Description

POSITION SUMMARY

The Preregistration Patient Services Representative is responsible for conducting preregistration 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 patients 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 entered into the EHR system
• Ensures necessary referral and referral documentation is appropriately loaded to patient account, as well as a copy in the patients chart pre-arrival. Request referrals from PCOs if not received.
• Determine patient portion of copays, co-insurance and/or deductibles prior to patients appointment and communicates 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 payment arrangements, 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 and Manager of RCM.
• Cross coverage with Patient Services Receptionist. Cross coverage may require travel, which is reimbursable 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 rules and regulations related to the position.

Qualifications

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.