Patient Services Representative-Mattis Psych

Carle Health•Champaign, IL
•$18 - $29

About The Position

The Patient Services Representative 1 coordinates and participates in daily clinic preparation and patient service activities, including patient identification, check-in and check-out, charge posting, cash management, appointment scheduling, registration, account setup, and phone calls. The role conveys a positive image and provides information to help ensure patients’ needs are met. The representative manages patient care requests received through in-basket activities, referrals, work queues, and incoming telephone calls. They use the telephone system to take and deliver messages, report medical information accurately and promptly, and distribute messages according to practice communication standards. The role also requires knowledge of insurance eligibility, network coverage, benefits, and coverage rules, as well as the ability to initiate and secure prior authorizations when needed.

Requirements

  • Associate’s degree in a related field, or experience in lieu of education.
  • Competence with the telephone system.
  • Knowledge of insurance eligibility, network coverage, benefits, and coverage rules.
  • Successful completion of mandatory insurance training and ongoing competency refreshers.
  • Competence initiating and securing prior authorizations as needed.

Responsibilities

  • Coordinate and participate in daily clinic preparation, patient identification, check-in and check-out, charge posting, cash management, appointment scheduling, patient registration, account setup, and phone calls.
  • Use the telephone system competently and take and deliver messages to physicians, nurses, and others.
  • Report medical information obtained from patients and referring physicians accurately, completely, and promptly.
  • Distribute messages according to practice communication standards.
  • Conduct oneself responsibly and professionally as a role model.
  • Manage incoming patient care requests related to in-basket activities, referrals, work queue activity, and incoming telephone calls.
  • Apply insurance eligibility, network coverage, benefits, and coverage rules.
  • Complete mandatory insurance training and ongoing competency refreshers.
  • Initiate and secure prior authorizations as needed.

Benefits

  • Comprehensive benefits package for team members and providers.
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