Outpatient Services Rep - Rehab 765 Allens Ave

Brown Medicine•Cranston, RI

7d•$22 - $23•Onsite

About The Position

Under general supervision and according to established policies and procedures, the Outpatient Services Rep performs administrative duties that help expedite patients’ visits for clinical care. Duties include preparing patient records; registration and pre-registration; resolving problems; scheduling appointments; and preparing for and collecting co-payments. The role also tracks follow-up care related to diagnostic coding and billing/payment resolution and generates reports reflecting scheduling activity. The employee is expected to model Brown University Health’s values of Compassion, Accountability, Respect, and Excellence, and its core Success Factors: Instill Trust and Value Differences, Patient and Community Focus, and Collaborate. This position supports Rehabilitation Services and uses Epic for scheduling and registration and Cedaron for patient documentation. It requires managing appointments across multiple professions, including Physical Therapy, Occupational Therapy, Speech-Language Pathology, and Aquatic Therapy, while handling patient check-in and check-out and telephone calls. The role also manages referral and authorization workflows, registration error work queues, and document scanning. Work takes place in a clinic setting and includes walking, sitting, and standing throughout the day. The stated schedule is Monday through Thursday, 10:00 a.m.–6:30 p.m.; Friday, 9:30 a.m.–6:00 p.m.; with an occasional Saturday rotation as needed. The posted pay range is $21.90–$22.91.

Requirements

High school diploma or equivalent.
Demonstrated knowledge of PC skills in a Windows operating system environment and accompanying software packages.
Knowledge of medical billing routines for physician office practice.
Knowledge of medical terminology, diagnosis codes, and procedure codes.
Courteous telephone technique and good customer service skills.
Six months of experience coding and billing using an online billing system.
Ability to obtain authorizations, follow and track insurance-plan frequency rules, and monitor benefit limits accurately and promptly.
Ability to multitask scheduling, telephone calls, and patient check-in and check-out.
Ability to use knowledge of patient diagnoses to schedule patients with the appropriate clinical therapist.

Responsibilities

Schedule appointments in the hospital scheduling system, including appointment type, provider clinic, and time; arrange follow-up visits and appointments for lab work, imaging, and outside referrals as needed.
Refer technical or clinical inquiries to appropriate personnel.
Enter diagnosis and service codes from encounter sheets into the online billing system and verify that diagnostic codes are appropriate.
Complete patient pre-registration and registration; verify demographic information, insurance authorization details, co-payments, and physician information.
Collect co-payments and provide receipts; produce registration cards and photocopy insurance cards.
Confirm patient eligibility with insurance carriers and obtain visit authorizations and other required pre-authorizations.
Provide customer service to patients, families, and representatives; mail informational materials to new patients before appointments.
Contact outside agencies and hospital departments to obtain patient information and coordinate clinic or treatment programs.
Act as an outpatient center receptionist: answer incoming calls, return calls, make appointment reminder calls, greet patients, verify information, and orient patients to the center.
Resolve billing issues, including denials, in coordination with patients and Patient Financial Services; refer patients to a patient advocate for financial counseling when appropriate.
Obtain and organize medical records and ensure patient files contain required records, laboratory results, and x-rays before treatment or clinic visits; follow up to obtain missing information.
Print reports using online scheduling and billing systems.
Use Epic for scheduling and registration and Cedaron for patient documentation; scan documents into Epic and manage the registration-error work queue.
Obtain authorizations, track insurance-plan frequency rules, and monitor benefit limits accurately and promptly.
Multitask appointment scheduling, telephone calls, and patient check-in and check-out for Rehabilitation Services.
Use knowledge of patient diagnoses to triage and schedule patients with appropriate clinical therapists and coordinate multiple appointments across professions.
Perform duties in accordance with the organization’s mission and applicable ambulatory-care and administrative policies and procedures.
As needed, rotate into a centralized call setting to respond to telephone calls and inquiries.