Patient Service Representative Pediatrics Putnam 1st shift 40 hours.

J ob Title : Patient Services Representative

Department : DKMG - Putnam Pediatrics

Position : Staff

Hours : 40

Shift : 1st | 8-430

JOB SUMMARY

The PATIENT SERVICES REPRESENTATIVE is a multi-tasking position that consists of all front-end functions including customer service, telephone management, scheduling, registration, copay collections, time of service account management, coding review, charge entry, and appropriate cash and end-of day closure procedures. The PSR will ensure that all provider schedules are appropriately populated, telephones are responded to according to established protocols, and complete registration information is captured prior to, or during each patient visit. In this role, the PSR will perform appropriate and timely charge entry, if not performed electronically through an EMR, for all patient visits including a review of encounters and recommendations for appropriate procedural coding, manage cash drawers according to established protocols, post cash to patient's accounts, manage patient responsible account balances at the time of service, and correct assigned claims edits for expedient submission to carriers.

ESSENTIAL RESPONSIBILITIES :

Responsible for collaborative interaction with patients, physicians, other staff members and management, patient satisfaction and accurate processing of all front-end functions are integral to the success of this individual.

Plans and directs pre-verification of patient insurance, registration, billing and collections, and data processing to ensure accurate patient billing and efficient account collection.

Appropriately responds to patient inquiries via telephone following established protocols

Follows procedures for verification of patient demographics information including insurance verification prior to the patient visit for all pre-scheduled patients

Utilizing established protocols, appropriately schedules patients whenever possible, at the patients’ convenience for physician visit

Registers all patients at each visit utilizing established policies for the capture of complete and up-to-date patient and insurance information. Receives and documents in the information system patient responsible payments including co-payments, past balance payments, and time of service patient-responsible charges

Check-out each patient via established policies, including charge entry for current visit if appropriate, scheduling of future appointments, facilitation of ancillary procedures as necessary, and provides for the patient a receipt for services rendered

Will consistently perform surgical and other hospital charge entry functions as assigned and collaborate with providers regarding appropriate coding procedures

Following clinic policy, appropriately reconciles cash and charge batches, balances cash drawer, prepares deposits, and reconciles charges to visits and the co-pay holding file with an accurate balance for each opened batch

As assigned, processes all referral requests by physicians and patients within a timely manner and according to clinic procedure

As assigned, processes and maintains medical records in accordance with records protocols

QUALIFICATIONS : Education :

• Completion of a high school diploma.
• College level courses preferred but not required.

Day Kimball Healthcare is a non-profit, integrated medical services provider comprised of Day Kimball Hospital, healthcare centers in Danielson, Dayville, Plainfield and Putnam, Day Kimball HomeCare, Hospice & Palliative Care of Northeastern CT, Day Kimball HomeMakers, and Day Kimball Medical Group. Its service area includes Northeast Connecticut as well as nearby Massachusetts and Rhode Island communities. Day Kimball Healthcare’s comprehensive network offers more than 1,400 employees including nearly 300 associated, highly-skilled physicians, surgeons and specialists. I

ts website is daykimball.org.