About The Position

Patient Services Representative responsibilities include a wide range of duties aimed at facilitating patient access to healthcare services. These responsibilities generally involve patient registration, appointment scheduling, insurance verification, and providing information and support to patients. Patient Services Representatives are often the first point of contact for patients, greeting them, collecting necessary information, and guiding them through the initial stages of their healthcare experience.

Requirements

  • High School Diploma or GED required.
  • Knowledge of computers and other standard office equipment required.
  • American Heart Association, Basic Life Support certification required.

Nice To Haves

  • Six months of office and/or call center, customer service or healthcare experience preferred.
  • Proficiency in data entry preferred.
  • Graduate of an accredited medical receptionist or similar program, or two years in a health care setting is preferred.

Responsibilities

  • Creating a welcoming and efficient environment for patients, addressing their needs, and providing support throughout the initial stages of their healthcare journey.
  • Collect accurate demographic information (e.g., name, address, phone number, date of birth, insurance information) and enter it into the system.
  • Update existing patient records with any changes.
  • Obtains applicable consents and any required form(s) from patient.
  • Verify patients' insurance coverage by contacting insurance providers or EHR Real Time Eligibility, or using online verification systems and ensuring the correct coverage is on the patient’s account.
  • Ensure necessary pre-authorizations or referrals for services are obtained.
  • Explain insurance benefits and financial responsibilities to patients.
  • Provide exceptional customer service by answering phones promptly and professionally, addressing concerns, and providing information.
  • Adhere to all HIPAA regulations and maintain patient confidentiality.
  • Collect co-pays, deductibles, co-insurance, and balance payments in accordance with hospital policy.
  • Assures hospital compliance with all regulatory agency requirements.
  • Maintains work queues to ensure efficient claims processing, patient satisfaction, and organizational financial health.
  • Assists patients with navigating and using the online patient portal.
  • Be flexible and adaptive as work assignments and area may shift based on business needs and priorities.

Benefits

  • benefits
  • opportunities for growth

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What This Job Offers

Job Type

Full-time

Career Level

Entry Level

Education Level

High school or GED

Number of Employees

251-500 employees

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