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- Obtains and accurately enters required information for registration into the electronic health system. Follows prescribed procedures for positive identification and medical record number assignment, so no duplication or wrong patient registrations occur. Reviews demographic and insurance information for completeness, and follows through with correcting any deficiencies, so collection efforts are not delayed due to insufficient or incorrect information.
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- Thoroughly and accurately documents insurance verification information in the system, identifying deductibles, copayments, coinsurance, and policy limitations. Obtains referral, authorization and precertification information if needed; documents this information in the EHR, electronic health record.
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- Ability to demonstrate a high level of interpersonal skills required to interact with patients, patients' families/visitors and clinical staff.
- Ability to perform with a high degree of accuracy and with meticulous attention to detail. Demonstrate a strong ability to use initiative and judgment and to identify, analyze and solve problems.
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patient services representative - , SC, United States - Tidelands Health
Description
Employee Type:
Regular
Work Shift:
Day - 8 hour shift (United States of America)
Join Team Tidelands and help people live better lives through better health
P
OSITION SUMMARY: The purpose of this position is to register all patients needing services and handles all first call resolution for the departments assigned. The role is responsible for obtaining accurate and complete demographic, financial, and medical information. The employee will transfer calls as appropriate, and/or make appointments as necessary. For procedures, the employee may pre-register the patient, verifying insurance, etc. In addition, the employee may assist with making referrals. The person performing this role anticipates and acts on the needs of our customers to enhance the patient experience.
Responsible for pre-registering and scheduling moderately complex procedures and coordinating multiple resources for patient services. May also perform duties for prior authorization, referrals (incoming/outgoing), good faith estimates, and/or payment collections.
ESSENTIAL FUNCTIONS:
REQUIRED/MINIMUM QUALIFICATIONS:
EDUCATION :
High School Diploma or equivalent, required.
EXPERIENCE :
Two (2) years of related customer facing experience, preferably in healthcare.
KNOWLEDGE/SKILLS/ABILITIES :
PREFERRED QUALIFICATIONS:
EXPERIENCE:
Experience demonstrating proficiency in scheduling OR pre-registering patients. May consider prior call center experience.
PAT RATING:
Physical Requirements
:
Light Physical Agility Test (PAT) Rating
While performing the duties of this job, the employee is frequently (activity or condition exists from 1/3 to 2/3 of the time) required to stand, sit, and walk; frequently to use hands, fingers; and frequently to talk or hear.
The employee must exert up to 15 pounds of force occasionally (activity or condition exists up to 1/3 of the time), and/or up to 5 pounds of force frequently, and/or a negligible amount of force constantly to move objects.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Tidelands Health is an equal opportunity employer (EOE).
Tidelands Health does not discriminate against employees or applicants for employment on the basis of race, color, creed, religion, age, national origin, disability, marital status, veteran status, gender, genetic information, familial status, or any other legally protected status.