Patient Services Representative

Position Summary:

Under general Supervision monitors clinic operations with regard to the patient care treatment process. The Patient Services Representative assists the manager clinic providers and other clinic staff in the appropriate delivery of patient care services.Ensure patients are properly scheduled for surgery registered checked-in and check-out; that all necessary patient information is obtained and verified for accuracy. To include but not limited to 1) coordinating patient billing functions 2) scheduling surgeries and procedures 3) coordinating surgical authorizations and referrals and 4) working with manager/supervisor physician to direct operations to departmental compliance with hospital/clinic guidelines patient satisfaction and performance improvement.

Minimum Qualifications:

• Ability to meet minimum clinic/hospital hiring standards.
• Strong clerical and customer service skills including computer proficiency.
• 5 years minimum medical office and insurance billing experience.
• Knowledge of medical terminology ICD-10 and CPT-5
• Knowledge of Medicare Medicaid and commercial payers.
• Working Knowledge of computer software programs and office equipment.
• Excellent communication skills include ability to relate well with a variety of people and to sustain an attitude of respect for all individuals.
• Ability to multi-task in a fast-paced environment displaying effective organizational communication and interpersonal skills.
• Commitment to teamwork and providing excellent customer service utilizing the AIDET model.
• Willingness to work flexible hours.

Essential Job Functions:

• Performs Coordinatorduties to include but not limited to obtaining appropriate authorizations verifying insurance eligibility scheduling procedures notifying patient and obtaining owed monies initiating and distributing appropriately Patient cases when necessary.
• Performs surgery scheduling duties including managing the surgery scheduling process and notifying the OR schedule of updates and cancelations. Compiles necessary documentation for procedure/surgery billing and submits to Coder.
• Performs accurate data entry works the Athena workflow dashboard the hold and manager hold buckets and the Athena clinicals bucket.
• Performs routine clinic tasks to include but not limited to charge entry and Co-pay/payment assignment.
• Other tasks/responsibilities assigned by the provider manager and/ or supervisor.
• Manage special projects as assigned
• Drive continuous process improvement and training for relevant staff.
• Set and manage goal for key performance indicators related to surgery scheduling.

Knowledge skills and Abilities:

• Demonstrate sound judgement patience and always maintain a professional demeanor.
• Ability to work in a busy and stressful environment.
• Organizational skills and the ability to prioritize.
• Strong computer Skills
• Strong interpersonal verbal and written communication skills.
• Creativity problem analysis and decision making.