The Patient Service Associate serves as the subject matter expert in all Patient Service responsibilities. This position is primarily responsible for accurately, thoroughly and in a time-sensitive manner processing patient orders and providing clear and timely communication to all stakeholders.
Essential Duties and Responsibilities include the following.
Serve as subject matter experts in all Patient Service Associate core responsibilities.
Responds to telephone inquiries and orders from patients and referral sources.
Determines resolution of patient and referral inquiries, questions, or concerns.
Completes electronic intake process in billing system, performs verification of insurance, and reviews all documentation for accuracy and to qualify patient for services.
Contacts patients to inform them of any patient payment requirements, collects payment, and determines best delivery method and provides instructions for receiving delivery.
Understands and abides by Accreditation Commission for Health Care (ACHC) requirements.
May need to understand and interpret Medicare guidelines and qualifying documentation.
Thoroughly understands payer and utilization guidelines.
May process insurance authorization and follow up on requests as needed.
Establishes positive relationships with referral sources, and builds rapport with internal and external customers.
May be required to perform quality assurance process confirming accuracy of orders prior to submission for reimbursement.
Consistently meets Quality Assurance score of 85% or above.
Performs other duties as assigned.
Qualifications:To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
Education/Experience: High School diploma or GED equivalency required. Prefer 1 year of related health care, customer service, call center, or insurance experience. Strong organization and communication skills required.
Computer Skills:To perform this job successfully, an individual must have basic computer and typing skills.
The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
The employee must occasionally lift and/or move up to 10 pounds. The employee is frequently required to sit; use hands to fingers, handle, and feel; and talk and hear. The employee is occasionally required to stand and walk.