Patient Services Representative

Cornerstone Family Healthcare•Binghamton, NY

20h•Onsite

About The Position

Cornerstone Family Healthcare is actively recruiting for a Patient Services Representative to join our growing team in Binghamton. This is a full-time position with a rate of pay of $20.00 per hour, plus the opportunity for a quarterly incentive of up to $1,000 per quarter. The role involves demonstrating excellent customer service skills, participating in the patient registration process, working as part of a Care Team, and maintaining knowledge of the Sliding Fee Scale. The position also requires providing cross coverage in other departments as assigned and maintaining confidentiality.

Requirements

High School Diploma
At least one year of clerical experience
Knowledge of data entry
Pleasant telephone manner and ability to work under pressure
Must be willing and able to travel for training and coverage purposes.

Nice To Haves

Is knowledgeable about different types of insurance and their general rules (i.e. PPO/HMO and PCP/referral rules).

Responsibilities

Greets all patients promptly upon entering the patient waiting area, responds promptly and appropriately to their request.
Uses appropriate phone etiquette, treating all callers with courtesy and respect. Is attentive to all callers placed on hold and diligently monitors time spent on hold.
Monitors the patient waiting area and ensures that it is kept clean and orderly.
Notifies the practice manager or Administrator on Duty of patients in the waiting room with an extended wait time.
Schedules appointments, changes appointments and cancels appointments as needed.
Verifies scheduled appointments when a patient presents as an appointment/walk in to ensure that they still want/need other scheduled appointments.
Verifies patient information at each visit and makes necessary updates in the practice management system.
Ensures that required documentation is collected for each patient; photo identification, insurance information, birth certificate (pediatrics), etc.
Scans registration documents, patient identification, insurance card and other required documentation to the practice management system.
Verifies insurance eligibility and PCP for each patient at every visit and accurately enters into the practice management system.
Collects copayments and visit payments at the time of registration.
Makes appropriate referrals to the Patient Billing Coordinator for patients who cannot pay their copayment.
Alerting the Care Team of any potential barriers (anticipated insurance, financial issues, etc.) that may cause delays or difficulties during the day.
Participates in Quality Improvement activities with the Care Team or department.
Follows up on referrals for assigned provider, tracking consultation notes until they are received, documenting appropriate follow up in EMR and calling patients/specialists when necessary.
Completes referrals in EMR when consultation notes have been received.
Completes referral reporting on a monthly basis and submits to the Referrals Supervisor.
Provides patients with information regarding specialty referrals and assists with making appointments as needed.
Monitors provider schedule on a daily basis, ensuring that all visits have been completed or marked as a DNKA at the end of the day.
Completes all DNKA follow up with the patient and documents appropriately in EMR.
Confirms appointments for the following day’s appointments.
Administers the requisite amount of Patient Satisfaction Surveys.
Is knowledgeable about the SFS policies and required documentation.
Offers sliding fee scale to patients with no insurance.
Follows CORNERSTONE policies and procedures to qualify patients for the SFS as necessary.
Provides cross coverage in other departments as assigned.
Maintains confidentiality of all aspects of the center including, but not limited to, patient confidentiality, financials, and employee relations.
Attends and participates in monthly department, All Staff and other required meetings.
Perform other related duties as assigned.