What are the responsibilities and job description for the Patient Service Specialist I position at 201 Company - Brockton?
This position is to function as a member of the administration team and complete assigned daily front end tasks to ensure smooth day to day operations in the BMCHS physician practice. The Patient Service Specialist must maintain a professional, positive manner when talking with patients in-person, over the phone, or via email.
Key Responsibilities
- Answers calls and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information.
- Schedules patient appointments and appropriate testing for patients as requested as well as follow up questions on testing.
- Registers patients in EMR and verifies information including demographics and obtains accurate health insurance information. Conduct eligibility checks to ensure insurance is reflected accurately.
- Collects required insurance co-pays from patients including any prior balances.
- Follows scheduling notes and direct schedules patient visits in other BMCHS practices as advised.
- Performs pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility.
- Responsible to obtain prior authorizations and/or insurance referrals as per practice need.
- Provides routine information to callers and gives only authorized medical advice from a provider.
- Provides a high level of customer service to all new and existing patients of the practice.
- Creates patient cases and documents telephone calls and messages into Athena or other EMR.
- Performs outreach to select patient groups as directed for patient care and quality measurement/guidelines. Schedules specialty appointments/testing as required.
- Performs work in EMR buckets as directed and per practice need.
- Responsible to inform manager of administrative supply needs or assists with ordering.
- Follows up with providers on missing slips and creates claims in Athena.
- Responsible to work assigned revenue cycle buckets as directed.
- Must be able to work independently with little supervision.
- Adheres to BMHS policies.
- Always uses discretion to ensure patient confidentiality.
- Performs other duties as requested.
Skills
- Strong customer service excellence expected.
- Ability to multitask and prioritize responsibilities.
- Excellent communication and interpersonal skills required.
- Experience with EMR strongly preferred. (Athena a plus)
- Experience with Microsoft Office, Word, Excel, and Outlook preferred.
Education & Experience
- High School Diploma or equivalent required.
Equal Opportunity Employer/Disabled/Veterans
