Outpatient Service Rep - Per Diem

Overview

Under the general supervision of, but according to established policies and procedures, the incumbent performs various administrative duties to expedite each patient's visit for clinical care. These duties include preparation of patient records; registration and pre‑registration activities; problem resolution; appointment scheduling; and co‑payment preparation and collection. In addition, ancillary duties include tracking and status of follow‑up care as it pertains to specific diagnostic coding, billing/payment resolution, and generation of system reports, which reflect scheduling activities.

Brown University Health employees are expected to role‑model the organization's values of Compassion, Accountability, Respect, and Excellence as these guide our everyday actions with patients, customers, and one another. All employees are expected to demonstrate the core Success Factors:
Instill Trust and Value Differences, Patient and Community Focus, and Collaborate.

• Schedules patients using the hospital's scheduling system, establishing appointment type, specific provider clinic, and appointment time.
• Schedules follow‑up appointments using the online scheduling system.
• Schedules appointments for patients who need lab work, diagnostic imaging, or referral to other medical providers.
• Refers technical/clinical inquiries to appropriate personnel.
• Utilizes the online billing system to enter diagnosis/service codes from encounter sheets, accurately entering the appropriate code.
• Completes pre‑registration and registration process using the online billing system.
• Verifies demographic data, insurance authorization information, co‑pays, and physician details.
• Collects co‑payments and provides patients with receipts.
• Produces registration cards using the online system and card embosser.
• Photocopies front and back of insurance card.
• Confirms patient eligibility with insurance carriers and obtains visit authorizations as necessary.
• Provides mature, quality customer service to patients, families, and representatives.
• Mails informational material to new patients in advance of scheduled appointments.
• Contacts agencies outside the hospital to obtain pertinent patient information and coordinate clinic/treatment programs.
• Contacts third‑party payors to obtain required pre‑authorizations in accordance with established policies.
• Acts as an outpatient center receptionist.
• Makes telephone calls to patients as appointment reminders.
• Answers incoming calls, returns phone calls to patients, physician offices, and other medical providers such as laboratory and radiology facilities.
• Greets arriving patients and verifies pertinent information and physician using the online billing system.
• Orients patients to the specific outpatient center as a hospital‑based service.
• Interacts effectively with patients and their family members.
• Handles coding/billing within parameters as outlined in department guidelines.
• Enters diagnosis codes/service codes from encounter sheets, verifying appropriateness before entering in the billing system.
• Interacts with patients and Patient Financial Services to resolve billing issues, including denials.
• Appropriately refers patients to patient advocate for financial counseling.
• Obtains and organizes medical records for use by physicians and nurses.
• Ensures patient's file is complete prior to treatment/clinic visit including appropriate records, lab test results, and x‑rays.
• Prints reports using both the online scheduling and billing systems.
• Performs all duties in accordance with RIH's mission, the defined role of ambulatory care, and administrative/clerical rules, procedures and policies.
• May respond to telephone calls/inquiries by rotating into a centralized setting (call room).

• High School Diploma or equivalent.
• Demonstrated knowledge of PC skills using the Windows operating system environment and accompanying software packages.
• Knowledge of medical billing routines for physician office practice.
• Knowledge of medical terminology, diagnosis codes, and procedure codes.
• Courteous telephone technique and good customer service skills.
• Minimum six months experience coding and billing using an online billing system.

Walking, sitting, standing throughout the day in clinic setting.

$21.26–$21.81

Brown University Health is committed to providing equal employment opportunities and maintaining a work environment free from all forms of unlawful discrimination and harassment.

593 Eddy Street – Hasbro – N/A, Providence, Rhode Island 02903

Varies according to coverage needs; only day hours Monday through Friday.

Day

No

International Brotherhood Teamsters