Patient Service Rep Lead - Ortho - Full-Time

Job Summary:

The Patient Service Rep.

Lead supervises others on a variety of patient and customer service related activities.

Responsible for ensuring accurate and efficient registering, scheduling, and financial analysis activities for all patients upon arrival to the Healthcare System, including initiation of activities necessary to comply with managed care contracts. Responsible for responding expeditiously and in a professional and courteous manner to patient information inquiries and the registration process upon patient's arrival to the Healthcare System.

The Patient Service Rep.

Lead must maintain and promote an attitude of professionalism as reflected by courteous actions, maintenance of confidentiality and appropriate presentation of self; consistently demonstrate excellent oral and written communication skills; possess the knowledge and skills necessary to provide interactive communications appropriate to the age of the patient being served. Must interact appropriately with third party payers and other departments; and have the ability to relate well to people of a broad socio-economic mix.

Strong organizational skills and a commitment to teamwork are essential.

Must have ability to work closely in a clinical setting involving some stressful situations, personal flexibility; moderate sitting, standing, stooping, bending and moderate work at portable computers required. Will work closely with other physician offices to keep abreast of any new updates or changes with regards to scheduling and registration.

This position is involved in a team-based approach to care. Team members are trained to meet the highest level of function for their role as per the State of Tennessee/Georgia guidelines.

Is trained and assigned (as per their role and responsibilities) to coordinate care for patients and is trained and assigned to support patients/families/caregivers in self-management, self-efficacy and behavior change. Is trained and assigned (as per their role and responsibilities) to manage the practices' patient population. Participates in the practice's quality improvement process and performance evaluation.

Education:

Required:

High School Diploma. Minimum 5 years experience in physician office/billing/insurance environment.

Preferred:

BS in Business Administration or other related field

Experience:

Required:

Work generally requires four years of experience in a health care setting involving customer service and financial counseling and/or coordination of services related to insurance verification, ancillary scheduling or an equivalent combination of relevant education and/or experience. Knowledge of self pay collections, medical terminology, basic ICD9 skills, and/or a complete understanding of insurance is required.

Must possess fluent computer skills including functional knowledge of Windows, Word Processing and Excel. Must be proven to possess excellent communication skills and be able to interface appropriately with others of multiple ethnic and educational backgrounds. Highly organized, detail-oriented, self-starter with strong math skills who can function efficiently and professionally with all customers, both internal and external, in a demanding environment.

Clerical experience and/or hospital experience a requirement. Always poised, courteous, pleasing personality and great telephone etiquette. Prior Centricity/ Flowcast experience desirable.

Work requires knowledge of general business principles usually acquired through two years post-secondary education in accounting or in a related healthcare or business field, or equivalent combination of education and experience. Previous experience with appointment scheduling, patient registration, data entry, cash box, filing, phone system and deposits. Physician billing, insurance collection experience.

Computer experience, with Practice Management software. Experienced in obtaining referrals, pre-authorization, and pre-certifications.

Position Requirement(s): License/Certification/Registration

Required:

Preferred:

Department Position Summary:

Reviews accounts with inadequate financial coverage for reimbursement of services rendered. Responsible for responding expeditiously and in a professional and courteous manner to patient information inquiries and the registration process upon patient's arrival to the Healthcare System.

The Patient Service Rep.

Lead must maintain and promote an attitude of professionalism as reflected by courteous actions, maintenance of confidentiality and appropriate presentation of self; consistently demonstrate excellent oral and written communication skills; possess the knowledge and skills necessary to provide interactive communications appropriate to the age of the patient being served. Must interact appropriately with third party payers and other departments; and have the ability to relate well to people of a broad socio-economic mix.

Strong organizational skills and a commitment to teamwork are essential.

Must have ability to work closely in a clinical setting involving some stressful situations, personal flexibility; moderate sitting, standing, stooping, bending and moderate work at portable computers required. Will work closely with other physician offices to keep abreast of any new updates or changes with regards to scheduling and registration.

'223093