Patient Services Rep - CNPA Laurel

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
1 year Medical office/business office setting (Preferred)

Required Skills/Knowledge
Basic math skills.
Basic knowledge of office procedures.
Basic knowledge of medical terminology .
Knowledge of patient financials & accounting.
Knowledge of insurance verification.
Knowledge of scheduling appointments.
Great communication and customer service skills.
Ability to follow precise procedures and is detail-oriented.
Knowledge of Microsoft Office suite.

Functional Accountabilities
Patient Services Account

• Review, verify , update and perform all other patient account information and duties at every visit as defined in the training manual.

• Collect appropriate copays, deductibles, and balances; use credit balances when applicable and document all financial transactions in the EHR; collect and process administrative charges as appropriate.

Patient Services Scheduling

• Ensure complete patient registration by parent/guardian and populate all required registration fields in the EHR.

• Verify patient insurance eligibility and coverage prior to service.

• Ensure the schedule is accurate and up to date (Ex\: check-in, check-out, and no shows).

• Schedule patient appointments accordingly based on the scheduling policy.

• Process patient referrals according to the Referral loop and PCMH workflow.

Office Support and Administration

• Answer phones and handle calls promptly and accordingly.

• Give and obtain accurate and pertinent information to and from callers.

• Ensure all patient related communications are as defined by the PCMH workflow.

• Scan appropriate documents into a patient’s chart in a timely manner.

• Sort incoming and outgoing mail and documents; maintain office to ensure a clean and organized environment.

Professional Development

• Attend meetings as required, and participate in committees as requested.

• Participate in professional development activities

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance