- Review, verify , update and perform all other patient account information and duties at every visit as defined in the training manual.
- Collect appropriate copays, deductibles, and balances; use credit balances when applicable and document all financial transactions in the EHR; collect and process administrative charges as appropriate.
- Ensure complete patient registration by parent/guardian and populate all required registration fields in the EHR.
- Verify patient insurance eligibility and coverage prior to service.
- Ensure the schedule is accurate and up to date (Ex: check-in, check-out, and no shows).
- Schedule patient appointments accordingly based on the scheduling policy.
- Process patient referrals according to the Referral loop and PCMH workflow.
- Answer phones and handle calls promptly and accordingly.
- Give and obtain accurate and pertinent information to and from callers.
- Ensure all patient related communications are as defined by the PCMH workflow.
- Scan appropriate documents into a patient's chart in a timely manner.
- Sort incoming and outgoing mail and documents; maintain office to ensure a clean and organized environment.
- Attend meetings as required, and participate in committees as requested.
- Participate in professional development activities
- Anticipate and responds to customer needs; follows up until needs are met
- Demonstrate collaborative and respectful behavior
- Partner with all team members to achieve goals
- Receptive to others' ideas and opinions
- Contribute to a positive work environment
- Demonstrate flexibility and willingness to change
- Identify opportunities to improve clinical and administrative processes
- Make appropriate decisions, using sound judgment
- Use resources efficiently
- Search for less costly ways of doing things
- Speak up when team members appear to exhibit unsafe behavior or performance
- Continuously validate and verify information needed for decision making or documentation
- Stop in the face of uncertainty and takes time to resolve the situation
- Demonstrate accurate, clear and timely verbal and written communication
- Actively promote safety for patients, families, visitors and co-workers
- Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance
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Patient Services Rep - Clinton, United States - Children's National Hospital
Description
The Patient Service rep (CNPA) will perform basic medical front office duties. Will be responsible to greet patients and visitors, schedule appointments, provide administrative support, gather demographics, verify insurance eligibility, collect copay, deductibles, balances, check credit balances and maintain patient electronic health records (EHR). Process specialty referrals and assist in training new staff. Perform everyday duties under close supervision.
Qualifications:
Minimum Education
High School Diploma or GED (Required)
Minimum Work Experience
1 year Medical office/business office setting (Preferred)
Required Skills/Knowledge
Basic math skills.
Basic knowledge of office procedures.
Basic knowledge of medical terminology .
Knowledge of patient financials & accounting.
Knowledge of insurance verification.
Knowledge of scheduling appointments.
Great communication and customer service skills.
Ability to follow precise procedures and is detail-oriented.
Knowledge of Microsoft Office suite.
Functional Accountabilities
Patient Services Account
Organizational Accountabilities (Staff)
Organizational Commitment/Identification
