What are the responsibilities and job description for the Patient Service Representative position at The Center for Orthopedic and Research E?

Job Description

Join our Team at Premier Orthopaedics!

Title : Patient Service Representative

Location : Lionville, PA

Schedule : Monday-Friday, rotation between opening / closing 8 hour shifts between 7 : 00am-6 : 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, eligible on the first of the month following start date.
Generous paid sick and vacation time.
7 Paid Holidays per year.
Excellent opportunities for growth and advancement.
Employee referral reward program.

ESSENTIAL FUNCTIONS

Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival.

Answers all incoming calls in a timely manner and accurately supplies requested information to callers; relays written or verbal messages as needed.

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.

Scans all new or updated patient information into the EMR system (including but not limited to photo ID, insurance cards, referrals, and patient paperwork).

Schedules follow-up appointments and notifies patient if service requires an authorization or referral, and sends the request to PCP in a timely manner.

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.

Reviews and prepares charts for the following day according to the practice schedule.

Maintains a secure and accurate cash drawer, daily balances the cash drawer, and closing batch.

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.

Must be able to communicate effectively with physicians, staff members, patients, and the public and be capable of establishing good working relationships with both internal and external stakeholders.

Previous experience in collecting money is preferred.

Knowledge of insurance rules and regulations including eligibility and referral requirements.

Skill in customer service.

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