Patient Services Representative

Full Time
Philadelphia, PA 19139
Posted
Job description
Job Description:


Spectrum Health
- a world-class community health center that proudly cares, values, and serves its community is in search of dynamic Patient Services Representatives who care about values, and are dedicated to world-class healthcare service delivery. If this is you, come live your life's passion at Spectrum and earn your living where your heart is!

Nationally recognized as a Level-3 Patient-Centered Medical Home, the highest designation for health centers, Spectrum Community Health Center provides the highest level of care improving the health conditions and advancing health equity within our communities through the delivery of quality primary care, specialty, and social services. We serve as a model of success for the other Federally Quality Health Center.

About the position:

The incumbent for this position provides customer services to patients arriving for healthcare services and handles the patient scheduling, admittance, and registration and collections process. This position is the first point of contact and interpersonal skills and information accuracy is pertinent to the success of this position. The PSR serves as an important member of the Patient Centered Medical Homed (PCMH) care team in ensuring appropriate data capture and accuracy of front-end processes and timely communication with the patient and the care team members.

Essential Functions:

  • Informs patient prior to visit about the fee assessment process or co-pays and their responsibility.
  • Performs patient pre-registration function and runs eligibility reports to determine insurance coverage. Verifies third-party insurance coverage via on-line verification or telephone.
  • Receives and acknowledges all health center patients and visitors.
  • Maintains and verifies patient schedule.
  • Reviews sections of the patient information forms.
  • Collects all co-payments or initial fees from cash paying patients prior to the patient seeing the provider.
  • Obtains patient’s signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.).
  • Scan patients Identification and Insurance Cards into the EMR System
  • Interviews a minimum of 35 to 40 patients daily.
  • Schedules appointments in the EMR System.
  • Backfills the Medical Assistant to record messages for providers (for ex: RX refills, pharmacy, calls from other health care providers, etc.)
  • Handles and processes a high volume of phone calls.
  • Places calls to patients to remind them of their appointments.
  • Contact patients who have missed their appointments, ascertain why and reschedule if necessary.
  • Facilitates scheduling referral appointments for patients if needed
  • Inputs data into computer system on an as needed basis.
  • Provides printed patient instructions, community resources, clinical visit summary and anylab, diagnostic study or referral orders.
  • Performs batching process and real time check out to include creation of daily batch and end of day batch reconciliation.
  • Assist with scheduling activities to support improving patient access including no show reports and care gap reports.
  • Makes change and issues a receipt to the patient.
  • Registers and updates patient, emergency contact, financial and insurance information.
  • Processes referrals on an as needed basis.
  • Performs other duties as needed.
  • MUST have ability to work in multiple sites and occasional extended hours on a rotating basis

Experience and Skills:
  • High School Graduate or equivalent
  • Diploma in Medical Office Management desirable.
  • Certification in Medical Office Management desirable.
  • Minimum of two years’ experience in data entry, registration, and customer services in a medical setting
  • Must adhere to confidentiality of patient health information (PHI) and HIPAA compliance.
  • Must be able to multi-task and work under pressure.
  • Computer knowledge required.
  • Pleasant speaking voice and the ability to interact with people.
  • Must be detailed oriented with attention to accuracy in documentation of patient information when scheduling or registering patients.
  • Strong interviewing skills.
  • Excellent communications skills.
  • Demonstration of organizational skills is required
  • Ability to interact well with staff and public in complex situations.
  • Professional appearance and courteous manner require

Spectrum Health Services requires proof of completed COVID-19 vaccination series for all new employees hired. Medical and religious exemptions will be honored consistent with EEOC regulation.
Job Benefits:

Competitive Compensation Package Offered

From: Spectrum Health Services, Inc

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