What are the responsibilities and job description for the Patient Service Representative - Bedford Internal Medicine & Pediatrics position at Catholic Medical Center?
POSITION SUMMARY:
Acts as a representative in all areas of clerical support. Assumes responsibility for all facets of front desk operations, including greeting and registering patients, answering phones, scheduling appointments, entering patient charges and demographics, retrieving and updating medical records, collecting fees and performing general clerical and other duties as assigned in accordance with Joint Commission, NCQA and government standards, as well as policies and procedures of PPA.
PRINCIPAL DUTIES AND RESPONSIBILITIES:
Under the direct supervision of the Practice Manager and within established policies and procedures, the incumbent performs the following essential functions:
1. Processes daily charge tickets for incoming patients and processes provider daily schedule.
2. Greets and registers patients; notifies medical staff of their arrival.
3. Verifies current address, insurance status and emergency contact.
4. Is responsible for obtaining patients signature on registrations forms as well as on yearly renewals.
5. Photocopies and inputs patient demographic information, insurance data and all other information.
6. Interacts with patients regarding complaints for effective and immediate response and resolution. Refers to Office Coordinator or Practice Manager as appropriate.
7. Receives incoming telephone calls, either directly or from the switchboard and takes messages if appropriate.
8. Scans Documents and follows guidelines to sorting them into patient's charts.
9. Offers patient's access to "My Chart", then monitors and appropriately response via phone or email.
10. Documents accurately and thoroughly in patients chart, upon receiving a phone call, per office protocol.
11. Uses appropriate company procedures, referring doctors and correct protocols for writing referrals. Schedules referral appointments with specialists, hospital tests and lab work.
12. Supports the discharge of patients from the office. Collects payments and charges the patient at time of service. Balances the batch and completes batch control tickets.
13. Maintains providers' schedules, optimizing effective scheduling of appointments. Confirms appointments for daily schedule.
14. Interacts and communicates professionally with co-workers, management and patients.
15. Ensures confidentiality of employee, legal, client, budget, and all other company matters.
16. Assists in developing and implementing systems to support effective and accurate registration of patients. Makes recommendations to increase efficiency of patient care or administrative functioning of area.
17. Assists in orientation of new employees to office functions, shares pertinent information and effectively teaches others to perform tasks accurately and effectively.
18. Open, sorts and distributes mail to appropriate staff. Sorts mail and other incoming reports and scans all relevant information to the appropriate providers EMR desktop for review and signature. Review incoming reports for duplication and scans in originals discarding duplicate reports. Prepares hospital and outgoing mail.
19. Pulls and delivers paper records if requested by providers.
20. Scans and enters Protected Health Information (PHI) into EMR
21. Processes the release of medical information in accordance with regulatory requirements, and ensures federal and state statutes are followed. Photocopies and prints information in the original medical record to include downloading information from the electronic medical record. Calculates fee and creates invoice associated with the release of information requested.
22. Protects confidentiality of patient's information. Follows HIPAA guidelines and NH state law with regards to release of information. Maintains the knowledge of The Joint Commission standards regarding medical documentation and HIPAA requirements.
Education :
- High school diploma or equivalent.
Experience:
- Two to three years' experience in health care setting performing similar work activities including, but not limited to clerical, billing or insurance processing.
Licensure /Certification:
- None
