What are the responsibilities and job description for the Patient Service Representative Central Registration position at St. Charles Health System?
The Patient Service Representative acts as a liaison between patients and clinical staff and services by providing professional, accurate and timely service within all clerical, scheduling, registration and admitting functions.
This position does not directly manage any other caregivers.
Essential Functions And Duties
Responsible for accurately recording patient demographics, insurance and billing information at the time of registration for all St Charles Medical Group services, visiting specialists, and outpatient laboratory and radiology.
Courteously and confidently requests appropriate types of payments (e.g. co-pays, deductible payments, etc.) from patients/guardians, processes payments, completes daily deposits and batch reports.
Responsible for processing telephone calls accurately in accordance with established protocols.
Assists with processing of authorizations and / or referrals as necessary with medical staff as required by insurance companies.
Performs real time eligibility for insurance benefits.
Maintains all department specific files, programs and recall systems.
Responsible for accurately scheduling patient appointments.
Reconciles daily schedules with appointment reports.
Responsible for supporting the basic functions of medical records (including: locating and distributing patient documents and information to appropriate staff members, faxing, scanning, indexing, opening and distributing mail, etc.).
Works as needed to provide health and wellness services to our clients. Actively participates in achieving organizational and department goals.
Ability to work as part of a Care Team with providers and clinical staff.
Supports the vision, mission and values of the organization in all respects.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
Demonstrate the ability to mulit-task, provide attention to detail, complete accurate data entry in a fast paced environment with multiple distractions.
Basic understanding of Medicare and Medicaid requirements.
Has a clear understanding of how to accurately assign a Medical Record Index and Patient Account numbers.
Monitors bed assignments in Teletracking.
Ability to work in multiple computer programs as required.
Has the ability to back up Financial Counseling staff as needed to take payments, give out financial assistance information and complete presumptive eligiblity.
Has a clear understanding of all downtime processes.
May perform additional duties of similar complexity within the organization, as required or assigned.
Education
Required: High school diploma or GED.
Preferred: High school or college courses in medical terminology preferred, general/medical office practices.
Licensure/Certification/Registration
Required: Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.
Preferred: N/A
Experience
Required: N/A
Preferred: One year of clerical support in a healthcare setting or related experience. Basic medical terminology.
This position does not directly manage any other caregivers.
Essential Functions And Duties
Responsible for accurately recording patient demographics, insurance and billing information at the time of registration for all St Charles Medical Group services, visiting specialists, and outpatient laboratory and radiology.
Courteously and confidently requests appropriate types of payments (e.g. co-pays, deductible payments, etc.) from patients/guardians, processes payments, completes daily deposits and batch reports.
Responsible for processing telephone calls accurately in accordance with established protocols.
Assists with processing of authorizations and / or referrals as necessary with medical staff as required by insurance companies.
Performs real time eligibility for insurance benefits.
Maintains all department specific files, programs and recall systems.
Responsible for accurately scheduling patient appointments.
Reconciles daily schedules with appointment reports.
Responsible for supporting the basic functions of medical records (including: locating and distributing patient documents and information to appropriate staff members, faxing, scanning, indexing, opening and distributing mail, etc.).
Works as needed to provide health and wellness services to our clients. Actively participates in achieving organizational and department goals.
Ability to work as part of a Care Team with providers and clinical staff.
Supports the vision, mission and values of the organization in all respects.
Supports Value Improvement Practice (VIP- Lean) principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
Provides and maintains a safe environment for caregivers, patients and guests.
Conducts all activities with the highest standards of professionalism and confidentiality. Complies with all applicable laws, regulations, policies and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient and accurate.
Demonstrate the ability to mulit-task, provide attention to detail, complete accurate data entry in a fast paced environment with multiple distractions.
Basic understanding of Medicare and Medicaid requirements.
Has a clear understanding of how to accurately assign a Medical Record Index and Patient Account numbers.
Monitors bed assignments in Teletracking.
Ability to work in multiple computer programs as required.
Has the ability to back up Financial Counseling staff as needed to take payments, give out financial assistance information and complete presumptive eligiblity.
Has a clear understanding of all downtime processes.
May perform additional duties of similar complexity within the organization, as required or assigned.
Education
Required: High school diploma or GED.
Preferred: High school or college courses in medical terminology preferred, general/medical office practices.
Licensure/Certification/Registration
Required: Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.
Preferred: N/A
Experience
Required: N/A
Preferred: One year of clerical support in a healthcare setting or related experience. Basic medical terminology.
