PSR / Credentialing Specialist

GENERAL SUMMARY OF DUTIES : The Patient Services Representative performs general business office functions that may include some or all of the following: Traching and assisting with physician credentialing; Other tasks as needed; Charge capture and over-the-counter payment posting; Insurance verification and eligibility; Insurance pre-authorization/pre-certifications; Counseling patients and families on insurance and payment issues prior to surgery. Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner.

JOB TITLE: PSR

 

GENERAL SUMMARY OF DUTIES: 

The Patient Services Representative performs general business office functions that may include some or all of the following: 

• Traching and assisting with physician credentialing;
• Other tasks as needed;
• Charge capture and over-the-counter payment posting; 
• Insurance verification and eligibility; 
• Insurance pre-authorization/pre-certifications; 
• Counseling patients and families on insurance and payment issues prior to surgery.  
• Ensures all insurance, demographic, and eligibility information is obtained from patients and entered into the billing system in an accurate and timely manner. 
• Registers patients in the system. 
• Collects and revises all patient insurance information. 
• Collects co-pays, deductibles and other out of pocket amounts at the time of service. 
• Posts approved adjustments to patient accounts. 
• Balances receipts, reconciles daily work batches and prepares audit trail.

 

REQUIREMENTS:

• High school diploma or GED required.  
• College degree a plus.  
• Two years minimum front office experience in a medical environment.

 

 

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.

 

Behaviors

Required

• Team Player: Works well as a member of a group
• Enthusiastic: Shows intense and eager enjoyment and interest
• Detail Oriented: Capable of carrying out a given task with all details necessary to get the task done well

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.