Patient Service Representative

Prism Vision Group•Eatontown, NJ

8d•Hybrid

About The Position

The Patient Service Representative (PSR) is responsible for providing the full scope of inbound and outbound patient interactions and functions via telephone, internet, or in-person. This role also involves patient scheduling and logistics, executing daily workflows such as cancellations and missed visit deployment, and revenue cycle claim scrubbing and missing slip completion. The position is located at NJRetina in Eatontown, NJ, part of Prism Vision Group, with occasional travel to other locations as needed.

Requirements

High School Graduate or General Education Degree (GED)
Excellent verbal and written communications skills in English.
Must possess excellent, critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.
Mathematical and cash management skills.
Excellent interpersonal skills and ability to work effectively with physicians, co-workers, other departments and patients of all ages, and from across a broad range of cultural and social economic backgrounds.
Ability to work as an integral team member under minimal supervision, in a fast-paced, complex environment.
Ability to show tolerance and sensitivity in stressful situations and safeguard confidential information in accordance with established policies and HIPAA regulations.
Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systems.
Proficient with Microsoft Office Suite

Nice To Haves

2+ Years experience in a patient facing healthcare function or other customer service function preferred.
Bi-Lingual a plus.

Responsibilities

Schedule and accurately complete full registration for patients requesting appointments while adhering to policies and procedures regarding appointment scheduling and registration processes.
Initiate pre-registration process and ensure all demographic insurance information is accurate, complete and up to date on patient’s chart.
Verification of insurance information, verification of benefits and insurance referral information.
Obtain legal photo identification and (if applicable) insurance card(s) and validate patient identity and coverage prior to services being rendered.
Adhere to HIPAA standards related to patient privacy and confidentiality.
Assure ease of patient flow through the clinical care process.
Provide patients with all required information regarding appointments and payment policies.
Provide upfront financial counseling services at time of check-in including identifying alternate funding resources and establishing payment plans.
Advise patients of financial obligations and collect funds according to established guidelines.
Act as a liaison/advocate for patients, physicians, and staff in facilitating ease of care.
Identify and resolve trouble spots and problem patterns in the provision of care.
Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.
Train other patient services representatives and provide excellent customer service skills.
Comply with company policies and standards.