Patient Service Representative - Rheumatology

Saint Francis Health System•Springer, NM
•Onsite

About The Position

The Patient Service Representative performs reception, registration, and billing functions in the front office of a medical practice to facilitate effective delivery of patient care. This role is based at the Rheumatology Springer Physician Clinic - Yale Campus in Tulsa, Oklahoma. The representative works directly with patients and customers, healthcare professionals and staff, and frequently with individuals at director level or above. The position requires independent judgment in planning the sequence of operations and making decisions in a complex technical or professional field. The position requires a high school diploma or GED. No licensure, registration, or certification is required. At least six months of front-facing customer service or medical office experience is preferred. Candidates should have demonstrated PC skills, organization and prioritization abilities, accurate data recording and interpretation skills, effective interpersonal and written and oral communication skills, an ability to learn quickly, and effective critical thinking and logic.

Requirements

  • High school diploma or GED.
  • Demonstrated PC skills.
  • Ability to organize and prioritize work effectively and efficiently.
  • Ability to accurately record and interpret data.
  • Effective interpersonal, written, and oral communication skills.
  • Ability to learn quickly.
  • Effective critical thinking and use of logic.
  • Minimum six months of front-facing customer service or medical office experience is preferred.
  • No licensure, registration, or certification is required.

Nice To Haves

  • At least six months of front-facing customer service or medical office experience.

Responsibilities

  • Maintain exemplary patient satisfaction and participate as an engaged team member.
  • Greet and direct patients and visitors according to established office protocols, and inform patients of delays in care.
  • Communicate schedule changes to physicians, clinical assistants, and other staff as appropriate.
  • Maintain and correct the environment for cleanliness and safety.
  • Schedule appointments; register demographic and billing information; and determine patient eligibility for 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 payment of self-pay balances according to policies.
  • Prepare cash receipts and bank deposits, and balance the cash drawer daily.
  • Convert provider-written diagnoses to appropriate ICD-9 codes.
  • Post charges and payments to patient accounts.
  • Review and correct rejected or denied claims, and review and assist with collection of past-due accounts.
  • Prepare phone notes conveying communications from patients, pharmacists, and other healthcare sources to providers.
  • Call patients to remind them of pending appointments or relay communications 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.
  • Assist in identifying and ordering needed supplies.
  • Remain informed about and comply with current Health System, Warren Clinic, HIPAA, and OSHA policies and procedures.
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