Patient Service Representative - Plastic Surgery

Saint Francis Health System

1d•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 is responsible for maintaining exemplary patient satisfaction and participating as an engaged team member. The Patient Service Representative will greet and direct patients, inform them of delays, and communicate schedule changes. They will also be responsible for scheduling appointments, registering demographic and billing information, determining eligibility for services, and successfully using EMR and other computer applications. Maintaining medical records, preparing encounter forms, determining and collecting co-pays and deductibles, preparing cash receipts and bank deposits, and balancing the cash drawer are also key functions. Additionally, this role involves converting diagnosis descriptions to ICD-9 codes, posting charges and payments, reviewing rejected claims, assisting with collections, preparing phone notes, making patient calls for appointment reminders, distributing mail, determining eligibility and obtaining authorization for services, scheduling tests and appointments for referred services, tracking referrals, participating in quality initiatives and safety functions, and assisting in identifying and ordering needed supplies. The position requires remaining informed and compliant with current Health System, Warren Clinic, HIPAA, and OSHA policies and procedures.

Requirements

High School Diploma or GED
One (1) year experience
Demonstrated PC skills
Effective organization of multi-task role
Understanding of healthcare delivery and billing processes in the medical office
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

Nice To Haves

None

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.