Patient Services Representative

Nature of Duties :

Performs a variety of medical office duties ranging from patient check-in / out, appointment scheduling, managing medical records, handling payments, and correspondence.

Qualifications :

1. High school diploma

2.Knowledge of patient scheduling techniques / insurance & billing preferred.

3. Good communication and customer service skills.

4. Ability to learn computerized medical office work.

Specific Duties :

• Answers phone calls, schedules appointments, checks patients in and out, calls patients on recall list to make appointments, and follows up with no-show appointments and corresponds with patients about appointments.
• Greets patients or customers in a friendly, professional manner.
• Obtains and completes registration for patients.
• Confirms daily schedules with physicians and assists with any changes.
• Enters electronic messages to other departments to assist with patient flow and documents patient wait times. Performs appropriate and accurate documentation in the medical record as is applicable to patient service duties.
• Assists billing department with collecting co-pays and patient balances. Provides billing department with clear copy of insurance cards and current demographic information.
• Checks medical charts to ensure that insurance verifications are current and available for other personnel.
• Maintains HIPAA privacy and security and provides the CIS Notice of Privacy Practices to new patients or to any who requests it.
• Performs other related duties as assigned and serves in whatever other capacity deemed necessary.

Standards of Performance :

1. Keeps work area neat and organized. Reports safety issues to team leader immediately.

2. Works efficiently and manages time wisely. Assist other employees when all duties are complete.

3. Communicates any problems, difficulties or concerns regarding job duties to the team leader.

4. Performs all duties without significant error occurring with any regularity.

5. Meets all deadlines and timeframes for completion of assignments.

6. Represents CIS in a professional manner at all times. Demonstrates acceptable ability to interact with physicians, staff ("internal customers") and "external customers" (patients, family members, insurance companies, home health etc.

on a professional level at all times. Exhibits good communication skills with physicians, patients, team leaders, and co-workers at all times.

7. Exhibits whenever possible a harmonious relationship with other CIS employees in order to accomplish the duties and responsibilities of the position.

While perfect harmonious relationships with all employees is sometimes not achievable, not more than an occasional complaint should be received by the team leader about the incumbent of this position.

8. The employee shall work and relate cooperatively with all other employees (internal customers) of CIS to assure optimum care for the patients of CIS and to achieve standards of care set forth by the CIS medical staff.

9. Adheres to the CIS Compliance Plan as it pertains to the above specific job duties. Uses best efforts to maintain compliance by following the CIS Corporate Compliance Plan, attending CIS compliance education, following medical documentation guidelines, and communicating concerns regarding compliance issues.

10. Performs accurate and complete documentation in the patient's medical record, when applicable. This includes documentation in both the paper record and the electronic medical record (EMR).

11. Work with the electronic medical record (EMR) staff to maintain quality and work towards future EMR development.

12. Maintains patient confidentiality according to the HIPAA standards of privacy and security.