Patient Services Associate

Description

Entity:(Clinical Care Associates) /Penn Primary Care (PPC) and Penn Specialty Practices (PSP)

Department: Somers Point Cardiology NJ

Location:Penn Medicine Somers Point- 155 Brighton Ave

Hours:Per Departmental Needs – Full Time

Summary:

• The Patient Services Associate (PSA) assists the practice/department in maintaining a patient/customer focus, supports the delivery of high-quality care, shares a passion for patient and customer-centered care, and assists in meeting or exceeding patient satisfaction and financial/operational targets.
• The PSA is responsible for the arrival and/or departure activities of patients in the practice, managing and handling patient calls and inquiries, coordinating patient appointments, updating patient insurance/billing information, and performing point of service activities.
• The PSA may function in a physician practice or a call center environment. Rotation between PSA functions and/or departments may be required.

Responsibilities:

• Strives to create and maintain a culture of safety and service excellence through the following accountabilities:
• Greets and interacts with patients in a pleasant and professional manner, on phone or in person.
• Listens carefully and communicates clearly with patients to ensure understanding of patient’s request. Analyzes problems from the customer’s point of view.
• Learns/anticipates the individual patient/customer needs and does the best possible job of satisfying those needs using the best solutions. Documents needs, as appropriate, in EPIC.
• Establishes positive relationships with patients by demonstrating knowledge of patient history, compassion and responding to individual needs.
• Handles stressful patient/customer situations appropriately and delivers seamless patient/customer service.
• Ensure patient/family confidentiality, safety and security.
• Identifies opportunities to improve the patient experience, including areas identified in patient satisfaction surveys.
• Ensures communication and collaboration with clinical staff and fellow co-workers to serve patients to the best of his/her ability.
• Shows initiative, sets priorities, organizes tasks, and works independently and as part of a team while completing daily tasks.

Safety:

• Participates in Entity and Department wide initiatives for
• Patient /Employee safety
• Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position.

Patient Service:

• Takes accountability for ensuring patient/work areas are neat and clean.
• Orders supplies, as requested, for practice/department.
• As per practice/department protocols and/or measurements: answer phones/retrieve voicemails in a timely manner, manage/handle patient requests and route appropriately, take thorough messages and route appropriately through EPIC.
• Schedule patient appointments (on phone or in person) accurately and completely:
• Utilizes knowledge of schedules and protocols
• Uses proper billing area/appointment location
• Cancels/reschedules appointments as needed and changes appointment status in EPIC
• Communicates changes to patient and confirms appointments.
• If scheduling patients via telephone, remind patient what to bring to appointment (insurance card, test results, referrals, etc.). Encourages patients, as appropriate, to sign up for My Penn Medicine.
• Responsible for arriving/departing activities of patient at practice and performs point of service activities
• Obtains insurance cards, copays, signatures/forms, referrals/authorizations as required and updates EPIC accordingly
• Finalizes all check-out procedures as per practice protocol
• Communicates with patients regarding patient flow and wait times – keeps manager aware of potential issues as they arise.
• Issues referrals and obtain pre-authorizations for patients as required
• Successfully navigate and resolve EPIC work queues – escalate as needed
• Perform other duties as requested or assigned.

Financial:

• Maintains up to date knowledge of insurance requirements pertinent to patient service and billing procedures: including basic knowledge of all managed care plans UPHS participates with and which insurers require a copayment or referral.
• Achieves proficiency in automated systems; such as EPIC APM and EMR (including in basket), hospital based EMRs (where necessary), Navinet, credit card machines, I Payment, etc.
• Validates patient demographic/insurance information and/or registers new patients into EPIC using established protocols
• Validates financial responsibility prior to utilization and completes an accurate financial interview at time of registration
• Records receipts according to practice protocol to ensure appropriate end-of-day reconciliation. Participates in cash reconciliation delineations.
• Generates/runs reports, as requested, related to front-end processes
• Resolve work queues and/or issues from front-end reports which may include the patient pre & post visit, charge review, and others as requested. Proactively prioritizes recovery of missing charges.

Regulatory Compliance:

• Complies with educational and training requirements at prescribed intervals (via Knowledge Link and/or other methods as required).
• Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)

Change Management:

• Flexible and readily adopts new processes and is engaged in practice operation changes.

Education or Equivalent Experience:

• H.S. Diploma/GED AND 2+ years medical office experience OR 2+ years customer service experience required. Advanced degree (Associate, Bachelor, Master) may be considered in lieu of experience.
• Associate degree preferred.

We are an Equal Opportunity employer. Candidates are considered for employment without regard to race, ethnicity, color, sex, sexual orientation, gender identity, religion, national origin, ancestry, age, disability, marital status, familial status, genetic information, domestic or sexual violence victim status, citizenship status, military status, status as a protected veteran or any other status protected by applicable law.