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Patient Service Representative I

Patient Service Representative I

Codman Square Health CenterDorchester Center, MA, US
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Job Details

Job Location : Codman Square Health Center - Dorchester, MA

Position Type : Full Time

Education Level : High School

Travel Percentage : None

Job Shift : Day

Job Category : Health Care

Description

Primary Responsibilities :

  • Responsible for welcoming all patients by smiling and establishing eye contact with patients.
  • Responsible for monitoring the waiting rooms, coordinate with clinical staff to notify patients of any delays.
  • Responsible for performing patient Check In functions, incl. registration, insurance verification, collecting required co-pays or other payments, administering the sliding scale discount program, and 'arriving' patients for their appointments in the EHR.
  • Responsible for explaining to patients / parents / guardians their responsibilities ( i.e. arrival and appointment times, form requirements, payment expectations, late and cancellation policy)
  • Responsible for entering accurate patient data, telephone encounters, referrals, forms and prescription requests into the Electronic Health Record (EHR).
  • Responsible for assisting patients with completing / collecting pre-visit, consent and other forms; processing patient forms, letters or obtaining prescription request information from patients.
  • Responsible for assisting patients with appointment scheduling - whether within or across Codman Square Health Center departments.
  • Responsible for promoting Patient Portal.
  • Responsible for performing patient Check Out, incl. scheduling follow up appointments, specialist appointments, assisting and educating patients on referral process.
  • Responsible for performing patient pre-registration.
  • Responsible for scheduling same day and follow up appointments, conducting appointment reminder calls, putting patients on recall list, processing patient no shows and cancellations, and performing end of day reconciliations.
  • Responsible for coordinating transfer of patients from clinics and Urgent Care.
  • Responsible for effectively managing in basket patient related messages in timely manner.
  • Must use sound judgment to determine when and to whom to escalate issues to ensure resolution.
  • Must adhere to HIPAA and protect the confidentiality and sensitivity of patient information.
  • Must meet service level expectations and identified key performance indicators.
  • Must meet or exceed call volume, pre-registration and insurance verification productivity and accuracy expectations
  • Ensure workstation, patient waiting room and common areas are kept clean.
  • Required to follow standard operating policies and procedures, while delivering expedient, professional responses to patients' inquires and concerns.
  • Must attend staff meetings and training, as needed

Other duties as assigned

Qualifications

Qualifications and Skills :

  • High school diploma or GED required.
  • A minimum of 1 year experience in a medical / clinical office environment or Health or Dental insurance industry required.
  • Previous customer service background required.
  • Haitian Creole or Spanish preferred
  • Excellent customer service and interpersonal skills.
  • Ability to interact with diverse patient population.
  • Solid computer literacy; ability to multitask, organize and prioritize one's own work.
  • Solid understanding of medical insurance terminology.
  • Previous experience and knowledge of Community Health Center Or Hospital patient registration systems, insurance eligibility verification systems ( i.e. MMIS, WebMD, Trizetto, NEHEN).
  • Solid knowledge of insurance plans, concepts and terms.
  • Expected to stay abreast of scheduling rules, health care insurance changes and referral requirements.
  • Ability to quickly learn new systems and tasks; work as a team member and independently.
  • Ability to work in a fast pace environment.
  • Ability to listen well and devote full attention to patients and medical professionals alike.
  • Ability to be compassionate, caring, and to remain calm, even under the most stressful of situations,
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