Patient Services Representative - Buerger Center (per-diem)

Children's Hospital of Philadelphia•Worcester, MA
•$21 - $26•Onsite

About The Position

The Patient Services Representative greets patients and families, collects and enters demographic and insurance information, collects payments for services, and reconciles daily services. The role supports timely and efficient patient services through appointment scheduling, phone support, and obtaining insurance referrals and authorizations in accordance with insurance guidelines. Duties may also include medical-records work, HIPAA compliance, and other administrative support and projects. The position is based at CHOP Buerger Center Ambulatory Care in Philadelphia. This is a per-diem role requiring at least 16 hours per month (two Saturdays), with the option to work up to 32 hours per month (four Saturdays). Saturday shifts are either 6:30 AM–3:00 PM or 7:00 AM–3:30 PM. The role may include shift rotation where 24/7 coverage is needed.

Requirements

  • High school diploma or GED.
  • Good verbal and written communication skills.
  • Good interpersonal skills.
  • Ability to maintain confidentiality and professionalism.
  • Employees working in patient-care buildings or with patient-facing responsibilities must receive an annual influenza vaccine.

Nice To Haves

  • At least one year of patient services representative experience in a role involving health care, registration, physician billing, medical records, medical office work, or related customer service.

Responsibilities

  • Provide welcoming, prompt, and respectful customer service; schedule appointments, inform families of delays, address complaints, and escalate concerns as necessary.
  • 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, communicate courteously, and check voicemails.
  • Screen and prioritize calls using the high-priority list and critical thinking; route calls for nurse triage or appropriate queues, triage and document CHOP home-care calls, and contact or distribute calls to on-call providers as appropriate.
  • Seek 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 raise 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.
  • Round periodically to inform patients of delays.
  • Complete necessary billing work queues, EPIC pools, and other reports.
  • Rotate shifts where required for 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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