Patient Services Representative

Overview

Duration: 3+ Months conract

Job Description:

• Shift/
  
  Schedule:
  
  Monday - Thursday (8a-4p), Fridays (8a-2:30p)

• Patient Registration:
  At registration, enters complete accurate patient demographic and insurance information in system. Greet patient, verify and correct any demographics and insurance information, copy insurance card and ensure copy is added to patient medical record.
• Communicate any changes in demographic and insurance information to the appropriate areas. Obtain updated patient registrations signature with date and ensure that the form is added to patient record. Collects and enters co-pay.
• Patient Check Out:
  At check out, verify patient charges in electronic system, recheck insurance information, schedule return appointments if appropriate and collect balances due. Run appropriate daily close reports, reconciling all cash, checks and credit card charges received for each business day. Verify charges in charge audit work queue and correct errors before releasing charges. Complete individual and/or practice reconciliation report including bank deposit slip.
• Scheduling:
  When scheduling appointment, enter necessary patient demographics if new patient; verifies information if established patient. Chooses appointment time based on patient request physician/provider availability and urgency of appointment.
• General Clerical Duties:
  File. Make Copies. Answer the telephone, provide accurate follow up, take and communicate messages. EPIC and Charge Entry Audit:
  Responsible for resolving Work Queues in Epic including, but not limited to:
  Follow Up;
  Claim Edit;
  Charge Review (Audit and Review);
  Missing Guarantor.
• Research and analyze denials, correct errors to ensure charges captured and processed and goal for site errors is met or exceeded. Respond to patients and staff for billing and insurance questions. Resolve work queue errors & denials through research and analysis by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work closely with practice coder in resolution process.
  
  Respond to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary.
• Teamwork and Communication:
  Work within a team to achieve patient and team goals. Share and initiate regular and professional communication with co-workers. Participate in regular staff meetings. Works with team to identify opportunities of improvement and actively participates in the improvement process.
• Human
  
  Experience:
  
  Show courage through creating and sharing innovative ideas to improve the experience for both patients and peers. Round on patients to create meaningful connections and keep patients informed of visit details (delays/wait times). Model the experience principles through consistently engaging in Always Event behaviors and viewing feedback through the patient lens.
• Recognize and value the unique differences and similarities in both our team members and patients to create an inclusive environment where diversity is celebrated. Explain all processes to patients in plain language and utilize teach back to ensure understanding. Know and model the mission, vision and values, and how they relate to role-specific responsibilities. Model our people credo through a passion to care for each other, our patients and our communities.

• High School Diploma/GED
• 1+ years of pre-authorization experience in a medical office setting
• Knowledge of medical office software for the following: updating patient demographic information, posting charges, copays, and scheduling patient appointments.

• EPIC
• Prior-Authorization or pre-authorization

• High School Diploma/GED

US Tech Solutions is a global staff augmentation firm providing a wide range of talent on-demand and total workforce solutions. To know more about US Tech Solutions, please visit

US Tech Solutions is an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, colour, religion, sex, sexual orientation, gender identity, national origin, disability, or status as a protected veteran.