What are the responsibilities and job description for the Pre Registration Patient Services Representative position at SEES GROUP?
Job Details
Description
The Patient account/Preregistration Representative supports team goals, values and philosophy by exhibiting the following behaviors: excellence, quality service, commitment and accountability. As a member of the team, performance includes demonstration of the following accountabilities: communication, teamwork and job knowledge.
POSITION SUMMARY
The Patient Account/Preregistration Representative is responsible for conducting preregistration and account management as well as all facets of patient collections. The primary duties include but are not limited to verifying patient insurance eligibility and coverage, obtain referrals for patient procedures and office visits, determines patient portion of co-insurance and/or deductibles prior to patient’s appointment, and communicating with all parties to include patient and staff. Following up on unpaid balances, answering patient questions regarding their balance and statements.
ESSENTIAL FUNCTIONS include the following:
•Answers patient questions regarding their insurance coverage & account balance.
•Verifies insurance eligibility. Ensures accurate admission data and patient information is correctly enteredinto the EHR system
•Ensures necessary referral and referral documentation is appropriately loaded to patient account, as well asa copy in the patients chart pre-arrival. Request referrals from PCO’s if not received.
•Determine patient portion of copays, co-insurance and/or deductibles prior to patient’s appointment andcommunicates this by adding AR note to patient account.
•Manages the flow of information between the online patient portal and the EHR system
•Monitors and follows up on patient account balances, provides info regarding appropriate paymentarrangements, provides front desk with info pre-arrival.
•May process and post payments to patient accounts.
•Report collection related issues to appropriate dept managers, ie; Patient Services Department Manager andManager of RCM.
•Cross coverage with Patient Services Receptionist. Cross coverage may require travel, which isreimbursable according to travel policy.
•Reconcile daily collection, provide collections to PSR manager for accuracy check prior to deposit.
•Troubleshoots and resolves computer related issues with any of the patient preregistration processes
•Maintains confidentiality of patient and company information
•Demonstrates excellent customer service skills for both internal and external contacts
•Reacts productively to change
•Maintains knowledge of and follows policies, procedures, Code of Conduct, and all Federal and state rulesand regulations related to the position.
•Completes all required compliance training.
•Duties and responsibilities may be added, deleted, or changed at any time at the discretion of management,formally or informally, either verbally or in writing.
SUPERVISORY RESPONSIBILITIES
None
KNOWLEDGE, SKILLS, & ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
• Good problem solving and analytical skills
• Detail oriented with strong organizational and follow-up skills
• Good interpersonal and customer service skills
• Good computer skills including use of standard office programs
• Familiarity with insurance eligibility verification, precertification, deductibles, and coinsurance
• Ability to adapt to changing insurance regulations
• Ability to speak, read, and write in English
• Ability to effectively communicate both orally and in writing
• Ability to operate standard office equipment
• Ability to concentrate, think, and learn
• Ability to hear, see, sit, stoop, kneel, crouch, reach, and handle
EDUCATION AND/OR EXPERIENCE
High School diploma or equivalent is required; a minimum of one (1) year experience in medical insurance or billing is preferred; medical insurance knowledge is required; and/or equivalent education or experience in job related activities is required.
Qualifications
