Patient Service Representative-Medical

Job Summary

Performs daily functions related to providing care to patients of the community; actively and consistently contributes to department operations and communication; behaves in a manner consistent with mission of OCHC and performs other duties as requested.

• High School diploma or equivalent required
• Clerical experience preferred
• Must pass annual competencies

• Health care experience preferred

• Performs daily functions relating to Clinic Operations.
• Handles telephone routing to appropriate person including answering inquiries relating to services, simple insurance inquiries, open tasks that can be answered, closing task when finished, and screen emergencies per OCHC protocol.
• Answers telephone promptly and courteously.
• Schedules appointments per appropriate guidelines set forth by Provider/Clinic Manager and requests medical records when needed.
• Dismisses the patient and makes arrangements for return appointments and assists them with any questions or problems they have prior to leaving the clinic.
• Requests payment of deductibles, co-insurances, and non-participating third party payor at time of service for current visit and outstanding bills.
• Posts payments with correct amount, correct mnemonics, and in correct account.
• Assures that all necessary forms are current in patient registration. (Consent, Hipaa, Portal, Household Income, Sliding Fee) and scanned into EMR.
• Responsible for updating patient photo, patient demographics, insurance, as well as getting copy of insurance cards for EMR and updating care team.
• Daily balances cash received to cash drawer, checks for reoccurring payment, fills out closing drawer form properly and closes cash drawer with minimal mistakes.
• Accurately inputs information for work comp and MVA and other special accounts (i.e., prisoners/disabilities).
• Attends patients on schedule in a timely fashion.
• Enters tasks correctly, checks to make sure there is only one task open for that patient, getting all relevant information, and routes to correct staff member.
• Participates in QI activities as needed. Including promoting Patient Portal and assisting with Patient Summaries.
• In downtime makes new patient packets, makes copies of any forms needed, completes all tasks directed to front office, and enters portal denials or duties assigned.
• Public notary – DPOA/BH admits and anything else as needed.
• When opens and/or closes office ensures all steps per protocol are completed.
• Asks for patient signatures and proof of  picking up samples, prescription, or kind of records/reports.
• Copy and mails medical records according to OCHC protocol and policies.
• Processes requests for medical records from external customers and patients in a timely manner to include copying, uploading, or CD and mailing records according to request in a timely manner.
• Properly gets payment of record processing in accordance to policy to CFO in a timely manner.
• Possess skills and knowledge to properly interpret patient authorizations, subpoenas and diverse requests.