Sr. Patient Services Representative

Overview

 

Position Title: Sr. Patient Services Representative Employment Type: Full-Time, Non-Exempt

Hours: 7:30am-5pm (Monday-Friday)Practice: The Eye Care & Surgery Center, a PRISM Vision Group Partner PracticeLocation: Wesfield, New Jersey

Travel: Required between offices dependent on office/location needsCompensation: $18.99 - $39.45 per hour, based on experience and qualifications

 

Position Summary:

 

The Senior Patient Services Representative is responsible for scheduling and registering patients for appointments. Success in this position requires the ability to utilize the scheduling system to search for appointments across multiple physicians, resources, while utilizing understanding of insurance requirements to ensure patients are scheduled with the appropriate provider within a convenient time frame. 

 

Responsibilities

ROLE AND RESPONSIBILITIES

• Schedule and accurately complete full registration for patients requesting appointments adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately with attention to detail to ensure the highest quality standards. 
• Initiate pre-registration process and ensure all demographic insurance information is accurate, complete and up to date on patient’s screen.
• Verification of insurance information, verification of benefits and insurance referral information.
• Verification of private patient insurance information for same day appointments or by request.
• Obtain legal photo identification and (if applicable) insurance card (s), and validate patient identity and coverage (if applicable) prior to services being rendered thereby ensuring patient safety and financial reimbursement.
• Adhere to HIPPA standards related to patient privacy and confidentiality.
• Assure ease of patient flow through clinical care process.
• Provide patients with all required information regarding appointments and payment policies (e.g. medical records, parking, cash policies, anticipated charges, cancellation policy).
• Provide upfront financial counseling services at time of check-in including identifying alternate funding resources and establishing payment plans.
• Advise patients of financial obligations and collect according to established guidelines
• Act as a liaison/advocate for patients, physicians, and staff in facilitating ease of care.  Identify and resolve trouble spots and problem patterns in the provision of care.
• Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements. 
• Train other patient services representatives and provide excellent customer service skills.
• Comply with company compliance policies and standards

Qualifications

POSITION QUALIFICATIONS

 

Education: High School Graduate or General Education Degree (GED). Bachelor’s degree in relevant discipline highly preferred.

 

Certificates & Licenses

None required

 

Experience: 5+ years of experience in a healthcare setting required.

 

KNOWLEDGE/SKILLS/ABILITIES

• Working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
• Knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.
• Excellent verbal and written communications skills in English. Bi-Lingual (English/Spanish, English/Polish, English/French, English/Arabic) a plus.
• Must possess excellent, critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.
• Excellent mathematical and cash management skills.
• Excellent interpersonal skills and ability to work effectively with physicians, co-workers, other departments and patients of all ages, and from across a broad range of cultural and social economic backgrounds.
• Knowledge of medical terminology preferred.
• Ability to work as an integral team member under minimal supervision, in a fast-paced, complex and highly stressful environment.
• Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systems

Computer Skills

• Facile with Microsoft Products
• Within 4 weeks of hire must be facile with Athena PMS and practice based EMR

WORK ENVIRONMENT

An office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.