Patient Representative Jobs

About The Position

Requirements

• High school diploma or equivalent education.
• Five years of experience, including three years in a related healthcare role.
• Demonstrated skills and competencies necessary to safely perform the assigned job, as established through ongoing assessments and performance evaluations.
• English speaking, reading, and writing proficiency sufficient to perform essential job functions, particularly those affecting patient or employee safety or security.
• Ability to communicate effectively with patients, physicians, family members, and coworkers using a customer-service focus and positive language.
• Strong customer service, telephone, and scheduling skills.
• Basic computer skills in word processing applications and ability to use software systems such as an electronic medical record.
• Knowledge of basic medical terminology.
• Ability to analyze and solve problems.
• Working knowledge of revenue cycle components and insurance requirements for reimbursement.

Responsibilities

• Perform patient check-in and check-out functions.
• Schedule appointments and carry out complex scheduling or clinic-related protocols.
• Obtain and enter accurate scheduling and registration data to initiate financial clearance activities as needed.
• Coordinate patient flow consistently and promptly, meeting priority standards and notifying appropriate parties of issues that may cause delays or denials.
• Handle add-ons, reschedules, and cancellations according to department protocol.
• Serve as a role model and mentor to less experienced staff and act as a next-level resource for problem resolution.
• Communicate and collaborate with the interprofessional health care team, patients, physicians, guests, employees, and other care team members.
• Respond promptly to requests and respond appropriately to urgent or emergent situations according to protocols.
• Generate reports, assist with department correspondence, and provide other administrative assistance as directed.
• Serve as a liaison among patients, medical staff, and third parties to resolve patient access and service matters, maintaining communication about actions and resolutions.
• Enter patient and operational data accurately and promptly into database systems, while protecting confidentiality and complying with HIPAA.
• Assist clinical staff as permitted by the scope of the treatment center.
• Accurately perform assigned front-end revenue cycle functions, which may include charge entry, registration, scheduling, insurance verification or coordination, and obtaining authorizations or referrals.
• Educate patients and others about billing processes and potential financial responsibilities as needed.
• Organize work effectively, set priorities, minimize incidental overtime, use time and department resources efficiently, and help other team members.
• Participate in inventory management and help maintain adequate supply levels.
• Suggest process improvements to support efficient patient flow and improve quality or service, and pursue continued learning and development.