Patient Service Representative- Versailles

Katy Trail Community Health•Versailles, MO

11d•Onsite

About The Position

Katy Trail Community Health is seeking a Patient Service Representative who will be a member of a health care team, which includes a provider, a behavioral health consultant, a licensed practice nurse (LPN), a medical assistant (MA), a care coordinator, and a patient service representative (PSR) that have been assigned a panel of patients. This role involves scheduling and registering patients in a pleasant, professional, and timely manner, being sensitive to guest services. The Patient Service Representative will conduct patient/guarantor interviews, explain policies, financial responsibilities, and the patient bill of rights. They will handle all routine patient inquiries related to the registration process, ensuring all necessary demographic and financial data is obtained and accurately documented into the EHR system. This position also identifies the appropriate payor source for routing of revenue generated during the patient stay and ensures that any pre-certification and/or authorization are obtained to meet individual payor payment authorization protocols. This position not only fosters professional growth but also allows you to contribute directly to the well-being of the community.

Requirements

BLS Certification and/or the willingness to acquire it through KTCH
High school diploma or GED.
Effective interpersonal and communication skills.
Ability to exercise good judgement in evaluating situations and making decisions.
Excellent Customer Service Skills with patients and coworkers, including but not limited to, exercising empathy, exercising active listening skills, and meeting special needs in a timely manner.
Experience with office equipment including computers, copier, fax, telephone systems, etc.
Ability to have flexibility with hours (up to two evening per week and 2 Saturdays per month) to cover front desk activities and at least 40 hours per week during KTCH hours of operation.
Must have reliable transportation.
Ability to use and learn appropriate medical software programs.
Must be able to see, hear, read, write, kneel, stand, sit and lift 25 lbs.
Must be able to handle stressful situations.

Nice To Haves

Bilingual preferred.
Ability and means to travel on a flexible schedule as needed, proof of liability and property damage insurance on vehicle used is required.

Responsibilities

Organize and direct front desk activities.
Check-in and check-out using complete, accurate procedures.
Obtain co-pays and partial and full payments from patients and properly post to the individual patient's account with appropriate discount applied.
Accurate data entry of all patient information including sliding-fee scale calculation (documented and assigned and insurance information scanned into computer).
Distribute and collect patient information and demographic documents based on established protocol.
Correctly update patient information module when patients provide updated or different demographic information.
Effectively explain to patients the necessary documentation for family income verification for sliding-fee scale (according to federal regulations).
Schedule appointments following the written scheduling protocol guidelines.
Answer and route all phone calls and voice mail messages to correct department and/or person as outlined in scheduling protocol guidelines.
Accurately balance the cash drawer at end of day if applicable.
Complete end of day activities including: running daily computer reports and turning on answering machine.
Maintain waiting room in a tidy and organized fashion including keeping waiting room orderly (magazines up-to-date, pamphlets stocked and straightened, kids area organized and vacuuming if necessary).
Manage waiting room to insure all patients have been processed in a timely fashion.
Data Entry into the Electronic Medical Records & Electronic Dental records.
Process returned mail by updating PM system with correct address, phone number, etc.
Verify Insurance status for each patient daily.
Assure patient confidentiality and adherence to HIPAA, HITECH, and OMNIBUS rulings.
Assist with Medical Records as requested.
Performs at established quantitative and qualitative work standards to meet departmental goals and objectives.
Presents a courteous and helpful demeanor, to all patients, visitors, and other staff members or any other person an employee encounters while representing Katy Trail Community Health.