Patient Services Representative II

Summary

The Patient Services Representative performs scheduling and registration, verifies eligibility and obtains authorization for ambulatory appointments, procedures, or surgery scheduling in support of the patients' care needs. He/She is responsible for completing the patient registration in a timely and accurate manner to minimize interruption to patients' care.

• Schedules and reschedules routine and non‑routine medical services for assigned patient population, coordinates scheduling and referrals to other healthcare providers and services, and confirms daily data entry of medical appointments, special instructions, patient information/jurisdiction, and pre/postoperative or procedure instructions.
• Performs scheduling and registration, verifies eligibility and obtains authorizations for ambulatory appointments, procedures, or surgery scheduling in support of the patients' care needs.
• Performs insurance verification, identifies when pre‑certification requirement exists for ambulatory appointment and obtains and documents pre‑certification / authorizations prior to appointment.
• Secures all demographic and financial information, including Medicare/Medicaid, Third Party Liability (TPL), and Workers Compensation; verifies and/or notifies insurance company; completes cash deposits (co‑pays, deductibles, self‑pay); explains and answers registration questions on demand.
• Obtains and verifies required pre‑certification / authorizations, when appropriate, for any scheduled outpatient procedure or surgery.
• Schedules procedure or surgery as patients' plan of care dictates and communicates closely with patient throughout care delivery process regarding insurance, co‑pays, deductibles, authorizations, procedure or surgery date, appointments, etc.
• Transcribes orders.
• Performs a variety of administrative duties including answering phones; faxing and filing confidential documents; and basic Internet and email utilization.
• Provides excellent customer service to all internal and external customers and works closely with the back office/medical assistant team and provider(s) to maximize the patients' care experience.

• High School diploma / GED equivalency (HS DIPLOMA/GED)

• High School diploma / GED equivalency
• 6 months required / 1 year preferred years of experience

Expert in schedules and rescheduling of all routine and non‑routine medical services for assigned patient population. Proficient in coordinating scheduling and referrals to other healthcare providers and services.