Patient Services Representative - King of Prussia Hospital
About The Position
The Patient Services Representative provides welcoming and efficient administrative support to patients and families at Children’s Hospital of Philadelphia’s King of Prussia Hospital. The role includes greeting patients and families; collecting and entering demographic and insurance information; collecting payments and reconciling daily services; scheduling appointments; answering phones; and obtaining insurance referrals and authorizations as needed. The representative may also work with medical records and must follow HIPAA regulations. This is a part-time position with a three-day work week, with shifts from 1:30 p.m. to 8:30 p.m., and two weekend shifts per pay period from 9:30 a.m. to 8:30 p.m. Travel is required. Employees in areas requiring 24/7 coverage may need to rotate shifts. The role may include ED/admissions-specific assignments.
Requirements
- High school diploma or GED.
- Good verbal and written communication skills.
- Good interpersonal skills.
- Ability to maintain confidentiality and professionalism.
- Receive an annual influenza vaccine as a condition of employment if working in patient-care buildings or in a patient-facing role.
Nice To Haves
- At least one year of patient services representative experience in healthcare, registration, physician billing, medical records, medical office work, or related customer service.
Responsibilities
- Provide welcoming, prompt, and respectful customer service, including scheduling appointments, informing families of delays, addressing complaints, and escalating concerns as appropriate.
- Perform EPIC check-in and check-out functions; enter demographic and insurance information accurately; and run daily eligibility verifications.
- Reconcile daily services, collect and process payments and reimbursements, and create or obtain required insurance referrals and authorizations.
- Answer calls promptly, verify and document contact information and messages, provide appropriate information, and check voicemails.
- Screen and prioritize calls using the high-priority list and critical-thinking skills, directing calls to nurses or appropriate queues; triage and document CHOP home care calls.
- Contact on-call providers for callers requesting to speak with them and help distribute calls to on-call providers when volume or staffing warrants.
- Use available resources to support safe, high-quality telephone triage and customer service.
- Communicate shift updates, including changes in on-call providers and office sign-outs, and share concerns and improvement ideas with the Nursing Supervisor or Manager.
- Sort and deliver mail, faxes, medical records, and correspondence; photocopy and fax documents.
- Participate in team huddles and meetings.
- Maintain patient records, provider templates, and daily schedules while following HIPAA guidelines.
- Periodically round to inform patients of delays.
- Complete necessary billing work queues, EPIC pools, and other reports.
- Rotate shifts when required in areas needing 24/7 coverage.
- Complete assigned ED/admissions tasks, which may include SART paperwork processing, Nurse Call communications, Trauma B-line, and arrivals.
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What This Job Offers
Job Type
Part-time
Career Level
Entry Level
Education Level
High school or GED
