Patient Service Representative

Down East Community Hospital•Milbridge, ME

About The Position

Performs secretarial functions to support care within the medical practice and interacts with patients, families, and staff to maximize successful patient outcomes. Registers patients and enters demographic, consent, and insurance information; scans documents into patient charts; processes electronic consent signatures and verifies insurance. Answers and directs telephone calls and messages, schedules and confirms appointments, prepares charts, and communicates through the electronic medical record. Collects patient payments and submits them to the practice billing department within three days of service. The role also supports quality improvement, completes assigned checklists, follows safety, privacy, security, and compliance requirements, and may provide coverage at other DECH physician offices. Other relevant duties may be assigned.

Requirements

  • High school diploma.
  • Proficiency in typing, telephone communication, and Microsoft Office (Word, Excel, and Outlook).
  • Knowledge of an Electronic Medical Record.
  • Associate degree from a medical secretary program or two years of experience in an office setting.

Responsibilities

  • Register patients and enter demographic, consent, and insurance information into the computer.
  • Scan demographic documents, photo IDs, insurance cards, and other necessary forms into patient charts.
  • Process electronic signatures for consents using an electronic device.
  • Perform electronic insurance verification or contact insurance carriers.
  • Answer telephone calls and direct calls and messages to the appropriate recipient.
  • Schedule patient appointments and record the patient’s preferred appointment-confirmation method in the EMR.
  • Manually confirm patient appointments when necessary.
  • Prepare patient charts daily as necessary.
  • Communicate through EMR messaging and Phone Notes.
  • Collect co-pays and payments by check, cash, or debit/credit card.
  • Submit co-pay and other payments to the practice billing department no later than three days after the date of service.
  • Participate in departmental quality indicators and quality-improvement activities as directed.
  • Complete assigned daily, weekly, and monthly checklists, which may include office cleanliness, security, and other monitored items.
  • Maintain compliance with hospital policies and applicable state, federal, and CMS licensing and certification policies.
  • Maintain medical-record privacy and security according to hospital policies and procedures.
  • Demonstrate commitment to the hospital’s mission, vision, values, and service-excellence standards.
  • Provide coverage for other DECH physician offices when necessary.
  • Stay informed by attending meetings and reviewing memos, policies, meeting minutes, newsletters, email, and other appropriate information in a timely manner.
  • Maintain reliable attendance and punctuality, observe appropriate break times, and extend a scheduled shift when necessary to meet patient demands.
  • Perform duties safely and comply with safety policies and procedures and the Code of Conduct.
  • Adhere to federal, state, and local statutes and regulations and Down East Community compliance, privacy, and security policies.
  • Report compliance concerns to the department manager or Compliance Officer and confidentiality concerns to the Privacy Officer.
  • Perform other relevant duties as assigned.
  • Collaborate with management to improve departmental effectiveness through quality-improvement plans and processes.
  • Maintain current knowledge of the hospital-wide Quality Improvement Program.
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