Patient Service Representative - Ophthalmology - Natalie 301

Saint Francis Health System

4d•Onsite

About The Position

Performs reception, registration, and billing functions in the front office of a medical practice to facilitate effective patient care. This is an ECB-status position requiring a minimum number of worked hours per month as needed by the department, with limited benefit offerings. The role works directly with patients and customers, internal and external customers, healthcare professionals and staff, and frequently with individuals at director level or above. It requires independent judgment in planning the sequence of operations and making decisions in a complex technical or professional field.

Requirements

High school diploma or GED.
Demonstrated PC skills.
Ability to organize and manage a multitask role.
Ability to accurately record and interpret data.
Effective interpersonal, written, and oral communication skills.
Ability to organize and prioritize work effectively and efficiently.
Ability to learn quickly.
Effective critical thinking and use of logic.

Nice To Haves

At least 6 months of front-facing customer service or medical office experience is preferred.

Responsibilities

Maintain exemplary patient satisfaction and participate as an engaged team member.
Greet and direct patients and visitors according to office protocols, and inform patients of delays in care.
Communicate schedule changes to physicians, clinical assistants, and other staff as appropriate.
Maintain a clean and safe environment.
Schedule appointments; register demographic and billing information; and determine eligibility to accommodate patient care in the medical office.
Use the EMR and other computer applications according to policies and procedures.
Maintain medical records, including preparing charts and filing correspondence and test results.
Prepare encounter forms and other supporting billing documentation.
Maintain and distribute provider schedules, including applying templates and hold times.
Determine and collect patient co-pays and deductibles, and request payments of self-pay balances according to policy.
Prepare cash receipts and bank deposits, and balance the cash drawer daily.
Convert provider-written diagnosis descriptions to appropriate ICD-9 codes.
Post charges and payments to patient accounts.
Review and correct rejected or denied claims.
Review and assist with collection of past-due accounts.
Prepare phone notes conveying communications to providers from patients, pharmacists, and other healthcare sources.
Call patients to remind them of pending appointments or communicate messages from providers.
Distribute mail and other communications to patients, providers, and staff.
Determine eligibility and obtain authorization for services.
Schedule tests and appointments for referred services and track referrals made for specified services.
Participate in quality initiatives and safety functions.
Help identify and order needed supplies.
Remain informed about and comply with current Health System, Warren Clinic, HIPAA, and OSHA policies and procedures.