Patient Services Representative-Eye

Carle Health • Champaign, IL

7d

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 uses the telephone system to take and deliver messages to physicians, nurses, and others; accurately, completely, and promptly reports medical information received from patients and referring physicians; and distributes messages according to practice communication standards. The role also manages incoming patient-care requests involving in-basket activities, referrals, work queues, and telephone calls. It requires proficiency with insurance coverage rules, eligibility, network coverage, and benefits, as well as the ability to initiate and secure prior authorizations when needed. Successful completion of mandatory insurance training and ongoing competency refreshers is required.

Requirements

• Associate’s degree in a related field, or work experience in lieu of education.
• Basic computer skills.
• Proficiency with insurance coverage rules, 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, account setup, and phone calls.
• Use the telephone system and take and deliver messages to physicians, nurses, and others.
• Report medical information obtained from patients and referring physicians accurately, completely, and in a timely manner.
• 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 queues, and incoming telephone calls.
• Apply insurance coverage rules for eligibility, network coverage, and benefits.
• Initiate and secure prior authorizations as needed.
• Complete mandatory insurance training and ongoing competency refreshers.

Benefits

• Comprehensive benefits package for team members and providers.

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: Associate degree