Clinic Patient Representative Senior - Specialty General Surgery

CHRISTUS Health•Longview, TX

About The Position

Greets, instructs, directs, and schedules patients and visitors, and serves as a liaison between patients and medical support staff. May assist with various clinic duties, verify insurance benefits, assist with referrals, collect payments, and prepare cash for deposits. Maintains patient check-in flow, verifies demographic and insurance information, enters information into the computer database, and ensures patient account information is accurate. Assists with phone calls, messages, and patient and staff inquiries, and responds promptly to Central Business Office (CBO) requests for patient account corrections or maintenance. Schedules appointments in accordance with physician guidelines, clinician templates, and office scheduling policies. Collects payments due at the time of service or prior balances and may arrange payment plans. Other duties may include checking in patients, updating medical records, helping patients complete forms, assisting the front office lead or supervisor with administrative tasks such as front-end duties, denials, work queues, and correcting errors to ensure clean claims, and screening visitors and responding to routine information requests. Follows CHRISTUS Health HIPAA guidelines and maintains strict confidentiality. Communicates clearly and positively in a manner consistent with the CHRISTUS Mission; follows established policies, procedures, objectives, quality assurance, safety, environmental, and infection-control requirements; supports cultural diversity objectives and the CHRISTUS Service Guarantee; and performs other related work assigned by leadership.

Requirements

High school diploma or equivalent.
Three or more years of experience in a health care organization.
Ability to operate a 10-key calculator by touch, telephone, computer, copier, and fax machine.
Excellent interpersonal and communication skills.
Good math knowledge.

Nice To Haves

Knowledge of managed care.
Some college experience.
Advanced ICD-9 and CPT coding skills.
Experience with charge posting or collections.

Responsibilities

Maintain the flow of patient check-in and verify demographic and insurance information.
Enter patient information into the computer database and ensure patient account information is accurate.
Answer phones, take messages, and assist with patient and staff inquiries.
Respond promptly to CBO requests for patient account corrections or maintenance.
Schedule appointments according to physician guidelines, clinician templates, and office scheduling policies.
Collect time-of-service payments and prior balances, and arrange payment plans when requested.
Check in patients and verify or update information in medical records.
Assist patients with completing necessary forms.
Assist the front office lead or supervisor with administrative duties, including front-end duties, denials, work queues, and correcting errors to ensure clean claims.
Screen visitors and respond to routine requests for information.
Follow HIPAA guidelines and maintain strict confidentiality of protected health information.
Follow CHRISTUS Health policies and procedures, quality assurance, safety, environmental, and infection-control requirements.
Communicate in a clear, positive manner consistent with the CHRISTUS Mission and support cultural diversity objectives and the CHRISTUS Service Guarantee.
Perform other related work as assigned by leadership.