Front Desk Patient Services Representative - Float (South)

HORIZON EYE CARE • Pineville, NC

11d • Onsite

About The Position

Greets patients and ensures a complete and accurate check-in and check-out process. Obtains all data elements necessary to process patient claims for insurance benefits and to accurately bill patients for co-payments, deductibles, and non-covered services. This role involves floating between Check-In and Check-Out to manage patient volume and may include bilingual responsibilities.

Requirements

• High school diploma or equivalent.
• Two (2) years of customer service experience, preferably in a medical/ophthalmic environment.
• Basic database skills, preferably in an electronic medical system.
• Knowledge of insurance company processes.
• Ability to read an Explanation of Benefits form.
• Ability to work independently.
• Ability to clearly communicate, both in writing and verbally.
• Excellent interpersonal skills with a variety of personality types.
• Ability to multi-task.
• Ability to problem solve.
• Organizational skills.

Responsibilities

• Greets patients in a friendly, professional manner upon arrival.
• Obtains or updates patient demographic information and copies insurance cards.
• Enters required data elements into the physician practice management system.
• Answers patient and family member questions.
• Follows appropriate workflow processes for check-in and check-out.
• Pulls routine eye plans and obtains authorizations (VSP, EyeMed, Community Eye Care).
• Verifies and reviews eligibility in NextGen and all payer sites.
• Files Charges in NextGen and routine vision system (VSP).
• Calculates patient charges and collects required co-payments.
• Monitors missing charges in NextGen and works with clinical teams to resolve.
• Prepares charts by performing pre-registration review, preparing charts for occasional travel locations, and preparing premature baby charts.
• Floats between Check-In and Check-Out to ensure coverage corresponds to patient volume.
• Provides support to technical staff and physicians to ensure timely patient flow.
• If assigned bilingual responsibilities, monitors Spanish NotifyMD web messages, handles Spanish calls and voicemails, reviews and approves translated correspondence and patient forms, and serves as a translator for Surgery Coordinators.
• Schedules patient appointments, including triage patients and web appointments.
• Uses multiple practice management systems to extract information.
• Complies with petty cash policy daily.
• Prints physician schedules for clinical teams.
• Faxes referrals received to the referral department.
• Distributes faxes.
• Answers the telephone in a timely and customer-friendly manner.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED