SCOPE OF POSITION
The Patient Service Representative is responsible for answering all incoming calls and routing to appropriate individual. The Representative shall schedule patient appointments and maintain proper scheduling information for individual physicians. The Representative is responsible for data retrieval of patient information from computer data base for daily appointments and telephone calls. This could include making charts, filing of charts and medical records, copying chart forms, pulling charts with reports for the physicians to sign off on, purging charts and pulling charts for audit purposes. The Representative is also responsible to update any data for established patients. The Representative will receive payments and code encounter forms with proper payment distribution, CPT & ICD-9 codes. The Representative will greet patients, ascertain nature of business, and direct patient or visitor to the appropriate person. This individual shall receive and register patients in a courteous and friendly manner. The Representative is responsible for verification of insurance plan to ascertain provider participation and co pay requirement. The Representative shall require copying of insurance cards and medical records as appropriate. Additionally, this individual shall handle fatal error reports and refilling of insurance claims. The Representative shall perform precertification and referral functions as required by individual insurance plans. The Representative is responsible for the comprehensive and compassionate collection of all financial and clinical information necessary to effectively register a patient for services at the practice location which includes financial screening and counseling, collecting co pays, data entry of office visit charges and also collection of unpaid balances. The Representative will reconcile daily charge sheets, as well as to count cash drawers daily, prepare bank deposits of individual entries on a daily basis, balance credit cards daily, responsible for daily closing procedure of his/her entries and ensuring proper account balance, secure all cash at the end of the day and prepare for night deposits. The Representative will check for missing tickets at the end of the day. The Representative is responsible for additional duties as assigned.
See Table of Organization.
Data entry and computer skills essential. Knowledge of CPT and ICD-9 codes and billing beneficial. Attendance in both CPT/ICD-9 classes mandatory in first six months of employment. Some experience with the Medic System is preferred (may also require some experience with Systoc and SMS). This individual is entrusted with confidential medical and financial information. Team member will have access to checks and cash submitted to the medical practice. Must be able to communicate effectively with office staff, nurses and physicians. Must have knowledge of current software or willingness to learn. Must be able to attend seminars related to job and share the information and knowledge to co-workers and appropriate medical clinics. Must be able to interact closely with the public.
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