Patient Service Representative

Must Haves:1+ year experience front desk within healthcare- registration, billing, insurance, check in and out, scheduling referrals (new patients) (at least 10/day)Knowledge of Insurance Verification, Referrals, member id vs group, subscriber vs dependentHS Diploma Plusses:EMR Experience- Next GenOBGYN or MFM ExperienceExperience scheduling specialty offices Day to DayHandle high volume incoming calls.Review the charts and insurance referrals/authorizations and taking appropriate action to assure proper maximal reimbursement.To assist the physicians and/or administrators in all business and patient care responsibilities.Coordinates office communication flow.Communicates effectively and courteously with and demonstrates a caring attitude toward patients and their families.Greet, direct and assist large numbers of visitors and refers visitors to various areas.Ensure all patient demographic and insurance information.Answer telephones using correct telephone etiquette at all times, recording legible and complete messages, handling questions, transferring incoming calls appropriately, contacting physicians, insurance companies, hospitals, diagnostic facilities, billing departments, etc… as necessary.Review patient intake information to verify insurance coverage.Verify patient insurance information, call for insurance authorization, patient address, telephone, etc.Responsible for scheduling new and follow up appointments including patient testing.Acts in a non-directive, non-judgmental manner, recognizing an individual’s religious, ethical and moral opinions and beliefs.Brings new ideas, positive attitude and lots of energy.Responsible for maintaining and recording patient schedule.Identify and collect co-pays, deductibles and other payments.Reconcile patient payments on a daily basis received to cash box and receipt journal.Prepare billing sheets.Review all billings sheets to ensure they contain necessary information needed to create a claim such as physician name and number, patient name and number, insurance code, referring physician and code, etcDirect billing inquiries to appropriate Regional Office.Ensure the clinical staff submits all outpatient billing sheets daily.Maintains patient confidentiality.Patient chart management, preparation, maintenance, filing, copying, requesting records, etc…Provides assistance to other team members when needed.Performs other duties as assigned.Assures all charge tickets are accounted