PATIENT SERVICES REPRESENTATIVE

ESSENTIAL JOB FUNCTIONS:

Greets patients on their arrival and directs to proper area.

Updates patient demographic and insurance information into the electronic medical records for new patients and makes changes, as necessary, to existing patient accounts.

Assures that all patients are checked in with demographics, insurance and slide information updated.

Secures appropriate authorization from outside providers as necessary.

Enters medical, pharmacy, transportation and ancillary service visits and related cash payments, into the computer system.

Generate STAT referrals as assigned.

Collects payments for services, current and past at time of check out.

Explains patient charges at time of check out.

Prepares daily reconciliation of input data to computer output for daily charges and payments.

Prepares daily bank deposit of cash received.

Delivers bank deposits to bank as necessary.

Answers patient questions regarding their accounts, and recommend balance adjustments as appropriate.

Maintains accurate and up to date computerized appointment system. Records appointments scheduled, canceled or broken. Notifies patients and staff of cancellation or schedule changes.

Assures that daily No-Show’s are marked in EMR system and provider is notified.

Explains CVHS services and appropriate patient policies and procedures.

Identifies patients who might qualify for financial assistance.

Make appropriate referral to CVHS outreach enrollment as necessary.

Follow up on broken appointments per providers request.

Refers patient complaints to appropriate CVHS personnel for resolution.

Arranges, coordinates, and prepare daily list for transportation when necessary.

Separates sorts and scans all laboratory work, dictations, EKGs, x-ray reports, medical data from other hospitals, clinics, physicians, etc.

Assures a form of identification is on all patient records prior to scanning into EMR.

Maintaining a log of release of information for outgoing request.

Prepare/print/fax within the EMR any medical records requested from outside organizations.

Review EMR for quality assurance as requested.

Miscellaneous duplicating of forms, telephoning, etc.

Processes Payment Plans.

Performs other duties as assigned by supervisors.

Acts as back up to Medical Records Clerks, or other Front Desk staff as requested by supervisor.

Assures that records of no-shows are delivered to the appropriate provider’s office.

Promotes a team-based patient-centered medical practice mode.

Attends work as scheduled.

KNOWLEDGE, SKILL, AND ABILITIES:

Demonstrates competence for essential job functions.

Detail oriented.

Excellent customer service skills.

Ability to work well with others.

Flexibility and ability to work under pressure.

Accuracy.

Neat appearance. Good telephone skills.

Respect for patient confidentiality.

Ability to plan and coordinate work.

Ability to deal tactfully and courteously with CVHS staff and patients.

EDUCATION, TRAINING AND EXPERIENCE:

High school graduate.

Preferably some medical office experience.

Should have experience with or knowledge of medical office systems, medical supplies and equipment.