The Patient Services Specialist is responsible for excellent customer service greeting all patients ensuring completion of all new or updated patient paperwork scheduling appointments insurance verification workers compensation authorization answering phones and collecting all appropriate monies due at the time of service.
ESSENTIAL DUTIES AND RESPONSIBILITIES
Greets welcomes and expidites patients as they check in while keeping staff and patients abreast of any delays
Instructs new patients on completion of consent to treat forms explains insurance benefit information MRI patient information forms (if applicable) and makes any necessary corrections to the patients account
Scans all new patient or updated patient information into computer (including: photo ID insurance cards referrals patient paperwork and payment logs)
Verifies rehabilitation benefits and documents benefits on paper and into computer system
Explains financial requirements to the patient and collects tiem of service deductible co-pays and/or co-insurance and any outstanding balance for rehab or MRI (if applicable)
Communication with workers compensation for authorization of rehabilitation visits and documents on paper and into computer system
Enters charge details for each patient per billing guidelines for workers compensation and MVA patients
Schedules new patient and follow up patient appointments with the appropriate rehabilitation clinician
Communicates with the patients in the lobby if clinician or MRI (if applicable) is running behind schedule
Communicates with all patients who no-show and notifies adjuster of any no-show by a workers compensation patient
Reconciles change drawer/petty cash
Other duties as assigned
NON-ESSENTIAL DUTIES AND RESPONSIBILITIES
Keeps front desk and lobby clean and organized.
Assist with back office duties: cleaning laundry organization as needed
QUALIFICATIONS
EDUCATION AND EXPERIENCE
High School diploma or equivalent
One year of experience in customer service or reception preferably in a health care environment.
SKILLS/ABILITIES
Utilize fuctions of a multi-line phone system
Basic Computer skills
Strong customer service
Ability to communicate clearly and concisely in all written and oral communications including email.
Strong organizational skills with great attention to detail
Ability to apply common sense understanding to carry out instructions furnished in written oral or diagram form.
Ability to multitask
Demonstrated conflict management skills
PHYSICAL DEMANDS
While performing the duties of this job employee is regularly required to utilize standard office equipment including computers keyboards fax machines copiers printers telephones etc. While performing the duties of
this job employee is regularly required to sit stand walk reach with hands and arms and to talk and hear. Employee may be occasionally required to climb or balance stoop kneel or crouch. The physical requirements of this position require a medium physical demand level. Ability to occasionally lift up to 50 pounds maximum with frequent lifting and or carrying objects weighing up to 25 pounds and constant lifting of neligible to 10 pound objects. Specific vision abilities required by this job include close vision distance vision color vision peripheral vision depth perception and ability to adjust focus. Reasonable accommodations may be made available for individuals with disabilities to perform the essential functions of this position.
WORK ENVIRONMENT
While performing the duties of this job employee may be exposed to risk of infectious diseases when interacting with patients and/or family members. The employee may be occasionally exposed to wet and/or humid conditions moving mechanical parts fumes or airborne particles toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.
PRIVACY & SECURITY AWARENESS
While performing the duties of this job it is imperative that the employee remain aware of Resurgens policies Information Security policies standards guidelines and procedures for minimizing threats and ensuring protection of PHI. The success of HIPAA policies and procedures is dependent upon the awareness and buy-in of everyone involved in daily healthcare operations including reporting incidents to their supervisor or directly to the HIPPA leadership.