Patient Service Representative
Surgery Partners, Layton, UT, United States
Patient Service Representative
Patient Service Representative
1. Ensure overall total customer satisfaction. Greet patients in a courteous and professional manner. Answer all incoming calls in a courteous and professional manner. Respond to the patients' needs or direct them to the appropriate person for assistance. Take detailed messages and confirm the appropriate people receive them. Obtain overall operational knowledge of the center in order to assist in the triage process. Have insurance knowledge, i.e., be aware that HMO patients need a referral for each visit and which insurances the center accepts. 2. Ensure that patients' needs are handled in a timely and efficient manner. Ensure that benefit verification and pre-certification is completed for each scheduled case. Schedule patients into the billing system immediately upon receipt of the information from the surgeon offices. Prepare new chart including a copy of the insurance card(s), demographic information sheet, any referrals and obtain any signatures on center required paper work. Established patients verify demographic and insurance information at each visit. Have knowledge of CPT-4 and ICD-9 coding, as well as the changing Medicare and Medicaid regulations and guidelines. On the day of surgery, enter patient charges, payments and approved discounts into the billing system. Collect unmet deductibles, coinsurance, co-payments and outstanding past due patient balances on the day of surgery. 3. Ensure that paperwork processing is confidential, efficient and timely Balance out at the end of day and perform necessary End of Day process for the center. Pull patient charts for the next day's appointments by the end of the current day. File all charts by the end of the day. Open and distribute all incoming mail and packages in accordance with policies and procedures. Maintain a neat and orderly workspace and an adequate supply of charts, forms and tools to perform the job. Maintain strictest confidentially of all information related to medical records, communication between staff and the patient as well as any events surrounding the patients' treatment. 4. Perform all other duties as assigned.
Benefits: Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more!
Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Qualifications
Behaviors Required Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Team Player: Works well as a member of a group Enthusiastic: Shows intense and eager enjoyment and interest
Motivations Preferred Growth Opportunities: Inspired to perform well by the chance to take on more responsibility Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Education Required High School or better.
Patient Service Representative
1. Ensure overall total customer satisfaction. Greet patients in a courteous and professional manner. Answer all incoming calls in a courteous and professional manner. Respond to the patients' needs or direct them to the appropriate person for assistance. Take detailed messages and confirm the appropriate people receive them. Obtain overall operational knowledge of the center in order to assist in the triage process. Have insurance knowledge, i.e., be aware that HMO patients need a referral for each visit and which insurances the center accepts. 2. Ensure that patients' needs are handled in a timely and efficient manner. Ensure that benefit verification and pre-certification is completed for each scheduled case. Schedule patients into the billing system immediately upon receipt of the information from the surgeon offices. Prepare new chart including a copy of the insurance card(s), demographic information sheet, any referrals and obtain any signatures on center required paper work. Established patients verify demographic and insurance information at each visit. Have knowledge of CPT-4 and ICD-9 coding, as well as the changing Medicare and Medicaid regulations and guidelines. On the day of surgery, enter patient charges, payments and approved discounts into the billing system. Collect unmet deductibles, coinsurance, co-payments and outstanding past due patient balances on the day of surgery. 3. Ensure that paperwork processing is confidential, efficient and timely Balance out at the end of day and perform necessary End of Day process for the center. Pull patient charts for the next day's appointments by the end of the current day. File all charts by the end of the day. Open and distribute all incoming mail and packages in accordance with policies and procedures. Maintain a neat and orderly workspace and an adequate supply of charts, forms and tools to perform the job. Maintain strictest confidentially of all information related to medical records, communication between staff and the patient as well as any events surrounding the patients' treatment. 4. Perform all other duties as assigned.
Benefits: Comprehensive health, dental, and vision insurance Health Savings Account with an employer contribution Life Insurance PTO 401(k) retirement plan with a company match And more!
Equal Employment Opportunity & Work Force Diversity Our organization is an equal opportunity employer and will not discriminate against any employee or applicant for employment based on race, color, creed, sex, religion, marital status, age, national origin or ancestry, physical or mental disability, medical condition, parental status, sexual orientation, veteran status, genetic testing results or any other consideration made unlawful by federal, state or local laws. This practice relates to all personnel matters such as compensation, benefits, training, promotions, transfers, layoffs, etc. Furthermore, our organization is committed to going beyond the legal requirements of equal employment opportunity to take positive actions which ensure diversity in the workplace and result in a multi-cultural organization.
Qualifications
Behaviors Required Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well Team Player: Works well as a member of a group Enthusiastic: Shows intense and eager enjoyment and interest
Motivations Preferred Growth Opportunities: Inspired to perform well by the chance to take on more responsibility Flexibility: Inspired to perform well when granted the ability to set your own schedule and goals
Education Required High School or better.