Patient Services Representative - Orthopedic and Sports Care (Monroe)

Patient Services Representative

Wage Range : $22.14 - $35.43 per hour. $3000.00 bonus for full-time and pro-rated for part-time.

Posted wage ranges represent the entire range from minimum to maximum. For jobs with more than one level, the posted range reflects the minimum of the lowest level and the maximum of the highest level. Some positions also offer additional premiums based on shift, certifications or degrees. Job offers are determined based on a candidate's years of relevant experience, level of education and internal equity.

Job Summary

The Patient Services Rep (Psr) serves as the first point-of-contact for patients in a fast-paced clinical environment and utilizes exceptional customer service skills to coordinate care and provide an excellent patient experience. Responsibilities include pre-registration / scheduling, registration / check in, message and queue management, medical records request management, referral management, and billing / payment processing / charge reconciliation.

Primary Duties

• Coordinates all aspects of patient scheduling to include creating initial and follow up in-person or virtual visit appointments; rescheduling, cancelling and managing self-scheduled appointments in a fashion that meets patient care needs and optimizes provider schedules.
• Manages multi-line telephone system (incoming and outgoing). Follows guidelines to identify and direct patients calling with emergent / urgent symptoms to appropriate clinical staff for screening.
• Sets up and verifies active and contracted insurance coverage in multiple systems and / or educates patients on co-insurance / co-pay, self-pay, L&I, MVA, Medicaid, Medicare / Medicare Advantage, etc.
• Enrolls patient on patient portal and explains its attributes, benefits and recommended use.
• Requests, confirms and validates interpreter services.
• Greets patients and completes check-in process. Directs and assists patients with completion of appropriate paperwork.
• Monitors various group message pools and responds to patient requests, questions and concerns within established organizational timelines.
• Takes complete and accurate messages and coordinate communication between appropriate interdisciplinary staff. Coordinates emergent or add-on patient care requests with clinical team and provider.
• Manages appointment queues (Ex. future appointment orders; cancellation list; wait list).
• Prepares, documents and sends various patient outreach communications.
• Initiates outside medical record requests by requesting materials from admissions and emergency departments, physicians and other authorized hospital staff to support provider visits and closure of care gaps for health maintenance. Prepares and scans documents for health information management department processing.
• Manages incoming referrals through clinic documentation and established tracking protocol. Facilitates communication between the clinic, patient and insurance company, as required.
• Identifies and collects copayments in adherence with organizational goals.
• Cultivates EvergreenHealth culture of community by supporting new staff training.
• Monitors and maintains tidy patient waiting and staff work areas in accordance with infection control standards and safety protocols.
• Orders and restocks patient forms and non-medical supplies.
• Files, faxes, scans, photocopies and distributes mail.
• Performs open and close duties, which vary from clinic to clinic.
• Performs other duties as assigned.

License, Certification, Education or Experience :

Required for the position :

Desired for the position :

At EvergreenHealth, we appreciate our employees' commitment and contribution to our success. We are proud to offer a suite of quality benefits and resources that are comprehensive, flexible, and competitive to help our staff and their loved ones maintain and improve health and financial well-being.