Patient Services Representative, Surgery

Job Description

The patient services representative will serve as the main point of contact for all patients. This position will interact with all patients as they enter, leave, or request assistance within any of our facilities. The patient services representative will exemplify customer service while ensuring each patient interaction is handled with care.

Responsibilities

PATIENT POPULATION - (CLINICAL ONLY)

Engages in population appropriate communication. Has knowledge of growth and development milestones and tasks. Gives clear instructions to patients/family regarding treatment. Involves family/guardian in the assessment, initial treatment and continuing care of the patient. Identifies any physical limitations of the patient and deploys intervention when necessary. Recognizes and responds appropriately to patients/families with behavioral health problems. Interprets population related data and plans care appropriately. Identifies and responds appropriately to different needs resulting from, unique psychological needs or those associated with religious / cultural norms. Performs treatments, administers medication or operates equipment safely. Recognizes and responds to signs/symptoms of abuse or neglect.

Front Office Flow:
  • Warmly greet patients with eye contact and a smile as they enter and leave the clinic. Answer any questions patient may have. Coordinate day of patient scheduling changes or adjustments. Assist patients in locating their destinations. Contact internal or external transportation services for patients if needed. Round lobby to ensure all patients are being taken assisted. Answer telephone and direct calls to appropriate areas. Adhere to all HIPAA policies and guidelines. Conduct end of day visit reconciliation.

Pre-Registration Process:
  • Initiate online verification and/or make phone contact with external groups to verify patient's benefits to certify/recertify all procedural services for patient. Ensure proper authorization is obtained for all scheduled and non-scheduled high dollar outpatient procedures and follow up on any missing data or account problems. Perform pre-authorizations and pre-certifications when needed.

Registration Process:
  • Collect data on all new patients and attempt to obtain demographic information on patient. Verifies complete and accurate patient information in registration. Provide knowledge of and assistance with MyChart enrollment for patients. Collect co-payments Follow standard consenting workflow.

Insurance Coordination:
  • Coordinate updating insurance changes or adding new insurance information into the appropriate registration fields for visits or diagnostic procedures. Complete Medicare Secondary Payer questionnaires for all appropriate patients. Ensure completeness for insurance billing and compliance. Collect insurance information as indicated in the Pre- Registration Minimum Data Set.

Clinical Coordination:
  • Assist with referral and work questions. Assist with pre-visit planning and preparation. Help with scheduling and medical record management. Place reminder calls to patients as needed.


Qualifications

Knowledge and Skills

Education: Associate degree, preferred.

Years of Experience:0-6 months equivalent experience, minimum required. 1-2 years equivalent experience, preferred.

Required Skills and Knowledge:
  • Excellent customer service skills
  • Ability to multitask and work independently
  • Excellent interpersonal skills

Ability to train others as needed