Patient Services Representative

Prism Vision Group•Pennington, NJ

6d•Onsite

About The Position

The Patient Service Representative (PSR) is responsible for providing the full scope of inbound and outbound patient interactions and functions whether by telephone, internet or in-person. This includes patient scheduling and logistics, executing daily workflows such as cancellation, missed visit and tickler-recall deployment, and executing revenue cycle claim scrubbing and missing slip completion. The role is located at Matossian Eye Associates, Pennington, NJ office, which is part of Prism Vision Group.

Requirements

Full registration for patients
Pre-registration process
Verification of insurance information, benefits, and referral information
Obtain legal photo identification and insurance card(s)
Validate patient identity and coverage
Adhere to HIPPA standards
Provide appointment and payment policy information
Provide financial counseling services
Advise patients of financial obligations and collect funds
Act as a liaison/advocate for patients, physicians, and staff
Notify appropriate parties of appointment details, referral criteria, insurance verification, and prior authorization requirements
Train other patient services representatives
Provide excellent customer service skills
Comply with company policies and standards

Responsibilities

Schedule and accurately complete full registration for patients requesting appointments while adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately and with attention to detail to ensure the highest quality standards.
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 to ensure patient safety and financial reimbursement.
Adhere to HIPPA 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 (e.g. medical records, parking, cash policies, anticipated charges, cancellation policy).
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.