What are the responsibilities and job description for the Administrative Support Specialist position at Northern Light Health?
We are seeking a detail-oriented and organized Patient Service Representative to join our team at Northern Light Health. In this role, you will perform a variety of daily office functions for our multi-physician hospital outpatient practice, including answering phone calls, scheduling appointments, and processing payments. The ideal candidate will have excellent communication and interpersonal skills, with the ability to work effectively in a fast-paced environment. You will be responsible for maintaining accurate records, ensuring that all necessary documentation is completed, and providing exceptional customer service to our patients and visitors. If you are a motivated and organized individual who is passionate about delivering exceptional patient care, we encourage you to apply for this exciting opportunity.
The Patient Service Representative will also be responsible for monitoring daily schedules, notifying manager or all team members of potential issues or access opportunities, collecting co-pays/patient due balances, general understanding of insurance plans, utilizing insurance verification system and taking appropriate action based on eligibility response, obtains patient consents and signatures, schedule follow-up appointments when indicated, performs end-of-day reconciliation of payments, appointments, and validation, investigates and problem-solves insurance denials on a monthly basis to recover lost revenue and become aware of how to proactively submit clean claims, is patient-centric in interactions and decision-making, participates in the referral process as outlined by Medical Associates, initiates, receives, and/or processes insurance and services referrals in compliance with the patient's plan and in conjunction with the Medical Associates referrals protocol, proactive in identifying, reporting, and participating in the resolution of any potential or actual patient safety issues, processes health information requests in accordance with Organization and MMA policy, screens and invites patients to the electronic patient portal, displays cooperative behavior, interacts positively and effectively with others to promote a team environment, creates, maintains, and pulls patient charts, either physically or electronically, as outlined by the practice, acts as a backup for coworkers as needed, demonstrates and promotes the mission and values of the organization, ensures compliance with the hospital, state, and federal regulations, works in a way to uphold HIPAA standards, in compliance with the law, and performs additional duties as required or assigned to maintain the overall efficiency and continuity of the facility.
The Patient Service Representative will also be responsible for monitoring daily schedules, notifying manager or all team members of potential issues or access opportunities, collecting co-pays/patient due balances, general understanding of insurance plans, utilizing insurance verification system and taking appropriate action based on eligibility response, obtains patient consents and signatures, schedule follow-up appointments when indicated, performs end-of-day reconciliation of payments, appointments, and validation, investigates and problem-solves insurance denials on a monthly basis to recover lost revenue and become aware of how to proactively submit clean claims, is patient-centric in interactions and decision-making, participates in the referral process as outlined by Medical Associates, initiates, receives, and/or processes insurance and services referrals in compliance with the patient's plan and in conjunction with the Medical Associates referrals protocol, proactive in identifying, reporting, and participating in the resolution of any potential or actual patient safety issues, processes health information requests in accordance with Organization and MMA policy, screens and invites patients to the electronic patient portal, displays cooperative behavior, interacts positively and effectively with others to promote a team environment, creates, maintains, and pulls patient charts, either physically or electronically, as outlined by the practice, acts as a backup for coworkers as needed, demonstrates and promotes the mission and values of the organization, ensures compliance with the hospital, state, and federal regulations, works in a way to uphold HIPAA standards, in compliance with the law, and performs additional duties as required or assigned to maintain the overall efficiency and continuity of the facility.
