out duties accurately and timely
- Takes messages when answering the telephone, correctly spelling names and identifying patient by two patient identifiers according to National Patient Safety Goals
- Takes clear and concise messages from pharmacies, physicians and hospital personnel; directs the message to the Clinical employee and/or Provider
- Manages large call volume while maintaining excellent telephone etiquette
- Organizes workflow to meet patient needs in a timely manner.
The Patient Services Representative Senior reports to the Office Manager/Supervisor.
Must be able to handle a high volume of telephone calls (potentially hundreds per day), and high volume of patient interaction (potentially hundreds per day), i.e., scheduling appointments, discussing billing problems, setting up payment arrangements, collecting past due payments. Must be able to handle multiple tasks and work in a high stress environment. May be required to drive
This position may have additional or varied physical demand and/or respiratory fit test requirements. Please consult the Physical Demands Project SharePoint site or contact Risk Management/Employee Health for additional information.