1-2 years in a medical setting or equivalent. 3-4 years of customer service experience in a high volume, multiple task, high stress environment. Experience handling difficult callers, customers and patients. Basic knowledge of managed care and commercial insurance. Basic knowledge of medical terminology and billing and coding practices.
Major Responsibilities:
Acts as a resource to patient services staff, which includes training/orienting, providing day-to-day work direction, scheduling of staff, and giving input on performance. Assigns, monitors, and reviews progress and accuracy of work, directs efforts and provides guidance on more complex issues/concerns.Assists with human resource responsibilities, which may include interviewing and selection of new employees, staff development, providing performance feedback, resolution of employee concerns, and employee morale. Assists in interpreting department policies and procedures, and advises and updates staff on procedural changes.Greets patients and visitors and responds to routine requests for information. Answers telephone, screens calls, and takes messages.Registers patients; obtains demographic and insurance information; verifies insurance coverage, collects co-pays, deductibles, and previous balances; posts payments and updates demographic and insurance information.Schedules patient appointments and coordinates cancellations, reschedules, and additions to schedules. Provides accurate, detailed information regarding test preparations, time patient to arrive, and any other directional information needed by patient.Updates insurance, financial responsibility and other data when changes or additions occur, and communicates to patient as appropriate.Ensures insurance and patient information obtained is complete and accurate, applying acquired knowledge of government and third party payor requirements. Identifies, reports, and resolves problems regarding registration to appropriate individuals and departments.Monitors patient flow to ensure they are cared for in the most efficient and courteous manner. Offers various assistance to patients to include: arranging transportation needs, providing directions, locating wheelchair, etc.Performs visit closure including checking out patients after visit, scheduling follow-up appointments, and providing patients with a visit summary.May file, retrieve, and/or deliver patient information and/or records, and completes required forms/documentation.
Licensure, Registration, and/or Certification Required:
Education Required:
Experience Required:
Knowledge, Skills & Abilities Required:
Physical Requirements and Working Conditions:
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.