Patient Service Representative, Cardiology

Sutter Health•Santa Rosa, NM

3d•$31 - $43

About The Position

The Patient Service Representative serves as the first point of contact for patients entering an outpatient medical facility. The role greets and checks in patients, verifies information, schedules appointments, updates the electronic health record, facilitates intake procedures, completes healthcare and insurance forms, and collects payments for services. The representative builds patient and provider confidence through competent performance and effective communication, and follows applicable regulations, codes, policies, and procedures to protect privacy and safety while delivering patient care. The position may also involve specific departmental tasks or orienting other staff. The role includes patient-facing, clerical, safety, and compliance duties. The representative obtains authorizations, medical history, and insurance information; communicates clearly with patients; answers phones; maintains accurate patient documentation; and keeps the work area clean and safe. All responsibilities must be performed in accordance with department standards and regulatory requirements, with strict protection of patient protected health information.

Requirements

High school diploma or equivalent education/experience; equivalent experience may be accepted in lieu of the required degree or diploma.
One year of recent relevant experience.
Basic knowledge of insurance policies and procedures and patient billing.
Ability to interpret data and instructions presented in written, oral, diagram, or schedule form.
Written and verbal communication skills for communicating with team members, supervisors, patients, and other hospital personnel.
Time-management and organizational skills, including prioritizing assignments and meeting deadlines within standardized policies and procedures.
General knowledge of computer applications such as Microsoft Office Suite, including Word, Excel, and Outlook.
Ability to work independently and as part of a team, including managing multiple tasks in an environment with interruptions.
Ability to identify, evaluate, and resolve standard problems by selecting solutions from established options.
Ability to protect the privacy of each patient’s PHI and collaborate with peers and other staff to achieve departmental and corporate objectives.

Responsibilities

Check in patients and ensure necessary authorizations are obtained before visits.
Obtain patients’ medical history and insurance information and complete related forms.
Communicate clearly and professionally with patients to reduce confusion and expedite processes.
Complete routine and priority tasks within established departmental time frames.
Perform clerical tasks, including answering phones and greeting customers and patients.
Prepare, collect, update, and maintain accurate patient medical and insurance documentation.
Maintain a clean, neat, and safe work environment, including organizing files and keeping desks clear of clutter.
Perform duties in compliance with departmental standards, policies, procedures, and local, state, and federal regulations.
Protect the confidentiality of patient protected health information (PHI).
May perform specific departmental tasks and/or orient other staff.