Patient Service Representative

Join our Team at Premier!

Title: Patient Service Representative

Location: Folsom, PA

Schedule: Monday-Friday. 3 days/week 7:00am-3:30pm, 2 days/week 10:00am-7:00pm.

About Us:

Premier is a leading orthopedic practice committed to diagnosing and treating a wide range of orthopedic injuries and conditions. We operate in over 50 locations and have more than 70 physicians dedicated to providing exceptional care across the Greater Philadelphia area. With a team of nearly 1,000 employees, we thrive in a supportive environment that prioritizes collaboration and patient satisfaction.

What We Offer:

• Comprehensive benefits, including medical, vision, and dental plans, 100% employer-paid life insurance, and a 401(k) match.
• Generous paid sick and vacation time.
• 7 Paid Holidays per year.
• Flexible work hours.
• Excellent opportunities for growth and advancement.
• Employee referral reward program.

ESSENTIAL FUNCTIONS

• Promptly greets and acknowledges patients. Informs Aides and Providers of the patient’s arrival.
• Instructs patients in completion of medical history and other patient information forms and makes any necessary corrections to the patient's account as needed.
• Obtains accurate and complete demographic and insurance information from patients and collects required financial contract/consent form(s), as well as reviews patients and guarantors’ information assuring all necessary documents are populated, completed, and signed correctly. Ensures all required authorizations and/or referrals are attached to patient appointments for that date of service.
• Identifies and collects co-payments, co-insurances, and past-due account balances.
• Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to the Practice Billing Department.
• Evaluates patient financial status and establishes payment plans as needed based upon authority levels.
• Accurately completes and interprets insurance and benefits verification. Notifies patients, designated family member(s), physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
• Schedules follow-up appointments and notifies patient if service requires an authorization or referral.
• Records all record requests in the system and reviews HIPAA requirements and patient Medical Record Request form prior to the release of patient information to any person other than the verified patient.
• Communicates with patients in the lobby if physician or provider is running behind schedule.
• Maintains a secure and accurate cash drawer, daily balances the cash drawer, and closing batch.
• Protects patients’ rights by maintaining the confidentiality of personal and financial information; maintains patient confidentiality consistent with HIPAA requirements.
• Maintains a clean and organized front office workspace.

QUALIFICATIONS

• High school diploma/GED or equivalent working knowledge experience preferred.
• Minimum of one-two years of patient registration/front office experience in a medical or healthcare setting.
• Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems. Athena or another Electronic Medical Records experience is highly preferred.
• Previous experience in collecting money is preferred.
• Knowledge of insurance rules and regulations including eligibility and referral requirements.
• Able to verify the eligibility of each payer, per patient according to defined parameters.
• Knowledge of medical terminology and HIPAA Guidelines.
• Skill in customer service.
• Ability to maintain patient confidentiality in accordance with HIPAA Guidelines.
• Ability to demonstrate empathy, concern, good listening skills, and compassion for all patients.