Patient Services Clerk Level II

Overall Responsibility:

This position services as the first point of contact with the patient. The position advises the patient about the privacy practices of the organization, registers the patient for procedures, enters the patient’s demographic and information into the computer system and creates the patient’s medical record. Responsible for ensuring all patient insurance eligibility benefits/authorizations are verified prior to patient admission. The position also observes patients in the waiting area and notifies technical staff if patient appears unstable. Participates in CQI activities as requested and as appropriate. Works in an efficient manner that complies with all Joint Commission, state, federal and local regulatory laws, standards and protocols.

Key tasks and responsibilities (essential functions):

• Creates patient charts and ensures that all required demographic and insurance information is included.
• Scans identification and insurance cards into the medical record.
• Schedules patient’s procedures using the facility’s computer system.
• Collects co-insurance, co-payments and deductibles from patients.
• Responsible for ensuring all patient insurance eligibility benefits/authorizations are verified prior to patient admission.
• Contacts primary insurance to verify coverage, acquire authorization numbers and prepare patient cost estimate.
• Responsible for providing accurate and complete data input for precertification requests. Must have thorough understanding of managed care concepts including HMO, PPO and POS.
• Ensures that patients are provided with a notice of privacy practices.
• Prioritize scheduling of all modalities adhering strictly to safety policies and procedures established for each modality.
• Monitors patients while in the waiting area.
• Ensures that unauthorized persons do not enter exam areas.
• Maintains a comfortable, welcoming environment in the waiting area.
• Answers incoming phones calls to the organization.
• Performs other duties or functions as assigned by Manager.

Licensure and Certification: None required.

Experience required: Strong organizational skills and the ability to work in a high-pace environment. Previous experience working in a medical setting with previous radiology experience preferred. High school graduate or GED required.

Environmental and physical requirements:Requires prolonged sitting, some bending, stooping and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports. Requires communication skills to deal well with employees, patients, families, physicians and vendors. May require lifting of 20-30 pounds maximum, potential for exposure to blood and body fluids (minimal), and exposure to infectious disease.