Patient Service Representative - Operations

Springfield Clinic•Jacksonville, IL

9d•$17 - $25•Onsite

About The Position

The Patient Service Representative - Operations discusses insurance coverage, usual and customary charges, Medicare and Medical Assistance availability, reimbursement options, and the Clinic’s billing and credit policies with patients. The representative works with insurance carriers to verify treatment benefits and addresses credit concerns about past-due accounts, making special arrangements when necessary to help ensure timely payment. The role reports to the Operations Manager or Director of the service line.

Requirements

High school graduate or GED required.
Ability to handle multiple tasks and prioritize in a fast-paced environment.
Strong verbal communication and listening skills.
Knowledge of computer systems, particularly registration and insurance screens.
Knowledge of Medicare, Medical Assistance, and other third-party payors.
Ability to work courteously and professionally with patients of all ages.
Ability to tactfully work with patients who have past-due accounts.
Ability to meet quality and performance guidelines and work with patients courteously and professionally.
Ability to maintain composure under stress.
Manual dexterity for use of a telephone headset, calculator, and computer keyboard.

Nice To Haves

Two to three years of experience in medical billing and insurance preferred.
Computer skills, including Microsoft Office, preferred.

Responsibilities

Verify and secure referrals.
Verify coverage and benefits before treatment.
Secure prior approval and pre-authorizations.
Review and take action on bad debt, collections, and denials.
Maintain proficiency with insurance and billing issues and serve as a resource to providers and staff.
Prepare account action worksheets and submit them to Patient Accounting for charge corrections.
Provide patients with a positive impression of the Clinic’s billing department.
Enter or edit patient insurance coverage and demographic information when necessary.
Inform patients of the Clinic’s billing and credit policies and answer questions about insurance coverage and billing.
Respond to patients’ verbal and written requests in a timely manner.
Maintain statistics.
Participate in Patient Accounting meetings and training sessions as appropriate to maintain proficiency.
Interact empathetically and responsively with patients while adhering to Patient Accounting billing practices and guidelines.
Provide coverage at other Springfield Clinic locations as assigned.
Comply with the Springfield Clinic incident reporting policy and procedures.
Complete OSHA and Springfield Clinic training and accomplishments as required by policy.
Provide excellent customer service and adhere to Springfield Clinic’s Code of Conduct and Ethics Standards.
Perform other job duties as assigned.