Job Description
The Patient Services Representative facilitates all components of patient registration by accurately and efficiently handling the day to day operations relating to a patient’s scheduled appointment. This includes obtaining all necessary demographic and financial information to ensure that the most accurate patient data is obtained and populated into the patient record. This role is also responsible for creating a positive patient experience and representing the client and partner organizations in a professional manner.
Essential Duties & Responsibilities:
- Interview patients in-person and/or by phone to obtain all required information for hospital records and billing systems. Pre-registers all scheduled patients for admission, partial hospitalization, and outpatient services according to department policies and procedures.
- Verify insurance coverage and obtains authorization for all services requiring pre-certification.
- Process internal and out-going referrals, as needed, per department procedures
- Perform clerical functions as needed, including answering phones, taking messages, chart processing, faxing and scanning.
- Collect and process upfront deposits or set-up payment arrangements, as required.
- Screen patient for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral.
- Assist other team members where necessary
- Adhere to department policies and procedures related to verification of eligibility, benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties
- Understand and maintain operations knowledge of Medicare and other state and federal government payor compliance requirements for the population served
- Participate in departmental performance improvement initiatives
Minimum Requirements & Competencies:
- High school diploma or equivalent
- At least six months of experience working in a role within a customer-facing, fast paced environment with high volume of either calls or in-person requests.
- Experience communicating effectively with a customer and simplifying complex information.
- Ability to navigate Internet Explorer and Microsoft Office.
- Experience working in a role that requires prioritization of multiple critical priorities while ensuring quality and achievement of performance metrics.
- Demonstrated ability to meet or exceed performance metrics.
- Ability to handle sensitive information and maintain HIPAA compliance Amount of
- Must be willing to work onsite in Ortigas
Preferred Requirements & Competencies:
- Six months of experience working within the registration process in a hospital or physician office setting, including demonstrated success obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations.
- Knowledge of commercial and government insurance plans, payer networks, government resources, and medical terminology.
