Patient Services Representative-Mont

Carle Health•Monticello, IL
•$18 - $29

About The Position

The Patient Services Representative 1 coordinates and participates in daily clinic preparation and front-office processes. The role supports patient identification, check-in and check-out, registration and account setup, charge posting, cash management, appointment scheduling, and phone communications. The representative conveys a positive image and provides information to help ensure patients’ needs are met. The position also manages incoming patient-care requests, including in-basket activities, referrals, work queue items, and telephone calls. The representative handles messages according to practice communication standards, accurately and promptly reports medical information obtained from patients and referring physicians, and initiates and secures prior authorizations as needed. The role requires proficiency with insurance eligibility, network coverage, and benefits rules, including completing mandatory insurance training and ongoing competency refreshers.

Requirements

  • Basic computer skills.
  • Experience with general office equipment.
  • Proficiency with insurance coverage rules, including eligibility, network coverage, and benefits.
  • Successful completion of mandatory insurance training and ongoing competency refreshers.

Responsibilities

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

Benefits

  • Comprehensive benefits package for team members and providers.
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