Patient Services Representative Sr

INTEGRIS Health•Oklahoma City, OK

20d

About The Position

The Patient Services Representative Senior mentors new entry-level Patient Services Representatives and helps ensure the integrity of clinic data and patient information. The role handles incoming telephone calls and messages, scans and indexes information into medical records, handles medical-record requests, and performs basic scheduling. It also supports accurate clinic transactions, patient check-in and check-out, insurance verification, referrals, and financial counseling. The position requires population-specific competencies and adherence to applicable National Patient Safety Goals. The Patient Services Representative Senior reports to the Office Manager/Supervisor.

Requirements

At least 3 years of experience in a health care setting, including both interpersonal and telephone customer service.
Knowledge of Microsoft Office.
Population-specific competencies are required.
Adherence to applicable National Patient Safety Goals.

Nice To Haves

Experience with cashier procedures and/or basic accounting.
Experience with clinic check-in/check-out procedures.
Knowledge of basic health insurance, HMO, and PPO.
Knowledge of basic medical terminology.
General knowledge of CPT and ICD-9 coding.

Responsibilities

Enter daily charges accurately, including time-of-service payments.
Balance end-of-day business transactions accurately.
Schedule appointments and notify a clinical employee or provider when an appointment involves an emergency.
Verify insurance eligibility and benefits.
Accurately enter patient demographics into the practice management system.
Complete outgoing referrals.
Assist in training new employees.
Receive and/or dispatch incoming telephone calls.
Contact third-party payers for benefit and pre-certification information and enter information into the billing system.
Collect checks and cash for co-pays and deductibles; collect deposits and/or make financial arrangements with guarantors.
Provide financial counseling to patients and families about ambulatory-care billing processes and procedures.
Work directly with clinical staff to ensure proper patient placement.
Perform check-in and check-out duties accurately and promptly.
When answering the telephone, take messages, correctly spell names, and identify patients using two identifiers in accordance with National Patient Safety Goals.
Take clear, concise messages from pharmacies, physicians, and hospital personnel and direct them to the clinical employee and/or provider.
Manage a large call volume while maintaining excellent telephone etiquette.
Organize workflow to meet patient needs in a timely manner.
Scan and index information into medical records and handle medical-record requests.