Sr. Patient Services Representative

Prism Vision Group•Westfield, NJ

5d•$19 - $39

About The Position

The Senior Patient Services Representative schedules and registers patients for appointments, using scheduling systems to search across multiple physicians and resources. The role applies knowledge of insurance requirements to schedule patients with the appropriate provider within a convenient time frame. The representative supports accurate patient registration and insurance verification, patient flow through clinical care, appointment and payment communications, upfront financial counseling, and collection of patient payments. The role also acts as a liaison among patients, physicians, and staff, helps identify and resolve problems affecting care, communicates appointment and authorization requirements to appropriate parties, and trains other patient services representatives. This is a full-time, non-exempt position with hours of 7:30 a.m. to 5 p.m., Monday through Friday. Travel between offices is required based on office and location needs. The practice is The Eye Care & Surgery Center, a PRISM Vision Group Partner Practice, in Westfield, New Jersey. Compensation is $18.99–$39.45 per hour, based on experience and qualifications.

Requirements

High school diploma or GED.
At least 5 years of experience in a healthcare setting.
Working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate the type and urgency of medical needs.
Knowledge of insurance referral requirements and third-party reimbursement criteria.
Excellent verbal and written communication skills in English.
Excellent critical-thinking, analytical, troubleshooting, problem-resolution, and customer-service skills.
Excellent mathematical and cash-management skills.
Excellent interpersonal skills and ability to work effectively with physicians, coworkers, other departments, and patients of varied ages and cultural and socioeconomic backgrounds.
Ability to work as an integral team member under minimal supervision in a fast-paced, complex, and highly stressful environment.
Computer literacy and ability to use multiple systems and gain proficiency in multiple electronic systems.
Proficiency with Microsoft products.
Must become proficient with Athena PMS and the practice-based EMR within four weeks of hire.

Nice To Haves

Bachelor’s degree in a relevant discipline.
Bilingual ability in English and Spanish, Polish, French, or Arabic.
Knowledge of medical terminology.

Responsibilities

Schedule patients and accurately complete their registrations in accordance with scheduling and registration policies and procedures.
Initiate pre-registration and ensure patients’ demographic and insurance information is accurate, complete, and up to date.
Verify insurance information, benefits, and referral information.
Verify private patient insurance for same-day appointments or when requested.
Obtain legal photo identification and, when applicable, insurance cards; validate patient identity and coverage before services are rendered.
Adhere to HIPAA standards for patient privacy and confidentiality.
Help ensure ease of patient flow through the clinical care process.
Provide patients with required appointment and payment information, including information about medical records, parking, cash policies, anticipated charges, and cancellation policies.
Provide upfront financial counseling at check-in, including identifying alternative funding resources and establishing payment plans.
Advise patients of their financial obligations and collect payments according to established guidelines.
Act as a liaison and advocate for patients, physicians, and staff to facilitate care.
Identify and resolve trouble spots and recurring problems in the provision of care.
Notify appropriate parties of appointment times, referral criteria, insurance verification, and prior authorization requirements.
Train other patient services representatives and provide excellent customer service.
Comply with company compliance policies and standards.