Patient Services Representative, Medical Pavilion
Performs basic clerical and receptionist duties by maintaining the physical environment of the area. Transcribes physician's orders, copies records, relays messages, prepares, compiles and maintains various records.
Responsibilities:
- Responsible for registration of patient prior to visit and/or upon arrival, including entering demographics, insurance verification, scanning and document preparation, updating documentation and processing of referrals/orders/appointment requests.
- Preauthorization of clinic specific visits as needed.
- Collecting copays and self-pay balances.
- Point of service paperwork, acquire signatures and scan to chart.
- Provide activation and support for the MyChart EMR System.
- Explains facility policies and ensures patient and/or advocate understands and signs the consent and insurance forms at the appropriate time. Clear and accurate documentation should be entered on the appropriate forms and keyed into the computer system.
- Complies with Medicare/Medicaid and other insurance rules and regulations. Completes MSPQ as required for admission.
- Responsible for direct rooming protocol of patients in the clinics. Responsible for check in/out and phone reception as needed.
- Scheduling of activities, including patient appointments, Telehealth visits, surgeries, procedures and/or ancillary services using extensive knowledge of appointment types, locations, providers, and specialties.
- Will float to centralized scheduling environment or other practices with critical staffing levels as needed and delegated by management.
- Responsible for following Personal Protective Equipment (PPE) guidelines.
- Responsible for check in/out and phone reception as needed.
- Employee will receive a 30-60-90-day quality assessment. PSR will be expected to complete any necessary retraining to meet assessment scores and role guidelines.
- Processes doctor’s orders
- Faxes documents
JOB REQUIREMENTS
Required:
- High school graduate or equivalent.
- Basic computer knowledge.
- Additional certification may be required and specific information and the timeframe in which such certification must be attained will be provided by the department director/manager/supervisor at time of hire/transfer into department.
Preferred:
- BLS certification
- Clerical experience and medical terminology.
HIPAA: This position will have access to the following Protected Health Information in order to carry out the duties related to their position based on the following criteria:
Primary - required (routine) to do the job
Secondary - required for the job, but mostly be exception
None - no approved access
Description of Information Level
Primary:
Patient Demographic Information (information used to identify a person): Name, Date of Birth, Address, Race, Marital Status, Religion
None:
Financial Information/Insurance (information related to insurance, billing and payment): Billing Information, Payer Name, Payer ID, Account Balances, Plan Elements Covered, Payment Information, Payment Rates
Clinical Information (information that describes a patient's health status): Diagnosis, Reports/Medical Notes, Test Results, Problem List, Procedures, History and Physical
Coding Information (clinical information that is in (alpha) numeric format): ICD-9 Codes, Rev Codes, CPT Codes
Infection Control:
Initial and Ongoing training in dealing with infection control. Training's could include but are not limited to, blood borne pathogens, bodily fluids and bio hazardous materials as it applies to your daily work environment.
We are an equal employment opportunity employer without regard to a person’s race, color, religion, sex (including pregnancy, gender identity and sexual orientation), national origin, ancestry, age (40 or older), disability, veteran status or genetic information.
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