Patient Services Representative

HORIZON EYE CARE • Mooresville, NC

8d • Onsite

About The Position

Greets patients and ensures a complete and accurate check-in and check-out process for patients. Obtains all data elements necessary to process patients claim for insurance benefits and for accurately billing patient for any co-payments, deductibles and non-covered services.

Requirements

• High school diploma or equivalent.
• Two (2) years of customer service experience, preferably in a medical/ophthalmic environment.
• Basic database skills, preferably in an electronic medical system.
• Knowledge of insurance company processes and ability to read an Explanation of Benefits form.
• Ability to work independently.
• Ability to clearly communicate, both in writing and verbally.
• Excellent interpersonal skills with a variety of personality types.
• Ability to multi-task.
• Ability to problem solve.
• Organizational skills.

Responsibilities

• Acknowledges patient upon their arrival and greets them in a friendly, professional manner.
• Obtains or updates patients demographic information and copies insurance cards at every visit.
• Correctly enters all required data elements into the physician practice management system.
• Answers patient and family member questions as needed and appropriate.
• Follows appropriate workflow processes for check in and check out.
• Pulls routine eye plans and obtains authorizations (VSP, EyeMed, Community Eye Care).
• Verifies and reviews eligibility in NextGen and all payer sites as necessary.
• Files Charges in NextGen and routine vision system (VSP).
• Accurately calculates patient charges and collects required co-payments for services rendered.
• Monitors missing charges in NextGen and work with clinical teams to get charges entered in a timely fashion.
• Prepares charts by performing pre-registration review; Prepare any charts where physician may travel to occasional location (ie. Washam); Prepare premature baby charts.
• Floats between Check-In and Check-Out in order to ensure that coverage corresponds to patient volume.
• Provides support to technical staff and physicians as required to ensure timely flow of patients through the system.
• If assigned bilingual responsibilities, monitors all Spanish NotifyMD web messages.
• Handles all Spanish calls and voicemails.
• Reviews and approves translated correspondence and patient forms.
• Serves as translator for Surgery Coordinators when needed.
• Scans correspondence received in mail or fax to Cotswold.
• Schedules patient appointments including triage patients.
• Schedules web appointments that have been requested by patients.
• Uses multiple practice management systems to extract information.
• Complies with petty cash policy daily.
• Prints physician schedules for clinical teams.
• Faxes referrals received to the referral department.
• Distributes faxes.
• Answers telephone in a timely manner in a customer friendly manner.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED