Patient Service Representative - Pediatrics

Summit Health CityMD•New Providence, NJ

About The Position

The Patient Service Representative supports pediatric practice operations by welcoming patients and families, managing registration and patient flow, providing customer service, handling calls, and maintaining accurate patient records. The role includes collecting and reconciling payments, verifying insurance, scheduling appointments and diagnostic services, completing referrals, and coordinating with clinical staff on pre-authorizations. The representative also performs general clerical work, follows downtime procedures, and may cover other staff or office locations as needed.

Requirements

High school graduate or GED required.
Ability to communicate in English, orally and in writing.
Excellent customer service skills.
Ability to organize and perform multiple tasks in a timely manner.
Basic proficiency in computer use.
Ability to commute to satellite offices as needed.
Ability to meet the stated physical demands, including pushing and pulling, lifting, mobility, hand and finger dexterity, balance, and endurance.

Nice To Haves

Associate degree preferred.
Previous Patient Service Representative experience preferred.
Knowledge of medical offices and terminology preferred.
Experience with standard office technology in a Windows-based environment preferred.
Experience with EHR, Practice Management System, and departmental or ancillary systems preferred.

Responsibilities

Greet visitors, patients, and families professionally and direct them appropriately.
Maintain efficient patient flow through registration and provide excellent customer service.
Answer and direct telephone calls, take accurate messages, and use appropriate telephone etiquette.
Inform patients of physician schedule delays and assist with their comfort while they wait.
Post self-pay charges, collect payments, issue receipts, and accurately reconcile daily payments.
Reconcile billing slips to the daily schedule; open and close batches; prepare deposits; and document corrections.
Scan insurance cards, process online insurance verifications, and update patient accounts and information, including demographics, insurance, HIPAA forms, and financial waivers.
Schedule appointments according to department guidelines, use waitlists when applicable, confirm future appointments as needed, and review eligibility and phone reports.
Schedule and enter orders for diagnostic tests and procedures according to established workflows.
Work cooperatively with Patient Care Resources and clinical staff to support timely pre-authorizations.
Complete referrals according to departmental guidelines and enter them into the appropriate system.
Communicate problems, concerns, or issues promptly and appropriately to the Office Supervisor or Manager.
Perform clerical duties such as faxing, photocopying, scanning, filing, and mailing.
Demonstrate flexibility with work schedules and cover for other staff, including at other office locations, when asked.
Follow downtime procedures and perform other duties as required.