Patient Service Representative - Orthopedics - TBJ Tulsa Main Clinic

Saint Francis Health System•Tulsa, OK
•Onsite

About The Position

Performs reception, registration, and billing functions in the front office of a medical practice to facilitate effective patient care. The role supports patient satisfaction and clinic operations by greeting and directing patients, managing schedules and records, handling billing and payments, coordinating referrals and authorizations, and communicating with patients, providers, and staff. The position works directly with patients and customers, other healthcare professionals and staff, and frequently with individuals at director level or above. It requires independent judgment in planning work and making decisions in a complex technical or professional field.

Requirements

  • High school diploma or GED.
  • Demonstrated PC skills.
  • Ability to organize a multitasking role effectively.
  • Ability to accurately record and interpret data.
  • Effective interpersonal, written, and oral communication skills.
  • Ability to organize and prioritize work effectively and efficiently.
  • Ability to learn quickly.
  • Effective critical thinking and use of logic.

Nice To Haves

  • At least 6 months of front-facing customer service or medical office experience is preferred.

Responsibilities

  • Maintain exemplary patient satisfaction and participate as an engaged team member.
  • Greet and direct patients and visitors according to established office protocols, and inform patients of delays in care.
  • Communicate schedule changes to physicians, clinical assistants, and other staff as appropriate.
  • Maintain and correct the environment for cleanliness and safety.
  • Schedule appointments; register demographic and billing information; and determine eligibility to accommodate patient care in the medical office.
  • Use the EMR and other computer applications according to policies and procedures.
  • Maintain medical records, including preparing charts and filing correspondence and test results.
  • Prepare encounter forms and other supporting billing documentation.
  • Maintain and distribute provider schedules, including applying templates and hold times.
  • Determine and collect patient co-pays and deductibles, request payments of self-pay balances, and prepare cash receipts and bank deposits while balancing the cash drawer daily.
  • Convert provider-written diagnosis descriptions to appropriate ICD-9 codes.
  • Post charges and payments to patient accounts.
  • Review and correct rejected or denied claims, and review and assist with collections of past-due accounts.
  • Prepare phone notes for communications to providers from patients, pharmacists, and other healthcare sources.
  • Call patients to remind them of pending appointments or provider communications.
  • Distribute mail and other communications to patients, providers, and staff.
  • Determine eligibility and obtain authorization for services.
  • Schedule tests and appointments for referred services and track referrals made for specified services.
  • Participate in quality initiatives and safety functions.
  • Assist in identifying and ordering needed supplies.
  • Remain informed about and compliant with current Health System, Warren Clinic, HIPAA, and OSHA policies and procedures.
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