Patient Service Representative- Pediatrics, Greenlawn, Long Island, New York, Full time, Days, Offsite

Job Title: Patient Service Representative

The Offsite Patient Service Representative I provides front line contact as a patient liaison within the access center check-in/check-out appointment scheduler triage prior authorizations and referrals and neighborhood administrative and physician support. The Patient Service Representative I possesses a commitment to excellence in the development of knowledge skills and quality patient-focused service.

Roles & Responsibilities:

• Provides front line contact for the department/neighborhood by answering telephones directing and responding to callers relaying messages to appropriate recipients and greeting patients and visitors with the highest level of customer service
• Provides clerical and administrative support to physicians and is a liaison between departments.
• Helps direct patients to appropriate setting and facilitates patient flow.
• May schedule appointments for a multi-specialty group and have a working knowledge of providers understanding systems processes and services rendered.
• Ensures patients are prepared for their appointment by informing the caller of items to bring to their appointment and of the appropriate practice policies.
• Possesses an understanding of when to escalate calls to a supervisor.
• Answers the telephone promptly and in a polite and professional manner to meet Mount Sinai Hospital and Mount Sinai Doctors Long Island customer service standard of excellence.
• May check patients in or out collect co-pays scan insurance cards and ensure other required documents are reviewed and signed.
• May schedule radiology testing/procedures in EIDX EPIC and RIS according to department guidelines.
• May schedule and confirm testing surgeries and procedures according to department guidelines.
• Ensures all documents are appropriately documented and maintained in the electronic medical record; scanning op reports test results home care and any other forms.
• May schedule and maintain calendar for meetings and/or appointments.
• May instruct patients and assist them in navigating MyChart.
• May acquire insurance pre-authorization/referrals from managed care plans for all required services admissions procedures diagnostic tests and medications.
• Notifies Administrator Director of Revenue Cycle Practice Manager or Supervisor of any particular insurance issues or updates.
• May provide coverage for other staff as assigned during PTO or leaves of absence.
• May enter telephone encounters into the electronic medical record (EMR) system through the use of the appropriate Epic Smart Text.
• May enter auto faxes received from Pharmacies for medication requests via telephone encounters into the electronic medical record (EMR) system through the use of the appropriate Epic Smart Text.
• May open sort and prioritize mail. Coordinates pickup and delivery of packages orders and other materials as required.
• Demonstrates the ability to meet quality assurance requirements and other qualitative / quantitative key performance metrics.
• Performs other duties as assigned.

Requirements:

Education Requirements

HS/GED required; some college preferred

Experience Requirements

0-2 years experience in a physician practice or hospital setting providing administrative support functions with comfort level in patient interaction and having an understanding of maintaining patient confidentiality.

Computer Skills

MS Office Suite: Intermediate

Other: Epic and IDX or other EHR

General Skills and Competencies

• Able to work independently
• Must have excellent customer service skills
• Able to work well with patients visitors physicians and colleagues
• Must have excellent verbal communication & listening skills
• Knowledge of managed care plan requirements
• Ability to organize and prioritize and work with a team
• High level of accountability and responsibility
• Able to maintain confidentiality and deal with sensitive information