Patient Services Representatives provide efficient, high-quality service to patients who arrive for appointments or who telephone or visit in person to request appointments or information on tests and procedures, bills and charges, referrals, and other matters. This role involves greeting and accurately registering patients in the EMR system, verifying essential billing and demographic information, and coordinating the scheduling of patient appointments. The representative is responsible for answering multiple incoming telephone lines, accurately determining the appropriate recipient of the call or message, and distributing communications such as pagers, faxes, and emails based on practice protocol. They resolve a variety of patient questions, including HMO referrals, billing, and queries about services and test results, referring complex issues to a practice manager or clinical staff member as appropriate. The position also entails scheduling future appointments, laboratory tests, radiology procedures, and other special diagnostic tests, and may coordinate with hospital admission and/or outpatient admissions and surgery. They notify patient care areas when patients have arrived and ensure waiting patients are seen in a timely manner or notified of delays. Additionally, the representative accurately identifies insurance types, understands different payers, and verifies eligibility. Billing services include ensuring accurate entry of billing information at the time of service, following up on missing information, reviewing encounter forms for accuracy and completeness, entering patient charges into the EMR system, batching encounter forms, and balancing charges. Medical record services involve upholding standards for accurate and timely medical records, releasing information only according to corporate policies, ensuring the availability of properly prepared patient medical records and daily schedules, maintaining medical records through filing, pulling and preparing charts for appointments, and maintaining confidentiality of all patient information.
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Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
Number of Employees
1-10 employees