Patient Services Representative

Share Medical Center•Alva, OK

13d•Onsite

About The Position

The Patient Services Representative is responsible for handling patient accounts, including financial counseling, setting up payment arrangements, processing payments, gathering insurance information, and resolving account issues. This role involves extensive customer service, data entry, and adherence to various regulations and policies. The representative will manage inbound and outbound calls, document all interactions, and ensure compliance with federal, state, and payer-specific guidelines. Additionally, they will perform clerical duties, assist with projects, and maintain a safe and compliant work environment.

Requirements

Must have current BLS certification within 90 days of hire
Previous experience with customer service strongly preferred

Responsibilities

Adherence to policies of hospital.
Available for duty in case of disaster.
Attend scheduled inservice education meetings.
SQSS tasks performed at the Beginning and End of each shift.
Performs all other job duties as assigned.
Accept the responsibility of every patient that needs financial counseling before services are rendered.
Enter and update demographic information in required field of EMR and obtains scanned information for registration process.
Handle inbound calls from patients as well as make outbound calls to patients through our automated dialer.
Identify customer needs, clarify information, research issues and provide solutions and/or alternatives
Assist patients with their account, which includes setting up payment arrangements; taking payments over the phone; identifying and gathering new insurance information, screening for charity, answering patient’s questions, and resolving any of the patients account issues, etc.
Assume proper handling of cash, credit card, or payment by check.
Maneuver between several different software systems.
Clerical duties, such as processing mail, light skip-tracing.
Demonstrates ability to diffuse patient concerns and turn the call/visit into a positive experience for our customers.
Documents all conversations in a database.
Maintain accurate and up to date information in the account notes.
Follow all federal, state and payer specific regulations and policies pertaining to documentation and billing practices to ensure all work is in compliance with established guidelines.
Actively participates in creating and implementing improvements.
Meet specified goals and objectives as assigned by management on a regular basis.
Work and turn accounts to collection agency for payment agreements not upheld.
Always maintain confidentiality of account information.
Adhere to the prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
Maintain awareness of and actively participate in the Corporate Compliance Program.
Demonstrates good problem-solving skills and critical thinking.
Maintain a neat and orderly workstation.
Assist with other projects as assigned by management.
Complies with established personal protective equipment requirements necessary for protection against exposure to blood and other hazardous substances.
Follows the guidelines established by Share Medical Center’s compliance program and code of conduct.
Follows the guidelines established by HIPAA.
Follows dress code guidelines established by SMC.
Works within compliance of with Medicare, Medicaid, and other regulatory agency requirements with staff efficiency to perform superior customer service and give high quality healthcare.