The Patient Services Representative is a multi-tasking position that consists of all front-end functions including customer service, telephone management, scheduling, registration, copay collections, time of service account management, coding review, charge entry, and appropriate cash and end-of day closure procedures. The PSR will ensure that all provider schedules are appropriately populated, telephones are responded to according to established protocols, and complete registration information is captured prior to, or during each patient visit. In this role, the PSR will perform appropriate and timely charge entry, if not performed electronically through an EMR, for all patient visits including a review of encounters and recommendations for appropriate procedural coding, manage cash drawers according to established protocols, post cash to patients accounts, manage patient responsible account balances at the time of service, and correct assigned claims edits for expedient submission to carriers.
- Responsible for collaborative interaction with patients, physicians, other staff members and management, patient satisfaction and accurate processing of all front-end functions are integral to the success of this individual.
- Plans and directs pre-verification of patient insurance, registration, billing and collections, and data processing to ensure accurate patient billing and efficient account collection.
- Appropriately responds to patient inquiries via telephone following established protocols.
- Follows procedures for verification of patient demographics information including insurance verification prior to the patient visit for all pre-scheduled patients
- Utilizing established protocols, appropriately schedules patients whenever possible, at the patients’ convenience for physician visit
- Registers all patients at each visit utilizing established policies for the capture of complete and up-to-date patient and insurance information. Receives and documents in the information system patient responsible payments including co-payments, past balance payments, and time of service patient-responsible charges
- Check-out each patient via established policies, including charge entry for current visit if appropriate, scheduling of future appointments, facilitation of ancillary procedures as necessary, and provides for the patient a receipt for services rendered
- Will consistently perform surgical and other hospital charge entry functions as assigned and collaborate with providers regarding appropriate coding procedures.
- Following clinic policy, appropriately reconciles cash and charge batches, balances cash drawer, prepares deposits, and reconciles charges to visits and the co-pay holding file with an accurate balance for each opened batch
- As assigned, processes all referral requests by physicians and patients within a timely manner and according to clinic procedure. Processes and maintains medical records in accordance with records protocol.
- High School diploma or equivalent required.
- Current CPR training required.
- Successful completion of CMA or CNA Program preferred.
- Completion of a Medical Terminology course preferred
- One to three years experience in clinical position preferred.
- Prior computer experience required.
- One to three years experience as a nursing or medical assistant or in a related field preferred.
- Previous experience in a hospital environment preferred.
- Medical/Dental/Vision
- Pharmacy Plan
- Basic & Supplemental Life Insurance
- Short & Long Term Disability
- HSA or FSA accounts
- Accident & Critical Illness Coverage
- 401K Plan with match
- Vacation Time
- Sick Days
- Paid Holidays
- Education Reimbursement
- Additional Benefits