Patient Service Representative

Naples, FL
United States

Category
Experience Required
Yes
Employment Type
Full-Time
Work Schedule
Full-Time

Job Description

Patient Svc Rep NCH ACO

NCH ACO
Full-Time
Day
0800-1630
Weekend: None / Not Applicable
Req # 49174
  • Essential Job Accountabilities:


    • Job Summary:
      • The Patient Service Representative (PSR) position provides a vital link in the chain of quality of care. The PSR supports the department, communicating and scheduling appointments and physician orders, serving as a first point of contact for patients.


    • Essential Duties and Responsibilities:
        • Triage incoming calls and route them appropriately utilizing good customer skills. Demonstrates knowledge of phone system with ability to use call forward, transfer, voice mail, etc.
        • Obtained required personal information necessary to identify all new and existing patients and the correct demographic and preliminary financial information to enable the creation f new patient medical records and the pre-processing of required authorizations / pre-certifications before the appointed visit.
        • Prioritize all insurance coverage – primary, secondary, tertiary, etc. Enter properly into demographic record.
        • Accurately identifies patients using appropriate search methods (DOB, SSN) to identify.
        • Assists with obtaining eligibility status and authorizations.
        • Copies/scans insurance cards and patient identification correctly into patient EMR.
        • Verifies patient information on file is accurate and updated following system policy. Updates patient data when appropriate. Understands when to correct data or create new file.
        • Verify patient registration profiles each time patient comes for a visit. Edit patient registration profiles when necessary.
        • Obtain all consents for treatment, including forms for the release of medical information and patients acceptable of financial responsibility for all services rendered, when applicable.
        • Completes required Medicare questionnaires (ABN forms) for appropriate patients and tests under Medicare guidelines.
        • Accurately and completely processes physician referrals and orders into the radiology information system.
        • Maintains patient clinical forms and scans into medical record.
        • Ensures respective patient medical record information and all collected forms are scanned into the RIS or PACS as appropriate.
        • Schedule appointments when requested.
        • Announce scheduled and non-scheduled patients to clinical staff.
        • Confirm and remind patients of scheduled appointments in accordance with radiology procedures.
        • Give patients standardized preliminary clinical instructions and directions in preparation for a scheduled visit as needed.
        • Collection and deposit of patient payments according to protocol.
        • Monitor patient waiting time and relay information regarding delays to patients and family members.
        • Ensure benefit and eligibility has been verified for all scheduled patients.
        • Accurately enter charges for all services performed when required.
        • Accurately enter payment information for each payment collected.
        • Produces appropriate reports to reconcile charges and payments with daily schedule.
        • Prepares daily close report following appropriate protocol.
        • Fields questions by both physicians and patients regarding codes, charges, etc. PSR understands when questions require further explanation by Manager or Biller.

    • Education, Experience, Qualifications:
        • High School or GED required.
        • 1 year of customer service experience preferred.
        • Microsoft excel experience preferred.