PATIENT SERVICE REPRESENTATIVE- PEDIATRICS

Johnson Memorial Hospital•Franklin, IN

4h•Onsite

About The Position

The Patient Service Representative performs essential front office duties for a physician's office, primarily focusing on patient check-in and check-out processes. This includes greeting patients, verifying and inputting accurate demographic and insurance information, completing the registration process by obtaining necessary signatures and photo ID, and preparing medical charts. The role also involves printing superbills, checking out patients, providing necessary forms, scheduling follow-up appointments, collecting co-pays and balances, and posting patient payments. Additionally, the representative is responsible for answering multi-line phones, directing calls, scheduling appointments, documenting no-shows, and handling patient dismissal paperwork. Depending on the specific office site, duties may expand to reviewing account balances, explaining financial assistance options, completing medication assistance forms, obtaining pre-certification and prior authorization, typing correspondences for providers, and preparing colonoscopy packets. The position requires adherence to Johnson Memorial Health's Mission and Values, as well as compliance with all applicable laws, regulations, standards, and policies, including Blood and Body Substance Precautions. Additional duties may be assigned by the Practice Administrator or JMH executive leadership.

Requirements

High School Diploma or equivalent required.

Nice To Haves

Previous physician office experience preferred.
Cashier experience preferred.
Insurance experience preferred.

Responsibilities

Performs the "check-in" and “check-out” duties and responsibilities for the individual physician office.
Greets and checks-in patients in a professional manner as evidenced by demonstrating concern for patients in a helpful and positive way.
Verifies and inputs accurate patient demographic and insurance information.
Completes the registration process, by accurately identifying the patients and verifying accurate financial information by identifying proper payers.
Obtains Photo ID and obtaining signatures on patient intake forms (i.e., HIPAA, Treatment Consent, Financial Responsibility, Assignment of Benefits, and other forms as required).
Prepares medical charts for appointments, assuring that dictations, pertinent medical information and updated demographics/insurance information is placed in patient's chart.
Prints superbills.
Checks-out patients; prints and gives patient any forms needed such as Visit Summary and Workers’ Comp Check Out Instructions.
Schedules next appointment if needed.
Collects co-pays and balances due.
May enter diagnosis code(s) based upon information given by providers.
Posts patient payments and balances cash drawer daily.
Answers multi-line phone and directs calls appropriately.
Schedules appointments and documents "no-show" appointments.
Completes all paperwork and documentation for dismissal of a patient.
Reviews account balances of scheduled patients and addresses any "past due" balances (depending on particular office site).
Explains financial assistance options and directs patients to schedule appointments with the Claim Aide if non-insured or under-insured (depending on particular office site).
Completes patient medication assistance forms (depending on particular office site).
Obtains pre-certification and prior authorization from payors for office visits (depending on particular office site).
Types correspondences for provider(s) (depending on particular office site).
Makes colonoscopy packets and sends them out to patients in which a referral has been received (FSA only).
Clearly communicates and continuously supports the Mission and Values of JMH.
Performs additional duties not addressed here as assigned by the Practice Administrator and/or JMH executive leadership staff.
Conducts all activities in compliance with applicable laws, regulations, standards, and JMH policies and procedures including Blood and Body Substance Precautions.