Patient Service Representative - Urgent Care - Springer

Saint Francis Health System•Springer, NM

4d•Onsite

About The Position

Performs reception, registration and billing functions in the front office of the Medical Practice to facilitate the effective delivery of patient care. This role involves maintaining exemplary patient satisfaction, managing appointments, handling demographic and billing information, utilizing EMR and computer applications, maintaining medical records, preparing billing documentation, collecting co-pays and deductibles, managing cash receipts and deposits, coding diagnoses, posting charges and payments, reviewing claims, assisting with collections, preparing and making patient calls, distributing mail, determining eligibility and obtaining authorizations for services, scheduling tests and appointments, tracking referrals, participating in quality initiatives and safety functions, and assisting with supply orders. The position requires staying informed and compliant with Health System, Warren Clinic, HIPAA, and OSHA policies and procedures.

Requirements

Minimum High School Diploma or GED.
Minimum 6 months of front facing customer service or medical office experience.
Demonstrated PC skills.
Effective organization of multi-task role.
Ability to accurately record and interpret data.
Effective interpersonal, written and oral communication skills.
Ability to organize and prioritize work in an effective and efficient manner.
Ability to learn quickly.
Effective critical thinking and use of logic.

Nice To Haves

Experience in front facing customer service or medical office experience is preferred.

Responsibilities

Greets and directs patients and visitors according to established office protocols.
Informs patients of delays in care.
Communicates schedule changes to physicians, clinical assistants and other staff as appropriate.
Maintains and corrects environment for cleanliness and safety.
Schedules appointments, registers demographic and billing information, determines eligibility to accommodate patient's care in the medical office.
Successfully uses the EMR and other computer applications to accomplish tasks according to policies and procedures.
Maintains medical records including preparation of charts, filing of correspondence and test results.
Prepares encounter forms and other supporting billing documentation.
Maintains and distributes provider schedules including application of templates, hold times, etc.
Determines and collects co-pays and deductibles from patients.
Requests payments of self pay balances according to policies.
Responsible for preparation of cash receipts, bank deposits and balancing of cash drawer on a daily basis.
Converts provider written description of diagnosis to appropriate ICD-9 code.
Posts charges and payments to patient accounts.
Reviews and corrects rejected or denied claims.
Reviews and assists in collections of past due accounts.
Prepares phone notes for communication to the provider from patients, pharmacists, and other healthcare sources.
Makes calls to patients to remind them of pending appointments or communication from provider.
Distributes mail and other communication to patients, providers and staff.
Determines eligibility and obtains authorization for services.
Schedules tests and appointments for referred services.
Tracks referrals made for specified services.
Participates in quality initiatives and safety functions.
Assists in identifying and ordering needed supplies.
Remains informed and compliant with current Health System, Warren Clinic, HIPAA and OSHA policies and procedures.