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Patient Care Representative

Patient Care Representative

PCC Community Wellness CenterOak Park, MI, US
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Office Manager

Sports Medicine - OAK PARK, IL

Full Time

High School / GED

Salary Range : $16.60 - $18.60 Hourly

Local - Location to Location

Day

Health Care

Description

Department : Clinic Administration

Manager Title : Office Manager

FLSA Status : Non-Exempt

Job Summary : Responsible for the operations of the reception area, registering and scheduling of patients, collecting co-pays and money charged for services rendered and handling all patient inquiries.

Essential Duties and Responsibilities :

  • Greets all patients, staff, visitors, and vendors in a professional and welcoming manner
  • Schedules appointments in order to track billing slips to ensure charge capture occurs
  • Prepares for the day, reviews Eligibility and Phone report, prepares any new patient charts and / or paperwork at patient presentation
  • Performs registration in clinic setting and via telephone to ensure demographic and insurance information is accurate and complete
  • Obtains copies of insurance cards, drivers license, authorizations, and referrals and scan or enter them into electronic health record
  • Ensures all requirements and fields noted on the Check-In and Check-Out page are satisfied and complete
  • Collects co-payments and outstanding balances at Check-In, and time of service balances and estimated balances at Check-Out according to policy
  • Reviews and complies with Patient Account Notes and Appointment Notes in electronic health record
  • Refers patients to Financial Counselors regarding past due balances, questions and / or resolution that PCRs are unable to answer
  • Processes claim creations in electronic health record at Check-Out
  • Submits appropriate claims for Real Time Adjudication
  • Works Day End Review report and designated Tier-based HOLD Claim Worklist(s) on a daily basis
  • Accepts accountability for all Worklists on the dashboard or elsewhere based on assignment
  • Answers the telephone directing calls to appropriate areas or takes messages and relays them to the appropriate staff member as necessary
  • Informs patient of privacy policies and procedures
  • Informs patients of delays in physician schedules, assists with patient comfort while delayed
  • Schedules follow-up appointments, creates appointment ticklers in electronic health record, and works associated Worklists relative to both based on assignment
  • Creates a Time of Service batch and links it to a deposit batch daily
  • Reconciles, balances, and closes each batch / drawer at end of day
  • Turns over batches to the designated resource daily
  • Covers for other staff in reception, including other office locations
  • Processes all releases for medical information ensuring appropriate consents are completed, adhering to PCCs HIPAA and privacy guidelines
  • Drives continual quality improvement through participation in organizational quality improvement efforts that may include but are not limited to patient satisfaction, clinical and operational quality improvement initiatives
  • Maintains a neat and orderly work area
  • Performs other duties as assigned

Qualifications

Experience / Training :

  • High school diploma or equivalent
  • 1 - 2 years EMR experience in medical setting preferred
  • Constantly communicates with patients, families, and other healthcare providers. Must be able to exchange accurate information in these situations
  • Proficient in MS Office Business Applications to include : Outlook, Word, PowerPoint, and Excel
  • Certifications / Licenses :

  • None
  • Physical Demands :

  • Must be able to remain in a stationary position 50% of the time
  • Must be able to move around the clinic site 50% of the time
  • Constantly operates a computer, computer printer, copy machine, and telephone
  • Occasionally positions self to maintain exertion of physical strength to move objects of 10 pounds from one level to another
  • Must be able to transport from one site to another
  • Must be able to cover other shifts as necessary
  • Other Skills :

  • Ability to read and write proficiently using the English language
  • Constantly communicates with other healthcare providers. Must be able to exchange accurate information in these situations
  • Follow-through, assume responsibility and use good judgment
  • Maintain professionalism under stressful situations
  • Self-motivated and directed with the ability to prioritize and work efficiently under pressure
  • Ability to understand and follow verbal and written communication
  • Detail oriented with the ability to work with minimal / no supervision
  • Willingness to be part of a team-unit and cooperate in the accomplishment of departmental goals and objectives
  • Effective and creative problem solving
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    Patient Representative • Oak Park, MI, US