PATIENT SERVICE REPRESENTATIVE

Description

JOB SUMMARY:  Working under the direction of the Business Office Director and the Reception Supervisor. Responsible for the timely and accurate entry of patient demographic and insurance information into the EPIC system. All other tasks that may be assigned to maintain thorough overall operation of the reception department.

DUTIES & RESPONSIBILITIES:  

1. Obtain cash bag from the Reception Supervisor’s office at beginning of shift. 
2. Count cash bag three times daily (beginning, mid-day      and end of shift) and verifies total by running an adding machine tape. Label the tape with cash bag letter,      user name, date and time.
3. Greet each and every patient at registration check in      using SDMG approved scripting for optimal patient service.
4. Complete full Check In of the patient utilizing the      Department Area Report (DAR) in the EPIC system. 

a. Verify all demographic information with patient, or patient’s representative. Accurately enter all applicable information and/or changes. 

b. Verify Guarantor information with patient, or patient’s representative. Accurately enter all applicable information and/or changes.

c. Verify insurance information with patient, or patient’s representative. Utilize Real Time Eligibility (RTE), review the RTE Results, and accurately enter all applicable information and/or changes. 

d. Obtain and scan patient’s photo ID and insurance cards, as necessary. 

e. Obtain patient’s electronic signature on all required documentation, as necessary. Makes sure patient receives any literature necessary for HIPAA.

f. Take co-pay and/or payment, as applicable, accurately enter the payment into EPIC and provide the patient with a receipt. 

1. Communicate with clinical staff as necessary. (Example:      non-par insurance, appointment requests, script pick up, etc.)
2. Responsible      for working the assigned Reception Area Work Queue every day to clear up      the previous day’s errors and communicating any error that remains      unresolved to the Reception Supervisor, or designee.
3. Perform      daily cash out utilizing Cash Drawer function in EPIC system to balance      all payments received and balance of the cash bag. Any discrepancies to be reported to the      Reception Supervisor, or designee, immediately.
4. Responsible for supplies and/or materials needed at      reception desk are ample. Keeping      the desk neat, organized and clean.
5. End of shift cash out in Reception Supervisor’s      office by logging the Cash Drawer totals to be validated by Supervisor, or      designee. 
6. Exhibit excellent communication, organizational and      customer service skills. Maintain a      professional appearance and display a positive attitude.
7. Attends any and all required training, seminars,      etc., including written exams and/or videos. (Example: OSHA, EPIC upgrades)
8. Responsible to communicate to Reception Supervisor,      or designee, any work related issues regarding the reception functions.
9. Responsible to perform additional duties as      assigned. 
10. May be      exposed to hazardous drugs. 
11. Attends OSHA      training upon initial employee orientation and annually completes an OSHA      competency.

RELATIONSHIP WITH OTHERS: Must work well with patients, teammates, and staff of both the business office and the clinical departments.

Requirements

EDUCATION/EXPERIENCE/KNOWLEDGE: Graduated from High School or completed GED requirements. 

PHYSICAL REQUIREMENTS: Requires sitting, standing bending and reaching. May require lifting up to 20 pounds. Requires manual dexterity sufficient to operate standard office equipment such as computer, fax, calculators and telephone. Requires normal hearing and vision.