Patient Services Representative
About The Position
The Patient Services Representative handles front-office functions in support of the mission and goals of Ryan Health. The role processes patients, verifies insurance, collects and balances payments, updates registration information, orients patients to center services, and directs patients to appropriate internal departments or community agencies. It also coordinates specialty referrals and appointments, including urgent, STAT, and high-risk referrals, and documents referral activity in the patient’s electronic health record. The position works in an ambulatory primary care setting and requires professional, respectful service and protection of patient confidentiality.
Requirements
- Experience in a front-office healthcare environment.
- Enjoy working with the public and respect patient confidentiality.
- Working knowledge of Electronic Health Record systems.
- Excellent communication and interpersonal skills.
- Strong customer service skills.
- High school diploma or GED.
- Demonstrate a professional, courteous, and respectful attitude toward patients and provide care appropriate to the age of the patient served.
- Work well with others, contribute input to improve outcomes, seek opinions and feedback, and provide feedback tactfully and respectfully.
Nice To Haves
- Experience with the eClinicalWorks electronic health record system.
- Experience working in a community or human services agency.
- Bilingual English/Spanish.
Responsibilities
- Check in patients, create same-day visits when needed, and check patients out after booking appointments according to provider instructions.
- Collect copayments, fees, and outstanding balances; balance collected patient revenue for bank deposit; and process payment plans and bills when applicable.
- Verify insurance coverage and detailed insurance information, bill insurers for services, assist with insurance restrictions, and maintain insurance information in the electronic medical record.
- Ensure specialty referrals and authorizations are obtained before processing visits; complete referral forms and send supporting documents to off-site specialists.
- Schedule, document, monitor, and reconcile referrals and specialty appointments, including urgent, STAT, and high-risk referrals; follow up on attendance and obtain consultation reports when needed.
- Screen patients for sliding-fee eligibility and insurance applications, and inform eligible patients about available entitlement assistance and refer them to appropriate staff.
- Orient patients to center services, procedures, hours, fees, appointment scheduling and cancellation, patient rights, and the Board of Directors.
- Collect, verify, scan, and update patient registration information and signed documents; assist patients with changing their primary care provider when necessary.
- Refer patients to appropriate Ryan Health departments and community or social agencies as needed.
- Process telephone encounters, review practitioner schedules, mark no-show appointments, verify contact information for certified mail, and consult authorized staff when schedules must be overridden.
- Capture patient photos using appropriate equipment when authorized by the patient.
- Review billing and global alerts before processing patients, report problems or unusual occurrences to a supervisor, attend assigned training, and perform other assigned duties or projects.
- When assigned, serve as a greeter.
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What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
