Patient Services Representative-MTCH

Carle Health•Mattoon, IL

About The Position

The Patient Services Representative 3 coordinates and participates in duties associated with daily clinic preparation, patient identification and check-in, charge posting, cash management, and basic appointment scheduling. The role conveys a positive image and provides information to help ensure patients’ needs are met. The representative handles patient registration and account setup, check-in and check-out, electronic kiosk check-in where applicable, incoming patient care requests, referrals, in-basket and work-queue activities, and telephone calls. The role also supports provider and department scheduling, including rescheduling patients, holding provider time off, monitoring schedules for errors, and submitting template changes to the Cadence team. The representative may float to other desks or departments and serves as a system super user and role model. The position provides input on departmental processes and policies and participates in committees and work groups.

Requirements

Certificate of Completion.
Basic computer skills.
Experience with general office equipment.
Competency in coverage rules related to eligibility, network coverage, and benefits.
Successful completion of mandatory insurance training and ongoing competency refreshers.
Ability to initiate and secure prior authorizations as needed.
Ability to build and maintain EPIC schedules.

Responsibilities

Coordinate and participate in daily clinic preparation, including patient identification, check-in and check-out, electronic kiosk check-in where applicable, charge posting, cash management, appointment scheduling, patient registration, and account setup.
Answer telephone calls and take and deliver messages to physicians, nurses, and others.
Accurately, completely, and promptly report medical information obtained from patients and referring physicians.
Distribute messages according to practice communication standards.
Demonstrate competency in all aspects of the Patient Service Representative 2 role and serve as a responsible, professional role model.
Manage incoming patient care requests related to in-basket activities, referrals, work-queue activity, and incoming telephone calls.
Participate in committees, subcommittees, departmental work groups, and cross-departmental teams.
Serve as a system super user and provide input and collaboration on departmental processes and policies.
Apply coverage and rules related to eligibility, network coverage, and benefits; complete mandatory insurance training and ongoing competency refreshers.
Initiate and secure prior authorizations as needed.
Build and maintain EPIC schedules and manage provider or department schedules, including rescheduling patients, holding provider time off, monitoring schedules for errors, and submitting template changes to the Cadence team.
Float to other desks or departments as needed.