Patient Service Representative I

The Urology Group-posted about 7 hours ago
Full-time • Entry Level
Onsite • Cincinnati, OH
251-500 employees
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The Urology Group is searching for a Claims Resolution Specialist. The position is full time, Monday-Friday, 8am-4:30pm in our Norwood billing office. The position is located in our Eastgate office at: 4360 Ferguson Dr Cincinnati OH 45245 NO WEEKENDS, NO EVENINGS, NO HOLIDAYS The Patient Service Representative I is responsible for providing customer service and ensuring the patient experience, either by phone or in person, is exemplary. The Patient Service Representative I will coordinate clerical tasks such as answering the phones, greeting patients and visitors, and scheduling appointments in a professional and timely manner. They are responsible for moving the patients through the intake and checkout process including patient registration, scanning and filing medical records, collecting co-payments, deductibles, and any outstanding balances. The Patient Service Representative I must ensure that all procedures, from identifying correct patient files to verifying insurance information, are closely followed to create a seamless patient experience between clerical and clinical staff.

  • Welcomes and greets all patients and visitors, in person or over the phone.
  • Is responsible for keeping the front desk area clean and organized.
  • Registers new patients and updates existing patient demographics by collecting detailed patient information including personal and financial information (ex. co-payments and insurance cards).
  • Collects outstanding patient balances.
  • Obtains referrals and authorizations when required.
  • Scans incoming faxes, consents, reports, and all other patient information into patient chart.
  • Generates batch transmittal reports for each day.
  • Facilitates the patient flow by notifying the provider or other medical staff of the patients’ arrival, being aware of delays, and communicating with patients and clinical staff.
  • Schedules follow up services and office visits for patients.
  • Responds to inquiries by patients, prospective patients, and visitors in a courteous manner.
  • Keeps medical office supplies adequately stocked by anticipating inventory needs, placing orders, and monitoring office equipment.
  • Protects patient confidentiality, making sure protected health information (PHI) is secured by not leaving PHI in plain sight and logging off the computer before leaving it unattended.
  • Ensures proper hand off of responsibilities once their task is completed.
  • Meets established attendance criteria and starts work promptly. Punctual and dependent for assigned/confirmed shifts.
  • Respects and acknowledges the organizations commitment to cultural diversity, which is expressed through behavior, language and actions.
  • Consistently demonstrates good use of time and resources.
  • Ensuring that all medical records are accurate and complete.
  • Performs other position related duties as assigned.
  • High School Diploma or equivalent required.
  • Some college work preferred.
  • Minimum of 1-3 years’ customer service experience required.
  • Skill in using computer programs and applications including Microsoft Office. Knowledge in healthcare systems operations and experience in navigating EMRs.
  • Ability to answer multiple incoming telephone calls.
  • Demonstrate excellent organizational skills, multi-tasked abilities, and the ability to perform well in stressful situations.
  • Customer-oriented with ability to remain calm in difficult situations.
  • Ability to work independently and manage multiple deadlines.
  • Ability to comprehend established office routines and policies.
  • Ability to keep financial records and perform mathematical tasks.
  • Knowledge of Medical Terminology.
  • Excellent verbal and written communication skills.
  • Proficient interpersonal relations skills.
  • Basic knowledge of health insurance products (HMO, PPO, HSA, Commercial, Medicare etc.).
  • Ability to navigate online health insurance portals to verify benefits.
  • Regularly adheres and supports compliance and accreditation efforts as assigned including, but not limited to OSHA, HIPAA & CMS guidelines for Parts C & D on General Compliance and Fraud, Waste & Abuse.
  • Complies with HR confidentiality standards.
  • Experience in a medical office; specifically, urology, preferred.
  • Basic knowledge and understanding of CPT procedure coding and ICD-10 diagnostic coding preferred.
  • Health insurance
  • Dental insurance
  • Vision insurance
  • Life Insurance
  • Pet Insurance
  • Health savings account
  • Paid sick time
  • Paid time off
  • Paid holidays
  • Profit sharing
  • Retirement plan
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