Patient Service Representative
The Offsite Patient Service Representative I provides front line contact as a patient liaison within the access center, check-in / check-out, appointment scheduler, triage, prior authorizations and referrals and neighborhood administrative and physician support. The Patient Service Representative I, possesses a commitment to excellence in the development of knowledge, skills, and quality patient-focused service.
Roles & Responsibilities :
- Provides front line contact for the department / neighborhood by answering telephones, directing and responding to callers, relaying messages to appropriate recipients and greeting patients and visitors with the highest level of customer service
- Provides clerical and administrative support to physicians and is a liaison between departments.
- Helps direct patients to appropriate setting and facilitates patient flow.
- May schedule appointments for a multi-specialty group, and have a working knowledge of providers, understanding systems, processes, and services rendered.
- Ensures patients are prepared for their appointment by informing the caller of items to bring to their appointment and of the appropriate practice policies.
- Possesses an understanding of when to escalate calls to a supervisor.
- Answers the telephone promptly and in a polite and professional manner to meet Mount Sinai Hospital and Mount Sinai Doctors Long Island customer service standard of excellence.
- May check patients in or out, collect co-pays, scan insurance cards and ensure other required documents are reviewed and signed.
- May schedule radiology testing / procedures in EIDX, EPIC and RIS according to department guidelines.
- May schedule and confirm testing, surgeries and procedures according to department guidelines.
- Ensures all documents are appropriately documented and maintained in the electronic medical record; scanning op reports, test results, home care and any other forms.
- May schedule and maintain calendar for meetings and / or appointments.
- May instruct patients and assist them in navigating MyChart.
- May acquire insurance pre-authorization / referrals from managed care plans for all required services, admissions, procedures, diagnostic tests and medications.
- Notifies Administrator, Director of Revenue Cycle, Practice Manager or Supervisor of any particular insurance issues or updates.
- May provide coverage for other staff as assigned during PTO or leaves of absence.
- May enter telephone encounters into the electronic medical record (EMR) system through the use of the appropriate Epic Smart Text.
- May enter auto faxes received from Pharmacies for medication requests via telephone encounters into the electronic medical record (EMR) system through the use of the appropriate Epic Smart Text.
- May open, sort and prioritize mail. Coordinates pickup and delivery of packages, orders and other materials as required.
- Demonstrates the ability to meet quality assurance requirements and other qualitative / quantitative key performance metrics.
- Performs other duties as assigned.
Requirements :
Education Requirements
HS / GED required; some college preferred
Experience Requirements
0-2 years' experience in a physician practice or hospital setting providing administrative support functions, with comfort level in patient interaction and having an understanding of maintaining patient confidentiality.
Computer Skills
MS Office Suite : Intermediate
Other : Epic and IDX or other EHR
General Skills and Competencies
Able to work independentlyMust have excellent customer service skillsAble to work well with patients, visitors, physicians and colleaguesMust have excellent verbal communication & listening skillsKnowledge of managed care plan requirementsAbility to organize and prioritize and work with a teamHigh level of accountability and responsibilityAble to maintain confidentiality and deal with sensitive information