Practice Service Representative

Chesapeake Regional Healthcare•Chesapeake, VA

About The Position

The Practice Service Representative performs clerical and administrative duties for the office manager, clinical services manager, or physicians. The role supports front-office operations by handling phone calls and messages, scheduling appointments and procedures, maintaining patient charts and records, entering data, processing insurance claims, following up on patient accounts, and preparing monthly reports. The position requires maintaining patient confidentiality and providing courteous service to patients and staff. The representative is expected to carry out the duties listed and other related duties as directed or assigned. The position must also complete and sign off on assigned yearly competencies and provide continuous feedback.

Requirements

  • High school diploma or GED, or five or more years of medical office experience.
  • One year of experience as an administrative assistant, or experience in a medical office, customer service, or medical billing.
  • Knowledge of clinic policies and procedures, medical terminology, and insurance practices.
  • Knowledge of computer programs and applications, grammar, spelling, punctuation, and basic arithmetic.
  • Knowledge of CPT and ICD-10 coding.
  • Skill in operating office equipment and handling paperwork and filing.
  • Skill in handling and appropriately triaging incoming phone calls.
  • Written and verbal communication skills.
  • Ability to gather, interpret, and report insurance information and troubleshoot and resolve insurance claim issues.
  • Ability to type 60 words per minute using word-processing software.
  • Ability to learn and use other computer programs, including Microsoft Excel, email, the Internet, and Microsoft PowerPoint.
  • Ability to work effectively with physicians and other staff as a team member.
  • Ability to sort and file materials using alphabetical or numeric systems.
  • Ability to interpret and understand insurance benefits and reimbursement.
  • Ability to respond flexibly to changing demands, organize and prioritize tasks, communicate clearly, and work with little supervision.
  • Ability to establish and maintain effective working relationships with patients, employees, and the public.
  • Ability to perform each essential duty satisfactorily; reasonable accommodations may be made for individuals with disabilities.

Responsibilities

  • Answer and screen telephone calls courteously and record messages for physicians and other personnel.
  • Schedule patient appointments and procedures according to established policies and procedures.
  • Obtain accurate patient information and ensure registration forms are complete.
  • Collect patient and insurance payments, reconcile daily charges, verify account balances, collect copays, and confirm refunds for accuracy.
  • Provide patients with information about unpaid balances.
  • File records in appropriate sections of patient charts and keep charts in proper order.
  • Prepare patient charts in advance and file charts when complete.
  • Copy patient information and forward it to requesting parties after obtaining appropriate consent to release medical records.
  • Maintain files and records confidentially and protect patient confidentiality.
  • Maintain organization and efficiency of the front office.
  • Perform other related duties as directed or assigned.
  • Sign off on assigned yearly competencies and provide continuous feedback.
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