Patient Service Representative - Referrals

Community Health Center of Buffalo•Buffalo, NY

1d•$17 - $20

About The Position

The Patient Service Representative - Referrals plays a crucial role in delivering exceptional customer service and ensuring patient satisfaction. This individual focuses on patient education, empowerment, and respect while providing administrative support to maintain quality patient care, with a specific emphasis on referrals and authorizations. Primary Function: Patient Service Representatives are responsible for completing clinical and administrative tasks to enhance the overall customer experience, specifically focusing on referrals and authorizations.

Requirements

High School diploma or equivalent.
Minimum of one year of high-level customer service experience.
Proficient in insurances, referrals, and prior authorizations.
Proficiency in Microsoft Office and general computer literacy.

Nice To Haves

Associate's Degree in a related field.
Familiarity with medical terminology.
Three years of high-level customer service experience.
Three years of relevant healthcare experience.
Experience with an Electronic Medical Record system.

Responsibilities

Maintain the accuracy of Health Information Records in the Electronic Medical Record system.
Schedule appointments, perform pre-registration tasks, verify demographic and insurance information, and ensure precise billing.
Identify the need for clinical healthcare staff triage and coordinate patient flow while upholding patient confidentiality regulations.
Process Prior Authorizations and Referrals, offer specialist resource information, and keep detailed patient logs.
Participate in Care Coordination services, contribute to Quality Improvement activities, and engage in patient care teams.
Attend mandatory meetings and fulfill other assigned duties effectively.

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