Representative, Patient Service Rep II

REGIONAL ONE HEALTH•Memphis, TN

About The Position

This position serves as the primary access point for patients in inpatient and outpatient medical clinics and practices, and is an initial focal point of the patient experience. The representative gathers, enters, and verifies registration information; collects co-pays and outstanding self-pay balances; may enter patient charges; and supports the care process by processing information accurately and promptly. The role requires professionalism and confidentiality.

Requirements

  • High school diploma or equivalent.
  • At least two years of clerical, customer service, or related experience, such as medical office or administrative services.
  • At least one year of experience; completion of unit clerk, medical office, general clerical, or customer service training, or equivalent education, may be used in lieu of experience with documentation.

Responsibilities

  • Greet patients upon arrival.
  • Complete and verify patient registration information, including identity, address, benefits, insurance cards, and required signed documents.
  • Collect co-pays and outstanding self-pay balances, provide receipts, enter payments into the system, and maintain and reconcile the cash drawer.
  • Update patient status as checked in to communicate with clinical staff.
  • Work assigned encounter edits and, depending on department needs, prepare encounters, check eligibility, and manage appointments, no-shows, and encounters without charges.
  • Perform patient check-out, schedule follow-up visits as requested by providers, and assist with referrals.
  • Monitor the waiting room and update patients every ten minutes when providers are running behind.
  • Follow regulatory, accreditation, and organizational processes.
  • Answer and route calls when assigned.
  • Schedule new and follow-up appointments when dedicated scheduling staff are unavailable, obtaining information needed for insurance verification for new patients.
  • Communicate daily with the Practice Manager.
  • Help patients obtain referrals and, when assigned, obtain authorizations and pre-certifications for outside procedures scheduled through the clinic or department.
  • Maintain confidentiality and follow policies for processing and releasing patient information.
  • Provide backup coverage for relief and absences, adapt to work schedule and duty assignment changes, and perform other required duties.
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