Patient Services Representative

Prism Vision GroupReston, VA
$18 - $32Onsite

About The Position

The Patient Service Representative (PSR) is responsible for providing the full scope of inbound and outbound patient interactions and functions via telephone, internet, or in-person. This role also involves patient scheduling and logistics, executing daily workflows such as cancellations and missed visit management, and claim scrubbing and missing slip completion for revenue cycle management.

Requirements

  • High School Graduate or General Education Degree (GED)
  • Excellent verbal and written communications skills in English.
  • Must possess excellent, critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.
  • Mathematical and cash management skills.
  • Excellent interpersonal skills and ability to work effectively with physicians, co-workers, other departments and patients of all ages, and from across a broad range of cultural and social economic backgrounds.
  • Ability to work as an integral team member under minimal supervision, in a fast-paced, complex environment.
  • Ability to show tolerance and sensitivity in stressful situations and safeguard confidential information in accordance with established policies and HIPAA regulations.
  • Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systems.
  • Proficient with Microsoft Office Suite

Nice To Haves

  • 2+ Years experience in a patient facing healthcare function or other customer service function preferred.
  • Bi-Lingual a plus.

Responsibilities

  • Schedule and accurately complete full registration for patients requesting appointments while adhering to policies and procedures regarding appointment scheduling and registration processes.
  • Initiate pre-registration process and ensure all demographic insurance information is accurate, complete and up to date on patient’s chart.
  • Verification of insurance information, verification of benefits and insurance referral information.
  • Obtain legal photo identification and (if applicable) insurance card(s) and validate patient identity and coverage prior to services being rendered.
  • Adhere to HIPAA standards related to patient privacy and confidentiality.
  • Assure ease of patient flow through the clinical care process.
  • Provide patients with all required information regarding appointments and payment policies.
  • Provide upfront financial counseling services at time of check-in including identifying alternate funding resources and establishing payment plans.
  • Advise patients of financial obligations and collect funds according to established guidelines.
  • Act as a liaison/advocate for patients, physicians, and staff in facilitating ease of care and identify and resolve trouble spots and problem patterns in the provision of care.
  • Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.
  • Train other patient services representatives and provide excellent customer service skills.
  • Comply with company policies and standards.
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