Customer Service Rep

HAMILTON HEALTH CENTER INC•Harrisburg, PA

About The Position

The purpose of this position is to check all patients in and out following their visit with a provider, verify accuracy in patient's superbill’ in the in-house system, collect payments from patients in a manner that maximizes patient collections and increases patient accountability, and schedule all follow-up appointments according to set protocols of each department. Essential Duties and Responsibilities: Complete the registration function of Medical or Dental, checking out patients after patients have received services, and be able to work in all registration areas effectively, including off-site locations Collect fees associated with each visit for the uninsured and insured patients Coordinate the collection of all past due account balances with patients and the billing department. Verify patient information to assist the billing process Coordinate patient services with the benefits department to assure coverage for prescriptions. Provide patients with a receipt of all transactions and update the in-house system according to the set protocol. Verify patient’s ‘superbill’ information to ensure accuracy and smooth transition of services to billing according to set protocol Be able to work with all internal departments to solve problems and ensure a smooth transition of all registration functions at all registration locations including off site clinics. Medical - Direct patients to benefit for medication completion, select plan, PCP change, presumption of eligible forms, sliding waivers for ultrasound and Health Start enrollments Performs other job duties as assigned within scope of responsibilities. Perform the job functions of check in when needed: Register all patients for Medical and Dental based on approved protocol for each department. Register all scheduled appointments and walk-in patients according to department/program protocol. Verify insurance and primary care provider (PCP) using promise for all medical assistance patients and the appropriate method of verification for all private insurance via website or telephone. Place the appropriate patients on the sliding fee scale by completing a household assessment. Scan copies of insurance cards, identification, and all necessary documentation for patient files. Advise patients accordingly to streamline patient/workflow in a professional and courteous manner such as to take a number, assisting with questions and concerns and giving guidance to find other departments and programs. Collect insurance co-payments before service is rendered and coordinate with check out process. Required Knowledge and Skills: Must be detail oriented, have excellent verbal and communication skills, have strong computer skills, and able to work with high degree of accuracy in a high paced environment. Must be able to handle work related stress in a positive manner and able to apply critical thinking skills in problem solving, be dependable, reliable, and professional. Must be able to communicate politely and courteously with people from different socio-economic and ethnic backgrounds and be able to establish and maintain harmonious, productive working relationships with Center’s management, providers, clinicians, and public. Able to work some evening and other extended hours as needed. Minimum Qualification: High School graduate or GED required, associated degree or formal business/technical education preferred. A minimum of one (1) years’ experience in customer service-based center atmosphere, general customer service, medical/dental registration, or other related fields.

Requirements

Must be detail oriented, have excellent verbal and communication skills, have strong computer skills, and able to work with high degree of accuracy in a high paced environment.
Must be able to handle work related stress in a positive manner and able to apply critical thinking skills in problem solving, be dependable, reliable, and professional.
Must be able to communicate politely and courteously with people from different socio-economic and ethnic backgrounds and be able to establish and maintain harmonious, productive working relationships with Center’s management, providers, clinicians, and public.
Able to work some evening and other extended hours as needed.
High School graduate or GED required
A minimum of one (1) years’ experience in customer service-based center atmosphere, general customer service, medical/dental registration, or other related fields.
Reliable transportation to travel throughout the service area.

Nice To Haves

associated degree or formal business/technical education preferred.

Responsibilities

Complete the registration function of Medical or Dental, checking out patients after patients have received services, and be able to work in all registration areas effectively, including off-site locations
Collect fees associated with each visit for the uninsured and insured patients
Coordinate the collection of all past due account balances with patients and the billing department.
Verify patient information to assist the billing process
Coordinate patient services with the benefits department to assure coverage for prescriptions.
Provide patients with a receipt of all transactions and update the in-house system according to the set protocol.
Verify patient’s ‘superbill’ information to ensure accuracy and smooth transition of services to billing according to set protocol
Be able to work with all internal departments to solve problems and ensure a smooth transition of all registration functions at all registration locations including off site clinics.
Medical - Direct patients to benefit for medication completion, select plan, PCP change, presumption of eligible forms, sliding waivers for ultrasound and Health Start enrollments
Performs other job duties as assigned within scope of responsibilities.
Register all patients for Medical and Dental based on approved protocol for each department.
Register all scheduled appointments and walk-in patients according to department/program protocol.
Verify insurance and primary care provider (PCP) using promise for all medical assistance patients and the appropriate method of verification for all private insurance via website or telephone.
Place the appropriate patients on the sliding fee scale by completing a household assessment.
Scan copies of insurance cards, identification, and all necessary documentation for patient files.
Advise patients accordingly to streamline patient/workflow in a professional and courteous manner such as to take a number, assisting with questions and concerns and giving guidance to find other departments and programs.
Collect insurance co-payments before service is rendered and coordinate with check out process.