Job Details
** Patient Service Representative**
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Clerical and Administrative
Nashville, TN ID: 999621 Full-Time/Regular
Responsible for performing all aspects of the patient encounter from scheduling appointments, registering new patients, screening by phone or in person all patients through the check-out process and charge ticket review, batching and/or direct charge entry within an established & acceptable error rate; collects payments from patients; assumes responsibility for one or more functional areas as described based on daily assignments from Patient Services Representative Supervisor. Assures that all paper work, documentation records are ready and available at the time patients arrive for clinic visits with the Meharry Medical Group.
* Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; pulls the medical/dental record for those calls requiring it; opens and sorts mail; monitors waiting room activities, maintains clean waiting areas.
* Accurately schedules all patient appointments and return appointments based on physician/dentist or student doctor and medical/dental specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; verifies financial eligibility of all patients scheduled; obtains necessary authorizations based on patients insurance requirements; confirms all appointments within 48 hours of scheduled time; makes referral appointments for patients; performs scheduling maintenance as required by the system.
* Pulls and prepares the unit medical/dental record at least 72 hours in advance of the appointment; assists in locating medical/dental records and lost records; assembles, updates, copies and releases records according to medical/dental record protocol.
* Prepares an E-ticket for the visit; submits all E-tickets on a daily basis, to billing department or contracted vendor; reconciles no show patients and voided E-ticket with batch listing; corrects and resubmits returned E-tickets within 24 hours of receipt.
* Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances;
* Schedules revisit appointments as needed; conducts patient call backs as directed by provider.
* Receives and processes payments per cash management policy and procedures; balances cash drawer at end of shift/day with daily balancing proof sheet;
* Perform other duties as assigned. Duties will be assigned in other clinic service areas as patient needs required.
**Required Skills**
* Accurate data entry skills with knowledge of basic keyboarding
* Professional and courteous telephone skills
* Excellent oral and written communication skills with ability to communicate clearly by telephone on in person
* Knowledge of CPT/CDT and ICD-9 coding
* Ability to file numerically and alphabetically
* Knowledge and thorough understanding of medical/dental office procedures
* Knowledge of confidentiality and release of information
* Ability to work under pressure
* Skilled at managing multiple priorities
* Sufficient knowledge of insurance plans to correctly assess need for prior authorization of procedures and referrals and to interpret patient financial information
* Medical/dental terminology sufficient to identify and explain medical/dental procedures to patients, third party payers and medical facility personnel
* Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.
**Required Experience**
High school diploma or equivalent is required; minimum of two (2) years experience as a medical/dental receptionist, insurance processor or a similar position in a medical/dental office, hospital, insurance company, health plan or other health related facility. Experience with computerized scheduling and billing systems; bilingual preferred.