Patient Service Representative (Full Time)

ST. CHARLES HEALTH SYSTEM

JOB DESCRIPTION

TITLE: Patient Service Representative

REPORTS TO POSITION: Clinic Supervisor/Manager

DEPARTMENT: St. Charles Medical Group

DATE LAST REVIEWED: December 31, 2012

OUR VISION: Creating America’s healthiest community, together

OUR MISSION: In the spirit of love and compassion, better health, better care, better value

OUR VALUES: Accountability, Caring and Teamwork

DEPARTMENTAL SUMMARY:

The Patient Service Representative (PSR) position is assimilated throughout St. Charles Medical Group encompassing practices in three Central Oregon counties and numerous specialties including family care, internal medicine, obstetrics and gynecology, pediatrics, immediate/urgent care, cardiology, pulmonology, rheumatology, general surgery, cancer care, and sleep medicine. Our PSR’s collaborate with clinical staff to assure we are providing our community with comprehensive and compassionate health care.

POSITION OVERVIEW:

The Patient Service Representative acts as liason between patients and the professional staff by facilitating clerical and reception responsibilties and assisting in adminstrative tasks.

This position does not directly manage any other caregivers.

ESSENTIAL FUNCTIONS AND DUTIES:

Responsible for accurately recording patient demographics, insurance and billing information at the time of registration.

Courteously and confidently requests appropriate types of payments (e.g. co-pays, deductible payments, etc.) from patients/guardians, processes payments, completes daily deposits and batch reports.

Responsible for processing telephone calls accurately in accordance with established protocols.

Assists with processing of authorizations and / or referrals as necessary with medical staff as required by insurance companies.

Performs real time eligibility for insurance benefits.

Maintains all department specific files, programs and recall systems.

Responsible for accurately scheduling patient appointments.

Reconciles daily schedules with appointment reports.

Responsible for supporting the basic functions of medical records (including: locating and distributing patient documents and information to appropriate staff members, faxing, scanning, indexing, opening and distributing mail, etc.).

Works as needed to provide health and wellness services to our clients. Actively participates in achieving organizational and department goals.

Ability to work as part of a Care Team with providers and clinical staff.

Supports the vision, mission and values of the organization in all respects.

Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.

Provides and maintains a safe environment for caregivers, patients and guests.

Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.

Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.

May perform additional duties of similar complexity within the organization, as required or assigned.

EDUCATION:

Required: High school diploma or GED.

Preferred: N/A

LICENSURE/CERTIFICATION/REGISTRATION:

Required: Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.

Preferred: N/A

EXPERIENCE:

Required: N/A

Preferred: One year of clerical support in a healthcare setting or related experience. Basic medical terminology.

PERSONAL PROTECTIVE EQUIPMENT:

Must be able to wear appropriate Personal Protective Equipment (PPE) required to perform the job safely.

ADDITIONAL POSITION INFORMATION:

Communication/Interpersonal

Must have excellent communication skills and ability to interact with a diverse population and professionally represent St. Charles Health System.

Ability to effectively interact and communicate with all levels within St. Charles Health System and external customers/clients/potential employees.

Strong team working and collaborative skills.

Organizational

Ability to multi-task and work independently.

Attention to detail.

Excellent organizational skills, written and oral communication and customer service skills, particularly in dealing with stressful personal interactions.

Mathematical Skills:

Performs basic math (add, subtract, multiply and divide) calculations.

Performs intermediate to advanced math (analysis, statistics, significant data or number manipulation).

Language Skills:

Read, write, speak and understand English.

Computer

Basic to intermediate ability and experience in computer applications, specifically electronic medical records system and MS Office.

PHYSICAL REQUIREMENTS:

Continually (75% or more): Use of clear and audible speaking voice and the ability to hear normal speech level.

Frequently (50%): Sitting, standing, walking, lifting 1-10 pounds, keyboard operation.

Occasionally (25%): Bending, climbing stairs, reaching overhead, carrying/pushing or pulling 1-10 pounds, grasping/squeezing.

Rarely (10%): Stooping/kneeling/crouching, lifting, carrying, pushing or pulling 11-15 pounds, operation of a motor vehicle.

Never (0%): Climbing ladder/step-stool, lifting/carrying/pushing or pulling 25-50 pounds, ability to hear whispered speech level.

Exposure to Elemental Factors

Never (0%): Heat, cold, wet/slippery area, noise, dust, vibration, chemical solution, uneven surface.

Blood-Borne Pathogen (BBP) Exposure Category

No Risk for Exposure to BBP

Schedule Weekly Hours:

Caregiver Type:

Shift:

Is Exempt Position?

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