Psr-patient Services Representative - Lake Ronkonkoma, United States - Damian Family Care Centers Inc

Description

is a Federally Qualified Health Center with 14 community based health centers located in the metro NYC area, Suffolk County and Upstate, NY, providing primary care, behavioral health and specialized care at all sites.

Primary responsibilities are to complete the registration process for patients at check-in and check-out; verify and update the patient's demographics, insurance and payment information; schedule appointments, answer patient inquiries of all types, assist with medication refills, provide referral information to patients, prior authorizations as well as general information regarding each department within the practice; verify patient's insurance coverage and collect co-payments; process credit card and cash payments.

• Greet and direct patients.
• Schedule patient appointments following protocol and guidelines provided to assist clinical staff in maintaining optimal patient flow.
• Perform reminder calls to patients.
• Obtain patient address, contact details, insurance information and medical history.
• Verify patient's insurance coverage and collect copayments.
• Process credit card and cash payments.
• Maintain patient data uptodate and verify patient information at every visit.
• Work under the guidance of Supervisor and follow departmental policies and procedures.
• Escalate patient's unusual behavior to Supervisor.
• Inform patients about delays and waiting times.
• Review patient accounts, identify delinquent accounts and collect due amounts.
• Attend educational trainings for professional development.
• Answers patient inquiries of all types in an effort to streamline the process for patients and reduce workloads of providers and their medical assistants.
• Stay updated with information regarding insurance programs and funding sources.
• Assist patients in filing patient forms.
• Screen patients for financial assistance and assist them in preparing required funding documentations.
• Sort and deliver mail, faxes, medical records and other correspondence, photocopies and faxes documents and maintains an adequate supply of all patient forms and documents as needed.
• Establish effect rapport with patients, external vendors, other departmental staff including but not limited to clinical staff.
• Process medication prior authorizations and submit medical records to insurance carriers to expedite prior authorization processes
• Manage correspondence with insurance companies, physicians, specialists, pharmacies and patients as required
• Secure patients' demographics and medical information by using great discretion and ensuring that all procedures are in sync with HIPAA compliance and regulation
• Establish effective rapport with patients, external vendors, other departmental staff including but not limited to clinical staff
• Support site and department quality improvement initiatives
• Demonstrates respect for the cultural and religious diversities and needs of patients, families, employees, and external customers. Creates and maintains an atmosphere of courtesy and respect toward others.
• Conforms to policies and regulations governing patient rights, confidentiality and HIPAA Privacy and Security Rule.
• Demonstrates willingness and the ability to assume additional responsibilities without adversely affecting the quality and quantity of work output.
• Enhances professional growth through educational programs and inservice offerings.
• Maintains a consistent and flexible pattern of attendance and punctuality in accordance with Damian's policies.
• Conforms to agency guidelines regarding dress code; maintains a wellgroomed and neat appearance. Maintains good personal hygiene.
• Performs all related duties, as assigned or unrelated duties, as requested during emergencies.

• High school diploma/Equivalency required.
• One year's experience performing prior authorizations in a healthcare facility, medical billing office or insurance company required.
• Strong knowledge of regulatory standards and compliance requirements, working knowledge of business office procedures and equipment.
• Position requires a lot of talking faceto face and over the telephone; to patients, internal staff and external vendors. Individual must be a great communicator, with exceptional writing and verbal skills. Stellar interpersonal and customer service skills required.
• Must be able to multitask and exercise independent judgment and maintain patient and organization confidentiality.
• Must be computer literate. Knowledge of patient electronic medical records required.
• Ability to project a professional image.
• Detail oriented
• Patient advocacy focused
• Ability to interact effectively and professionally with persons from diverse cultural, socioeconomic, education, racial and ethnic backgrounds.