patient services representative

Neighborhood Healthcare

<div>Community health is about more than just vaccines and checkups. It&rsquo;s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision: a community where everyone is healthy and happy. We&rsquo;re with you every step of the way, with the care you need for each of life&rsquo;s chapters. At Neighborhood, we are Better Together.

As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 100,000 people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance.

Since 1969, our employees have been making this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If this sounds like an organization you would like to be a part of, we would love to meet you.

The Patient Services Representative provides front office support to ensure efficient patient access, scheduling coordination, and excellent patient experience. This role serves as the first point of contact for patients and supports clinic operations by managing incoming calls, coordinating appointments, assisting with patient registration, and maintaining accurate scheduling workflows. This role communicates regularly with patients, providers, medical assistants, and leadership teams to ensure smooth clinic operations in a fast-paced environment. Schedule: Monday-Friday, 8am-5pm. This position is onsite.

Responsibilities

Patient Experience and Access
<ul>
<li>Serves as the first point of contact for patients, visitors, and incoming calls</li>
<li>Greets and assists patients in a courteous and professional manner</li>
<li>Schedules, reschedules, and confirms patient appointments in the electronic scheduling system</li>
<li>Conducts appointment reminder calls and communicates visit preparation instructions when needed</li>
<li>Provides clear information regarding clinic processes, appointments, and services</li>
</ul>
Provider and Team Support
<ul>
<li>Coordinates scheduling workflows to ensure efficient patient access and clinic flow</li>
<li>Communicate with providers, medical assistants, and nursing staff regarding scheduling needs</li>
<li>Ensure providers have accurate appointment information and schedule updates</li>
<li>Supports care teams by managing appointment availability, cancellations, and schedule adjustments</li>
</ul>
Front Office and Administrative Support
<ul>
<li>Verifies patient demographics, insurance information, and registration data</li>
<li>Prepares and verifies patient records prior to appointments</li>
<li>Tracks filled and cancelled appointments and updates scheduling systems accordingly</li>
<li>Receives and records patient payments in the appropriate system when applicable</li>
<li>Ensure patient information is updated accurately in the electronic health record system</li>
</ul>
Qualifications

Education/Experience
<ul>
<li>High School Diploma or GED required</li>
<li>One year of customer service experience required; healthcare experience preferred</li>
<li>Experience working with electronic medical records and multi-line phone systems preferred</li>
<li>Bilingual(English/Arabic) highly preferred</li>
</ul>
Additional Qualifications (Knowledge, Skills and Abilities)
<ul>
<li>Strong communication and leadership abilities.</li>
<li>Excellent verbal and written communication skills, including superior composition, typing and proofreading skills</li>
<li>Ability to interpret a variety of instructions in written, oral, diagram, or schedule form</li>
<li>Ability to successfully manage multiple tasks simultaneously</li>
<li>Excellent planning and organizational ability</li>
<li>Ability to work as part of a team as well as independently</li>
<li>Ability to work with highly confidential information in a professional and ethical manner</li>
<li>Ability to work under pressure and be flexible with changing site needs. Can work with people of all social and ethnic backgrounds and maintain confidentiality. Able to train and manage staff in a collaborative manner.</li>
</ul>
Physical Requirements
<ul>
<li>Ability to lift/carry 20 lbs/weight</li>
<li>Ability to stand for long periods of time</li>
</ul>
COMPLIANCE (Safety &amp; HIPAA)
<ul>
<li> Follows all safety procedures as outlined in Neighborhood Healthcare&rsquo;s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediately</li>
<li> Maintains current knowledge of policies and procedures as they relate to safe work practices</li>
<li> Follows all safety procedures and reports unsafe conditions</li>
<li> Uses appropriate body mechanics to ensure an injury free environment</li>
<li> Familiarity with location of nearest fire extinguisher and emergency exits</li>
<li> Follows all infection control procedures including blood-borne pathogen protocols</li>
<li> Maintains privacy of all patients, employees and volunteer information and access such information only on a need-to-know basis for business purposes</li>
<li> Comply with all regulations regarding corporate integrity and security obligations</li>
<li> Reports all behavior and/or activity that are unethical, fraudulent, or unlawful</li>
</ul>
Pay range: $22.88 - $32.03 per hour, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate&rsquo;s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.</div>

Patient Services Representative

UNM Hospital

<div>Minimum Offer
$ 16.99/hr.
Maximum Offer
$ 24.79/hr.
Compensation Disclaimer
Compensation for this role is based on a number of factors, including but not limited to experience, education, and other business and organizational considerations.
Department: Patient Financial Services - UH 
FTE: 1.00 
Full Time 
Shift: Days 
Position Summary: 
Responsible for all patient accounts receivable functions as assigned. Reconcile, research, correct and submit third party claims and resubmit errors or denied claims. Communicate with insurance companies and government payers to resolve claim issues and ensure payment. Research and correct ICD 9, CPT coding, modifiers, revenue coding, occurrence codes and value codes as appropriate. Collaborate with the Income Support Division and the Medical Assistance Division in regards to eligibility for Medicaid. Interview and approve patients for UNMH charity programs. Provide customer service to patients by researching billing issues with various departments and resolving the issues. Reconcile remittance advices and patient accounts and resolve discrepancies. Ensure adherence to Hospital sand departmental policies and procedures. No patient care assignment.<div> 
Detailed responsibilities: 
<ul><li>CLAIMS - Reconcile, review, research, coordinate and justify changes to claim forms and submit completed claim forms to third party payers</li><li>CLAIMS - Reconcile and review remittances; research as necessary to determine proper accounts; research and obtain correct information; complete remittance process</li><li>DENIALS - Follow up on claims denials; contact appropriate party to research, coordinate and justify needed information; make appropriate corrections, obtain approvals and resubmit claims denials for payments; appeal denials through the payer required appeals process
</li><li>FINANCIAL ASSISTANCE - Interview patients and complete the application process for State/Government programs; maintain MOSAA certification with the State; interview and approve patients for UNM Hospital charity and discount programs</li><li>COLLECTIONS - Follow up on the collection of patient accounts, contact appropriate party (third party payers, other hospitals, patients) to obtain needed information; make appropriate corrections; obtain approvals and resubmit claim for payment</li><li>CLAIMS - Research unpaid claims; contact patients to obtain necessary information to assist with claims process; secure payments or negotiate payment plans</li><li>CASH - Reconcile and complete cash reconciliation reports; balance and post payments, contractual allowances, and denials</li><li>CREDIT - Research, resolve and reconcile credit balances to include processing the refund request or take back with a payer</li><li>COORDINATION - Work with various University Hospital departments to obtain additional information regarding services rendered to include correct coding and documentation</li><li>TRAINING - Perform training with registration and admitting personnel to assure proper registration and knowledge of business practices to include financial assistance programs</li><li>COMMUNICATION - Handle patient inquiries, complaints and customer service issues by phone, in person or via the email; research and resolve the issue
</li><li>DATA - Perform data entry and research using various hospital system programs</li><li>PATIENT ACCOUNTING - Maintain current knowledge of regulations for Third Party Payers, Medicare, Medicaid and knowledge of claims coding and formats</li><li>DEVELOPMENT - Enhance professional growth and development through participation in educational programs, reading current literature, attending in-services, meetings and workshops</li><li>CUSTOMER RELATIONS - Establish and maintain good rapport and effective working relationships with patients, visitors, physicians and Hospitals employees</li></ul></div><h4 class="jobSectionHeader"> 
Qualifications</h4>
Related Education and Experience may be substituted for one another on a year for year basis.<div> 
Education: 
Essential: 
<ul><li>High School or GED Equivalent</li></ul></div> 
Experience: 
Essential: 
2 years directly related experience 
 
Nonessential: 
Bilingual English, Spanish, Keres, Tewa, Tiwa, Towa, Zuni, Va\ietnamese, or Navajo<div> 
Credentials: 
Essential: 
<ul><li>Not Applicable/Not Required</li></ul></div> 
Physical Conditions: 
Sedentary Work: Exerting up to 10 pounds of force occasionally (Occasionally: activity or condition exists up to 1/3 of the time) and/or a negligible amount of force frequently (Frequently: activity or condition exists from 1/3 to 2/3 of the time) to lift, carry, push, pull, or otherwise move objects, including the human body. Sedentary work involves sitting most of the time, but may involve walking or standing for brief periods of time. Jobs are sedentary if walking and standing are required only occasionally and all other sedentary criteria are met.<div> 
Working conditions: 
Essential: 
<ul><li>No or min hazard, physical risk, office environment
</li><li>Tuberculosis testing is completed upon hire and additionally as required</li></ul></div></div>

PATIENT SERVICES REPRESENTATIVE

Anchorage Neighborhood Health Center

<div><div>POSITION SUMMARY:</div> 

The Patient Services Representative will provide patients and staff with necessary assistance in fulfilling the needs of the center. They are responsible for patient check in/out, verifying and updating all demographics and insurances, collecting payments, identifying/enrolling patients on the Sliding Fee Scale, processing various forms and documents, and notifying appropriate persons of messages and information as required. Responsible for recording all necessary personal information, securing required signatures, preparing and supplying data to various departments. Will assist with efficient and effective coverage for the Patient Services Department. Provides service internally and externally consistent with ANHC mission, vision and values: Respect, Compassion, Personal Integrity, Excellence &amp; Collaborative Spirit.
<div>ESSENTIAL DUTIES AND RESPONSIBILITIES:</div> 
<ul><li>
Performs opening and closing procedures.
</li><li>Answers and accurately processes multi-line phone calls to individual extensions or operator, medical, or billing queues regarding patient billing, appointments, and general inquiries.</li><li>
Responsible for scheduling, cancelling, or rescheduling appointments.
</li><li>Responsible for check in/out processes of each patient. Verifies and updates patient demographics, insurance and eligibility, unapplied credits, and guarantor due balances for all new and established patients.</li><li>
Collection of appropriate payment based on estimated charge, proper co-pay, deductible, discounted self-pay amount, or past due account balances.</li><li>
Responsible for cash management and daily reconciliation of all financial transactions performed.</li><li>
Patient accounts analysis including a general understanding of medical, dental, laboratory, radiology coding and billing standards. This includes ICD 10, diagnosis, patient rights and responsibilities, third party reimbursement, in/out network, contractual allowances, co-pays and deductibles.</li><li>
Verifies/updates insurance eligibility and reviews co-pays, co-insurance, deductibles, non-covered charges, and prior authorizations.
</li><li>Accurately prepares various medical forms requiring knowledge of ICD 10 codes diagnosis including but not limited to New Patient paperwork, Sliding Fee applications, Verification of Diagnosis (VOD), and Qualifying Diagnosis Certification (QDC).</li><li>
Effectively communicates with staff and patients.
</li><li>Various intermittent, periodic and systematic report completion including unapplied, accounts receivable, credit analysis and communication log.
</li><li>Prepares adjustments for authorization to adjust patient account balances for identified mistakes and bad debt write-offs.</li><li>
Cross-trained to provide backup for any vacancy within the department.
</li><li>Promotes and provides service excellence to internal and external customers.</li><li>
Works collaboratively with all members of the Patient Services department as well as other ANHC departments to ensure all daily work is completed and enhancing the patient experience.
</li><li>Other duties as assigned.
</li></ul><div>SUPPORTING DUTIES AND RESPONSIBILITIES:</div> 
<ul><li>
Maintains a clean and orderly work area.</li><li>
Performs translation services if staff member is bilingual.</li><li>
Attends required meetings/trainings and participates in committees as requested.</li><li>
Monitors the waiting and front desk areas for cleanliness and straightens up area as needed.</li></ul><div>
KNOWLEDGE, SKILLS AND ABILITIES:</div> 

ANHC&rsquo;s Mission, Vision and Values: Actively supports ANHC&rsquo;s mission, vision and values. Includes using individual skills to add value to the mission: To be a trusted partner in every person&rsquo;s wellness by providing integrated, compassionate, and high-quality health care, regardless of ability to pay; and vision: Accessible care for a healthy Anchorage. Aligns actions around organizational values of RESPECT, COMPASSION, PERSONAL INTEGRITY, EXCELLENCE and COLLABORATIVE SPIRIT and gives priority to organizational mission, vision and values when making decisions.
Accountability: Takes ownership for delivering on commitments; owns mistakes and uses them as opportunities for learning and development; openly discusses his/her actions and their consequences both good and bad; has an ability to identify strengths and developmental opportunities and leverages insight to make adjustments to improve their effectiveness; courage to have difficult conversations.
Adapting to Change: Accepts and adapts to change in a professionally appropriate and thoughtful manner. Is willing to offer a different perspective or approach and yet knows when and how to stand down graciously and accept a well-thought-out decision. Embraces change.
Confidentiality: Maintains the highest level of confidentiality regarding ANHC records and information relating to ANHC, its customers and employees. Appropriately uses internal confidential information for business purposes only. Responsible for knowledge and compliance with the Health Insurance Portability and Accountability Act of 1996 (HIPAA).
Communicating Effectively: Shares information. Listens and involves others. Clearly conveys ideas in a manner that engages others and helps them understand and retain the message.
Decision Making/Judgment: Approaches problems and decisions methodically and objectively; involves others as needed; uses sound judgment in making decisions and understanding the impact to themselves, customers, their team, and the organization; conducts the appropriate analysis to identify the symptoms and root cause of issues; makes timely decisions.
Delivering High Quality Work: Makes sure responsibilities central to the role meet all requirements and expectations. Finishes tasks promptly and critically reviews work to ensure quality and accuracy. Considers impact of work to others and takes steps to mitigate. Seeks additional work after finishing tasks.
Demonstrating Initiative: Takes action on his/her own without being prompted; handles problems independently; able to resolve issues without relying on extensive help from others; does more than is expected or asked.
Results Orientation: Is focused on outcomes and accomplishments; follows through on commitments; can be counted upon to successfully execute on goals; motivated by achievement and a need for closure; has an attention to detail and is both efficient and effective in achieving a high level of measurable outcomes; persists in achieving goals despite obstacles.
Service Excellence: Has a desire to consistently provide a genuinely exceptional experience to every person, every time. Provides timely and professional service to both internal and external customers; is responsive to customer needs and requests; is always courteous to the customer and considers the needs of the customer when making decisions.
Teamwork: Meets all team deadlines and responsibilities, listens to others and values opinions, helps team and leader to meet goals, welcomes newcomers and promotes a team atmosphere.
<div>PHYSICAL, SENSORY, ENVIRONMENTAL QUALIFICATIONS:</div> 

The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
Duties of this job require frequent sitting, writing, typing, grasping, seeing, hearing and speaking for long periods of time. Frequent use of computer, keyboard, copy and fax machine and phone. Occasional standing, walking, reaching, bending, stooping, lifting and carrying. Lifting, carrying, pushing and pulling up to 25 pounds. Must be able to work evenings and weekends as scheduled.
Work is performed in a healthcare clinic and office setting. ANHC is a tobacco-free campus.<div>
EQUAL EMPLOYMENT OPPORTUNITY STATEMENT:</div> 

Anchorage Neighborhood Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Anchorage Neighborhood Health Center complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Persons alleging unequal treatment should contact the Chief Human Resources Officer.
The undersigned have read this job description and agree that it defines the position as it currently exists. The undersigned also understands that the above is intended to describe the general content of and requirements for this job. It is not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor.<div>
QUALIFICATIONS:</div> 

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.
Work Experience: One to three years&rsquo; experience in a medical office setting. One-year experience in the medical billing field, preferred. Must possess experience in healthcare administration, financial intake, customer service, and answering telephones.
Education, Certification and Licensure: High school diploma or the equivalent. AAPC, NCICS, CHCS or CPC certification may be substituted in lieu of required experience.
Additional Skills &amp; Knowledge: Must be able to use a ten-key and balance large columns of numbers. Must be detail oriented and proof own work for accuracy. Consistent attendance is required for this position. Skill and ability to fluently read, write, and speak English. Bilingual preferred.</div>

PATIENT SERVICES REPRESENTATIVE MEDICAL

<div>About Us

Community health is about more than just vaccines and checkups. It&rsquo;s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We&rsquo;re with you every step of the way, with the care you need for each of life&rsquo;s chapters. At Neighborhood, we are Better Together. 
 
As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 96k people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance. 
 
We have been doing this since 1969, and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

**This opportunity is for a Float Patient Services Representative role supporting the following clinics: Pediatrics team. This role will be expected to float between these sites based on organizational needs.**

ROLE OVERVIEW and PURPOSE

The Patient Services Representative &ndash; Float Pool provides front office support across multiple clinic locations to ensure efficient patient access, scheduling coordination, and excellent patient experience. This role serves as the first point of contact for patients and supports clinic operations by managing incoming calls, coordinating appointments, assisting with patient registration, and maintaining accurate scheduling workflows.

This role communicates regularly with patients, providers, medical assistants, and leadership teams to ensure smooth clinic operations in a fast-paced environment.

This position is a float supporting the following clinics: [insert sites]. This role will be expected to float between these sites based on organizational needs. 


RESPONSIBILITIES

Patient Experience and Access
<ul>
<li>Serves as the first point of contact for patients, visitors, and incoming calls</li>
<li>Greets and assists patients in a courteous and professional manner</li>
<li>Schedules, reschedules, and confirms patient appointments in the electronic scheduling system</li>
<li>Conducts appointment reminder calls and communicates visit preparation instructions when needed</li>
<li>Provides clear information regarding clinic processes, appointments, and services</li>
</ul>
Provider and Team Support
<ul>
<li>Coordinates scheduling workflows to ensure efficient patient access and clinic flow</li>
<li>Communicate with providers, medical assistants, and nursing staff regarding scheduling needs</li>
<li>Ensure providers have accurate appointment information and schedule updates</li>
<li>Supports care teams by managing appointment availability, cancellations, and schedule adjustments</li>
</ul>
Front Office and Administrative Support
<ul>
<li>Verifies patient demographics, insurance information, and registration data</li>
<li>Prepares and verifies patient records prior to appointments</li>
<li>Tracks filled and cancelled appointments and updates scheduling systems accordingly</li>
<li>Receives and records patient payments in the appropriate system when applicable</li>
<li>Ensure patient information is updated accurately in the electronic health record system</li>
</ul>
Float Pool Responsibilities
<ul>
<li>Provides front office support across multiple clinic locations based on operational needs</li>
<li>Quickly adapts to site specific workflows, schedules, and team dynamics</li>
<li>Communicates with site leadership upon arrival to determine front office priorities</li>
<li>Supports clinics experiencing staffing shortages to maintain patient access and service continuity</li>
</ul>
EDUCATION/EXPERIENCE
<ul>
<li>High School Diploma or GED required</li>
<li>Valid CA driver license and proof of auto insurance is required and maintained as a condition of employment.</li>
<li>One year customer service experience required; healthcare experience preferred</li>
<li>Experience working with electronic medical records and multi-line phone systems preferred</li>
<li>Bilingual preferred depending on site needs</li></ul> 


ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)
<ul>
<li>Strong communication and leadership abilities.</li>
<li>Excellent verbal and written communication skills, including superior composition, typing and proofreading skills</li>
<li>Ability to interpret a variety of instructions in written, oral, diagram, or schedule form</li>
<li>Ability to successfully manage multiple tasks simultaneously</li>
<li>Excellent planning and organizational ability</li>
<li>Ability to work as part of a team as well as independently</li>
<li>Ability to work with highly confidential information in a professional and ethical manner</li>
<li>Ability to work under pressure and be flexible with changing site needs. Can work with people of all social and ethnic backgrounds and maintain confidentiality. Able to train and manage staff in a collaborative manner.</li>
</ul>
Physical Requirements
<ul>
<li>Ability to lift/carry 20 lbs/weight</li>
<li>Ability to stand for long periods of time</li></ul> 


COMPLIANCE (Safety &amp; HIPAA)
<ul>
<li> Follows all safety procedures as outlined in Neighborhood Healthcare&rsquo;s Illness and Injury Prevention Plan (IIPP) and report any injuries and/or unsafe conditions immediately</li>
<li> Maintains current knowledge of policies and procedures as they relate to safe work practices</li>
<li> Follows all safety procedures and reports unsafe conditions</li>
<li> Uses appropriate body mechanics to ensure an injury free environment</li>
<li> Familiarity with location of nearest fire extinguisher and emergency exits</li>
<li> Follows all infection control procedures including blood-borne pathogen protocols</li>
<li> Maintains privacy of all patients, employees and volunteer information and access such information only on a need-to-know basis for business purposes</li>
<li> Comply with all regulations regarding corporate integrity and security obligations</li>
<li> Reports all behavior and/or activity that are unethical, fraudulent, or unlawful</li>
</ul>
Neighborhood Healthcare offers a generous benefit plan that includes: Partially company paid Medical, Dental, and Vision Plans. Two plus weeks of vacation, Nine Holidays including two Floating Holidays of your choosing, Sick/Personal time, Volunteer Time Off (VTO), 403b Retirement plan (similar to a 401k), optional Health and Wellness events, and much more!

Pay range: $22.88 to $32.08 per hour, depending on experience and additional qualifications.

Note: This Float Patient Services Representative role will include an additional $2.00 per hour float differential on top of the standard Patient Services Representative pay rate.

Compensation Disclosure:

The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate&rsquo;s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs.</div>

Patient Services Representative - Float Pool

Advocate Aurora Health

<div>Major Responsibilities:<ul><li>
Responsible for performing all job duties in a way that conforms to our customer service philosophy and consistent with our &quot;AIDET&quot; standards<ul><li>
 1)Greet and Acknowledge all patients and family members in a welcoming and prompt manner.</li><li>
 2)Introduce the patient to our services, what they can expect while under our care. Utlize appropriate etiquette in all communications.</li><li>
 3)Provide the patient with information on the likely time spent in the service area (duration) including time in registration and time in clinical service.</li><li>
 4)Explain the nature of our work, why we ask for demographic, socio-economic, and financial information. Explain how we safeguard their information and use it to provide better care for them.</li><li>
 5)Hand-patients off to the next area with a clear &quot;thank you.&quot;</li></ul></li><li>
When creating new registrations for walk-in patients, responsible for the identifying insurance coverage, the benefits available, patient out-of-pocket expenses, and collecting co-insurance and co-payments.<ul><li>
 4)Collecting appropriate out of pocket expenses in accordance with policy.</li><li>
 1)Uses electronic systems to confirm coverage while patient is present and discussing the findings with the patient. Follow established department policies to resolve issues related to patient's eligiblity for coverage or issues in in-network status for the patient using Advocate's network.</li><li>
 2)When working uninsured patients, screen for urgent status cases and follow charity procedure. Refer as appropriate for additional financial counseling. Engage leaders to resolve questions on urgent versus non-urgent/elective care.</li><li>
 3)When assisting walk-in patients, screen orders for compliance with policy. Work with physicians, Care Coordinators, and clinical department leaders to communicate and resolve issues related to order quality and acceptable standards.</li></ul></li><li>
Responsible for security authorization and precertification of inpatient and outpatient services.<ul><li>
 5)Notify Financial Counseling, physicians, Care Coordinators, and Utilization Management on cases were patients are found to be uninsured, or where the only insurance is Third Party Liability or Workers Compensation</li><li>
 1)Maintains knowledge of all stand-alone computer software programs to verify eligibility.</li><li>
 6)Identify at risk balances related to Medicare co-days, lifetime reserve days and other Medicare coverage limits and communicate to Financial Counseling, UM and physicians</li><li>
 7)Identify at risk balances relate to Medicaid eligibility rules and communicate to Financial Counseling, UM and physicians</li><li>
 8)Initiates communication to patient when authorization is not obtained and explain the potential financial impact and the patient responsibility for unauthorized services</li><li>
 9)Accurately collects and analyzes clinical data in support of prior authorization, and precertification as required by payor guidelines</li><li>
 10)Acquires and maintains current knowledge of all insurance requirements as it relates to patient/hospital responsibility and hospital billing.</li><li>
 2)Stays current of all Federal and State regulations regarding billing.</li><li>
 3)Ensures completion of all established policies and procedures for identification and notification of the Primary Care Physician in the case of HMO coverage plans.</li><li>
 4)Informs Financial counseling, physicians, Care Coordinators and Utilization Management of out of network or noncovered service limitations of managed care/commercial insurance where benefits are at risk</li></ul></li><li>
Responsible the pre-registration and registration accuracy.<ul><li>
 6)Maintains knowledge of State &amp; Federal regulations governing Medicare, Medicaid and Mental Health registrations.</li><li>
 1)Ensure accurate entry of patient demographic, insurance information in the ADT system with special attention to carrier code assignment, complete benefit, eligibility record and authorization data</li><li>
 2)Pre-registers and registers patients using established procedures for computer entry for all ancillary and nursing units, keeping current with their specialized needs and preparing necessary documents/records when necessary.</li><li>
 3)During the pre-registration or registration encounter, provide detailed education to the patient the contents of documents and forms requiring patient signature.</li><li>
 4)Manage incoming and outgoing calls in order to complete pre-registrations with patients</li><li>
 5)Generates, assembles and processes all required documents for completion of each registration.</li></ul></li><li>
Participates in departmental team building activities and in-services and other miscellaneous duties as assigned by leader.<ul><li>
 1)Contributes to the quality initiatives and mission by participating in team projects.</li><li>
 2)Attends all required departmental in-services to stay current of all job changes and responsibilities.</li><li>
 3)Assist leader in special assignments as may be needed to fulfill the mission of the department and the organization.</li></ul></li></ul> 
Education/Experience Required:<ul><li>
High School Diploma with 2 years of experience in either Patient Access or any of the following related experience; general physician office support or billing office, insurance office, hospitality, or call center (any industry) Intermediate math skills acquired through classroom work or through work experience</li></ul> 
Knowledge, Skills &amp; Abilities Required:<ul><li>
Typing 25 WPM Basic understanding of web-based systems, proficiency in data entry</li><li>
N/A</li></ul> 
Physical Requirements and Working Conditions:<ul><li>
Ability to prioritize and organize workload Sophisticated interviewing, communication and negotiation skills Independent decision making Ability to work hours that verify based on needs of the organization including evenings, weekends and holidays. Ability to work as a team member</li><li>
Must be able to sit, stand, walk, lift, carry, squat, and bend frequently as well as twist, rotate, and kneel occasionally throughout the workday.</li><li>
Frequently lifts up to 10 lbs. and occasionally lifts between 20 lbs. or more. This occurs when moving equipment and supplies and when transporting patients and/or charts.</li><li>
Must be able to push/pull up to 50 lbs. with assistance.</li><li>
Must have functional speech and hearing.</li><li>
Must be able to use hands with fine motor skills for keyboard data entry.</li><li>
Exposed to a normal office environment.</li><li>
Operates all equipment necessary to perform the job.</li><li>
Must be able to work a flexible schedule to support the needs of the department.</li></ul> 
Addendum: In addition to the Accountabilities and Job Activities outlined in Sects. I. A. &ndash; I. D. of the Position Description for Patient Access Registrar the following accountabilities and job activities are applicable for registrars staffed at offsite imaging centers: E. Performs additional activities that facilitate patient flow and transition from registration to the clinical testing area including: 1. Performs Computerized Provider Order Entry (CPOE) for exams accurately and completely to transcribe written physician orders. Seeks clarification from technician and physician if needed. 2. Performs light duty cleaning of changing areas as needed. 3. Prints patient&rsquo;s results CDs when required and distributes finished exam results CD to patient while complying with application HIPAA considerations. 4. Escorts patients to changing areas as needed. 
 
This job description indicates the general nature and level of work expected of the incumbent. It is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities required of the incumbent. Incumbent may be required to perform other related duties.</div>

Patient Services Representative (PSR)

<div>About Us

Community health is about more than just vaccines and checkups. It&rsquo;s about giving people the resources they need to live their best lives. At Neighborhood, this is our vision. A community where everyone is healthy and happy. We&rsquo;re with you every step of the way, with the care you need for each of life&rsquo;s chapters. At Neighborhood, we are Better Together. 
 
As a private, non-profit 501(C) (3) community health organization, we serve over 500,000 medical, dental, and behavioral health visits from more than 96k people annually. We do this in pursuit of our mission to improve the health and happiness of the communities we serve by providing quality care to all, regardless of situation or circumstance. 
 
We have been doing this since 1969 and it is our employees that make this mission a reality. Regardless of the role, our team focuses on being compassionate, having integrity, being professional, always collaborating, and consistently going above and beyond. If that sounds like an organization you want to be a part of, we would love to have you.

The Patient Services Representative (PSR) works to support the mission and vision of Neighborhood Healthcare by supporting clinics with front office tasks. The PSR&rsquo;s primary roles are to directs incoming calls to ensure they are transferred to the appropriate contact within the clinic and assist patients with scheduling and re-scheduling healthcare appointments.

RESPONSIBILITIES

Direct Patient Care
<ul>
<li>Assesses incoming phone calls to determine the correct course of action based on customer's information and needs</li>
<li>Corresponds with patients, salespeople, and visitors in an accurate, expeditious, courteous, and competent manner via in-person, telephone, and/or mail</li>
<li>Conducts appointment reminder calls to all patients; including noted documents required for their visit</li>
<li>Impacts patient experience by demonstrating courteous and helpful behavior and a commitment to accuracy</li>
</ul>
Provider and Team Support
<ul>
<li>Generates daily lists of scheduled appointments for the clinic</li>
<li>Shares accountability for overall patient health outcomes by working in coordination with care teams</li>
<li>Operates to instill confidence in our care and facilities to patients, fellow employees, and other stakeholders</li>
</ul>
Clinical Administration
<ul>
<li>Schedules appointments and enter all required data into electronic scheduler</li>
<li>Tracks and records filled and cancelled appointments</li>
<li>Prepares patient charts prior to their appointments</li>
<li>Verifies patient appointments and arrival time at registration</li>
<li>Receives and records patient payments in computer and ledger for services received</li>
<li>Verifies patient records are up to date and accurate; makes appropriate changes in computer system, as needed</li>
<li>Completes ongoing/annual training for position compliance</li>
</ul>
EDUCATION/EXPERIENCE
<ul>
<li>High school diploma/GED required</li>
<li>One year customer service experience required; in a healthcare setting preferred</li>
<li>Experience working with electronic medical records and multi-phone lines preferred</li>
<li>Bilingual (English/Spanish) highly preferred</li>
</ul>
ADDITIONAL QUALIFICATIONS (Knowledge, Skills and Abilities)
<ul>
<li>Excellent verbal and written communication skills, including superior composition, typing and proofreading skills</li>
<li>Ability to interpret a variety of instructions in written, oral, diagram, or schedule form</li>
<li>Knowledgeable about and experience with customer service etiquette and protocols</li>
<li>Ability to interact effectively with clinic personnel, patients, and diverse populations</li>
<li>Ability to successfully manage multiple tasks simultaneously</li>
<li>Excellent planning and organizational ability</li>
<li>Ability to use computer programs, such as spreadsheets and databases</li>
<li>Ability to work as part of a team as well as independently</li>
<li>Ability to work with highly confidential information in a professional and ethical manner</li>
</ul>
Physical Requirements
<ul>
<li>Ability to lift/carry 20 lbs/weight</li>
<li>Ability to stand for long periods of time</li>
</ul>
Pay range: $22.88 - $32.03 per hour, depending on experience.

Compensation Disclosure: The posted salary range reflects the designated pay grade for this position. While this range represents the broader classification of the role, actual compensation will be based on several factors, including but not limited to: the candidate&rsquo;s overall knowledge, skills, and experience, market data and industry benchmarks, internal equity within the organization, Budgetary considerations and organizational needs. As a result, placement within the range is not guaranteed, and the full pay grade range may not be utilized.</div>

Patient Services Representative-Prenatal/Women's Health (Temporary)

Mercy Health

<div>Mercy Health
About Us
As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.
Patient Services Representative &ndash; St. Charles Medical Office Building
Job Summary:
The Patient Services Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed.
Essential Functions:<ul><li>
Serves as the primary point of contact between patients and physician practices</li><li>
Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner</li><li>
Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.</li><li>
Processes patients in practice as they present for their appointments.</li><li>
Possesses the ability to troubleshoot and resolve problems promptly, ensuring patient flow is maintained and informs supervisor of any department and patient issues immediately</li><li>
Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process., Corrects registration errors as needed.</li><li>
Records time indicators for lobby wait times.</li><li>
 Calculates patient liabilities and actively collects and processes patient payments.</li><li>
Reconciles cash drawer at the close of the day.</li><li>
Performs charge entry for external services (i.e. nursing homes) as necessary.</li><li>
Schedules referrals or follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.</li><li>
Assists patients in obtaining necessary referrals for follow-up services and record referrals on tracking tool (referral/consults).</li><li>
Responsible for and/or assist in obtaining proper authorizations and pre-certifications if applicable for all procedures scheduled through the physician practice</li><li>
Pulls patient charts as needed per office policy, files and maintains information as appropriate in chart per policy, and routes charts to clinical staff as indicated in office per policy</li><li>
Verifies RX benefits in electronic health record, per protocol</li><li>
Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software</li></ul>
This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.
Education:
High School Diploma or GED (required) 
Licensure/Certification:
None
Experience:
Prior experience in patient registration/healthcare (preferred)
As a Mercy Health associate, you're part of a Mission that matters. We support your well-being&mdash;personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer
<ul><li>Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)</li>
<li>Medical, dental, vision, prescription coverage, HSA/FSA options, life insurance, mental health resources and discounts</li>
<li>Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders</li>
<li>Tuition assistance, professional development and continuing education support</li>
</ul>Benefits may vary based on the market and employment status.
All applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you'd like to view a copy of the affirmative action plan or policy statement for Mercy Health &ndash; Youngstown, Ohio or Bon Secours &ndash; Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employers, please email recruitment@mercy.com. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com</div>

Patient Services Representative – Urology – St. Charles Medical Office Building

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