Patient Services Representative

Patient Services Representative

The Patient Services Representative performs duties essential to the patient visit. These functions are all subject to change based on business need and include but are not limited to :

• Maintains strict patient confidentiality at all times.
• Follow all NEFHS policies in regard to attendance and notification to Supervisor.
• Collect all monies due at the time of service as well as outstanding patient balances according to NEFHS policy.
• Answers all incoming telephone calls professionally.
• Effectively and professionally communicate with patients in person, via the patient portal and on the telephone in regard to any question or concern they may have regarding care.
• Ensures at check out that the patient has any and all information needed.
• Informs the patient that prescription and or testing has been electronically submitted per the patient request.
• Follows NEFHS dress code policy at all times.
• Work with all other departments to ensure the highest level of patient care.
• Verifies all patient information for accuracy.
• Schedules patients for appointments according to Northeast Florida Health Services, Inc. (NEFHS) d / b / a Family Health Source policies.
• Schedules patients for testing / referral according to NEFHS policy as needed to assist other departments.
• Confirms appointments when indicated there was a problem with the automatic confirmation process to ensure that the patient will be keeping their appointment.
• Performs insurance eligibility verification when the patient schedules their appointment as well as forty-eight (48) hours prior to the scheduled appointment.
• Receives and directs all questions from patients to appropriate party.
• Assists patients with completing medical information forms when applicable.
• Obtains necessary signatures for consent according to policy.
• Documents phone calls / conversations with the patient's records according to NEFHS policy.
• Performs all data entry according to EMR policy documentation requirements.
• Assists in maintaining medical records according to NEFHS policy.
• Assists in maintaining office equipment.
• Assists in maintaining the organization and cleanliness of the office.
• Assists other team members daily as needed.
• Knowledge of EMR and IT policies as it applies to job description.
• Scanning of identification (ID) and insurance card for every patient into the patient's EHR.
• Demonstrates effective communication skills internally and externally.
• Maintains knowledge of clerical, personnel, and medical policies and procedures as set by NEFHS.
• Responds to Emergency and Crisis situations according the NEFHS policy.
• Participates in all mandatory staff meetings, continuing education and performance improvement programs.
• Utilizes all company resources in a cost-effective manner.
• Adheres to the standards and policies of the Organizational Privacy / Security and Compliance Programs, including the duty to comply with applicable laws and regulations (HIPAA, OSHA, OIG and applicable state and federal laws). This includes reporting any suspected unethical, fraudulent or unlawful acts to the Chief Executive Officer, Risk / Compliance Manager, HR, Supervisor or suggestion box as directed by the Company.
• Must be familiar with the operation of all NEFHS offices and be available to work varying hours as indicated based on business need.
• Performs all duties as assigned by management.

Education / Experience :

High school diploma or GED and at least two (2) years medical office or customer service experience.

Qualifications / Skills :

Environmental / Working Conditions :

Physical Factors :

Environmental Factors (exposure) :