Patient Service Representative

Accurately schedules all patient appointments and return appointments based on physician/dentist or student doctor and medical/dental specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; Verifies financial eligibility of all patients scheduled; Obtains necessary authorizations based on patient's insurance requirements; confirms all appointments within 48 hours of scheduled time; reconciles no show patients; schedules revisit appointments as needed; Conducts patient callbacks as directed by providers. Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; monitors waiting room activity; maintains clean waiting areas.

Responsible for performing all aspects of the patient encounter from scheduling appointments, registering new patients, screening by phone or in person all patients through the check-out process.

Daily Operations

• Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; monitors waiting room activity; maintains clean waiting areas.
• Accurately schedules all patient appointments and return appointments based on physician/dentist or student doctor and medical/dental specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; Verifies financial eligibility of all patients scheduled;
• Obtains necessary authorizations based on patient's insurance requirements; confirms all appointments within 48 hours of scheduled time; reconciles no show patients; schedules revisit appointments as needed; Conducts patient callbacks as directed by providers.
• Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances; assembles, updates, copies and releases records according to medical/dental record protocol.
• Performs other duties as assigned.

Required Skills

• Bilingual (Spanish) preferred but not required.
• Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.
• Ability to work under pressure; skilled at managing multiple priorities.
• Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.
• Knowledge of CPT and ICD9 coding.
• Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.
• Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.

Required Education and Experience

• Bilingual (Spanish) preferred but not required.
• Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.
• Ability to work under pressure; skilled at managing multiple priorities.
• Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.
• Knowledge of CPT and ICD9 coding.
• Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.
• Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.