Patient Services Representative - Los Angeles, United States - Gracelight Community Health

Gracelight Community Health

Verified Company

Los Angeles, United States

1 week ago

Posted by:

Mark Lane

beBee recruiter

Description

The Patient Service Representative (PSR) works under the direction of the Health Center Manager. The PSR is responsible for ensuring internal and external clients are provided with exceptional customer service.

Duties include, but are not limited to performing patient intake, collecting and verifying patient information, handling cash collections, patient copays and credit card transactions, coordinating phone calls, scheduling patients via the computerized scheduler, and verifying eligibility/insurance information and health care benefits to ensure accurate billing procedures.

Other duties include scanning/inputting required patient information into the electronic medical record, assisting with patient referrals and program services, and performing other duties as assigned.

ESSENTIAL JOB DUTIES AND RESPONSIBILITIES:

Supports and implements the organization's vision, mission and values.
Determines priorities and method of completing daily workload to ensure that all responsibilities are carried out in a timely manner.
Fosters and promotes a culture of service excellence and accountability.
Performs timely and accurate patient registration and patient flow tracking in accordance to health center procedures. Determines and verifies patient program/insurance eligibility requirements. Registers patients by verifying that patient's record is up to date and accurate. Makes appropriate changes in computer system and on electronic health record.
Demonstrates the ability to identify the patient's account via date of birth or name search; creates accounts for new patient appointments; and verifies and updates demographic information. Knows and follows eligibility requirements and verification processes for coverage programs. Enters confidential personal health information and financial information into computerized system accurately. Complies with federal and local laws in ensuring patient privacy. Schedules, confirms and cancels appointments; coordinates walkin patients; follows up with providers for canceled/no show appointments. Utilizes the appointment template to meet or exceed productivity standards.
Collects payments and copays from patients; obtains authorizations for credit card transactions. Applies payments and adjustments to patient accounts in the computer system accurately and reconciles daily cash reports. Adheres to cash collection policies and procedures
Answers telephone calls timely, courteously, and professionally. Follows telephone decisionmaking guide correctly. Utilizes the computer system correctly to obtain requested information, update demographic files and/or make, cancel, and reschedule appointments. Provides appointments and information; documents and forwards calls when appropriate and takes detailed messages when required. Completes and submits departmental requests for information and reports.
Examines patient's records/medical reports/consultation reports and verifies patient identification. Identifies forms and the appropriateness for inclusion in the medical record. Scans/indexes/commits images into the electronic health record per protocol.
Checks/reviews paperwork filed in paper medical charts against scanned documents saved in Electronic Health Records to determine if documents have been electronically stored properly ("quality check").
Uses discretion and good judgment in handling sensitive or confidential information and understands which decisions can be made alone and which decisions need to involve others.
Complies with organizational policies and procedures, specifically the Records Management and Retention Policy & Procedures.
Retrieves medical records and delivers to appropriate providers or department. Files patient and administrative files.
Copies and faxes documents as required. Perform duties with the ability to focus on details and multitask.
Performs all other duties as assigned.
Must be willing and able to work at all locations as needed to meet patient care needs.
Must be willing and able to work all business hours including evenings and weekends.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

EDUCATION/EXPERIENCE:

High School Diploma or equivalency required.
Five years of healthcare related customer service or two years of patient intake/registration required.
Working knowledge of insurance verification/eligibility insurance programs (Commercial, Medical, MediCare and sliding fee programs) required.
PC or word processing experience required.
Medical coding experience preferred.
Certificate in billing and coding and/or Medical Terminology preferred.
Experience with electronic health records and practice ma