Patient Service Representative (Rehab, Outpatient)
: Job Details :


Patient Service Representative (Rehab, Outpatient)

Hartford Healthcare

Job Location : Sandisfield,MA, USA

Posted on : 2024-09-20T06:46:46Z

Job Description :

Description Job Schedule: Full Time Standard Hours: 40 Job Shift: Shift 1 Shift Details: Rotating Saturdays, alternating day and evening shift Work whereevery moment matters.Every day, almost 30,000 Hartford HealthCare employees come to work with one thing in common: Pride in what we do, knowing every moment matters here. We invite you to become part of Connecticut's most comprehensive healthcare network.The Patient Service Representative is responsible for providing professional customer service to ensure operational efficiency and promote a positive patient experience.Responsible for Patient Scheduling, Pre-Registration, Registration, Insurance Verification, Insurance Authorization, and ensures patients have been cleared for Rehab Outpatient office visits.Job Summary:The Patient Service Representative performs a variety of secretarial, billing and clerical duties to include: utilizing the electronic medical record (EMR) to schedule follow up and specialty appointments and process patient charges, coordinating referrals, preparing the proper paperwork and collecting pertinent patient information, answering phones, performing other related duties as assigned. Provides administrative support to the office staff. Requires understanding of Rehab procedures, and patient history requirements for Rehab procedures.Job responsibilities:Provides support to Front desk/reception area and provides general administrative supportGreet all patients and visitors.Answer incoming phone calls in a professional manner, and triage the call if appropriate to ensure the patients' needs are met in a timely manner.Create and distribute electronic messages in the EMRMail information to new patients prior to visit in accordance with department policiesAssist with general office duties such as photocopying, scanning information into a patient's EMR, distributing reports, sorting mail, faxes, delivering materials, etcAssist clinical staff with ensuring Plans Of Care have been signed for all patientsProvides back-up support to other front desk staff as neededPatient Registration, Insurance Verification and PreauthorizationRegister arriving patients to include completion of registration forms; Gather and enter all patient demographic and insurance data necessary to complete a patient registrationGather pertinent information from insurance carriers, financial counselors, and other ancillary staffVerify insurance coverage and obtain authorizations if needed from insurance carrierObtain current, complete and accurate patient insurance information to ensure full reimbursement.Provide insurance carrier with necessary information to predetermine coverageObtain insurance referrals for patientsEnsure that all referral requests are properly signed and filedPatient SchedulingCommunicate with Provider, office staff, patients, access center and registration to appropriately schedule and or reschedule departmental procedures according to specific protocols and patient care requirements, maintaining patient confidentiality in accordance with HIPAA guidelines.Schedules patient appointments, and informs patients of essential preparation requirements prior to visit (referrals, x-rays, medical reports, lab work, etc)Documents appointments and completes the necessary requisition forms and pre-cert exams, which may include prior authorizationsCollect, document and obtain complete and accurate patient medical history necessary to ensure appropriateness and safetyEnsure completion and accuracy of provider's order in relation to requested appointment type for compliance/medical necessity and communicates discrepancies to provider officeRequest, accept and reconcile point of care paymentsCollect co-payments and office charge as needed and explains office payment billing policies to patients.Reconcile super bills, co-pays and walk-in payments at the end of each session, and refer payment and insurance problems to Billing Department.QualificationsMinimum RequirementsPreferred RequirementsEducationHigh school diploma or equivalentEducationAssociates or Bachelor's degree in a clinical or business field preferredExperienceMinimum of 1 year of clerical/secretarial experienceExperienceReferral and Insurance verification experience preferredLicensure, Certification, RegistrationLicensure, Certification, RegistrationLanguage SkillsLanguage SkillsKnowledge, Skills and Ability Requirements· Ability to adhere to HIPAA policies at all times.· Ability to provide excellent and efficient customer service.· Positive, customer-focused approach, with commitment to providing excellent patient care.· Proven ability to work effectively in a team environment.· Excellent written and verbal communication skills· Ability to adapt quickly in a fast-paced environment· Strong computer skills - solid working knowledge of Microsoft Office and EPIC software.· Knowledge of medical terminology and insurance requirements.

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