Patient Service Representative - Lithonia

WellStreet•Lithonia, GA

9d•Onsite

About The Position

The Patient Service Representative will greet patients and visitors, analyze health insurance benefits, verify insurance eligibility, and explain payment policies. They will maintain the reception area, perform clerical tasks, collect patient financial responsibilities, and support the practice manager and physicians. This role involves obtaining patient history, enforcing healthcare regulations, documenting Electronic Medical Records (EMR), and ensuring HIPAA and OSHA compliance. The representative may also travel to other Piedmont Urgent Care locations and perform other assigned duties. The Unit Secretary responsibilities include maintaining clinical standards, adhering to company policies, fostering positive communication, administering patient-focused healthcare, acting as a patient advocate, initiating patient education, protecting patient confidentiality, maintaining clinical documentation, accurately documenting patient care in EMR, utilizing company resources efficiently, restocking supplies and medications, participating in quality improvement activities, and ensuring compliance with regulatory training. They will also manage worker's compensation statuses, handle patient and pharmacy consultations, dispense medications, accept payments, and maintain medication stock and sales averages.

Requirements

High school diploma or equivalent
Ability to work 8am to 8pm 3 days/week, rotating weekends and holidays.
Experience with insurance eligibility and co-pay determination.
High School diploma or equivalent
Ability to work nights, weekends, and holidays
Willingness to travel to surrounding clinics to support

Nice To Haves

At least one year experience in a medical office or emergency room setting.
Urgent care experience preferred, but not required.
Certification & experience as a medical assistant a plus, but not required.
One-year medical office experience preferred, but not required.

Responsibilities

Greet patients and provide instructions to all visitors in a polite and professional manner
Analyze health insurance benefits, verify insurance eligibility and relay relevant information regarding payment policies and billing/collection processes
Maintain the readiness of the Piedmont Urgent Care reception area
Perform clerical tasks and adhere to established policies and procedures
Determine and collect each patient’s financial responsibility
Assist the practice manager and other staff as required
Provide overall support for Physicians and office operations
Obtain and document patient history
Understand and enforce standard healthcare regulatory requirements
Collect and maintain all patient and business documents while maintaining confidentiality
Perform office procedures including all general administrative duties
Document Electronic Medical Record (EMR) all medical interventions
Assure HIPAA and OSHA compliance
May be asked to travel to nearby Piedmont Urgent Care locations to support the staff
Perform other duties as assigned
Maintain appropriate clinical standards.
Follows the policy and procedures as written in the company Policy and Procedure Manual, including standards for safety, attendance, punctuality, and personal appearance.
Build strong positive communication with physicians and other providers and works as a team to enhance the success of the practice.
Administer appropriate high-quality, patient-focused health care while recognizing the patient’s individual rights; Act as patient advocate and aid patients in their right to be informed and to participate in making decisions in all aspects of their medical care and treatment; initiate a patient education plan according to the individualized needs of the patient, as prescribed by physician, including patient and family instruction; ensure that all aspects of care have respect for personal values and beliefs, and is focused on the individual needs of each patient.
Protects patient confidentiality while conversing with patient in person or via telephone and ensures private health information is protected and secure at all times. Ensures that private health information is screened and not left in plain sight.
Maintain all clinical documentation, including, but not limited to Narcotics Sales Logs, Medication Sales Logs, in house Prescription filing, and proper disposal of sensitive information. This, and any other pertinent documentation is to be kept up to date for compliance with applicable regulatory agencies.
Accurately, efficiently, and completely document all clinical patient care data on both paper charts and EMR as required.
Utilize all equipment, supplies, facilities, and resources of the company in a prudent and efficient manner.
Restock supplies and medications as needed.
Participate in department quality improvement activities, staff educational programs; attend departmental meetings; and demonstrate and maintain clinical competency in the delivery of patient care services in accordance with company guidelines.
Responsible for HIPPA compliance training and other regulatory training and compliance.
Ensures patient worker’s comp statuses created accurately and sent to appropriate facility for occupational medicine services
Respond to and/or refer patient and pharmacy phone consultations, documenting appropriately in EMR.
Offers and fills appropriate medications accurately in house as prescribed by physician.
Accepting payments for medications, in house services for self-pay patients, or other balances that have been determined.
Perform other duties that may be assigned as necessary.
Ensure maintenance of Scope of Practice.
Makes copies of all X-rays for patients with imaging studies.
Scans in all pertinent documents related to patients’ chart and patient’s continuance of care.
Regularly keeps track of medication stock and keeps clinic stocked with appropriate medications.
Maintains a medication sales average as directed for each shift worked.