Patient Services Representative, Registration

US-ME-Brunswick
Job ID
2017-1949
Job Type
Regular Full-Time
Category
Administrative/Clerical
Shift
1st (8a-4:30p) M-F
Hours per Week
40

Overview

This position serves as a role model of accuracy and continuous process improvement as the front line representation in Mid Coast Parkview Health’s patient experience.  This position is responsible for the daily activities of accurately capturing registration information from patients for reporting and billing purposes.  This position is responsible for delivering an exceptional patient experience as a front line representative to a patient’s service.

Responsibilities

  • Greets patients and visitors, responds to questions/concerns and directs them to appropriate location.
  • Provides on-going communication with clinical staff regarding patient status.
  • Collects and enters all necessary demographic, clinical, billing and insurance information from patients or responsible parties.
  • Explains processes and forms to patients prior to securing signatures and ensures that all documents are properly signed and witnessed as required.
  • Determines and accepts required payments, including co-pays and deductibles.  Maintains a high level of knowledge in accepted insurance contracts and Financial Assistance Programs of the hospital.
  • Reviews patient search function so that no medical record numbers are duplicated. 
  • Contacts insurance carriers to obtain benefits and authorization prior to scheduled procedure(s).  Ensures authorizations are appropriate for treatment.
  • Explains policies to patients as needed. Coordinates internal and external hospital transfers of patients when appropriate.
  • Reviews admission, discharge, and transfers reports for any discharge errors, and makes applicable corrections.
  • Works with physicians’ offices to resolve issues and coordinating admissions. Remains current on specific changes and requirements relating to the various insurance carriers by maintaining ongoing communication between Patient Accounts, insurance carriers, provider relations, and third party payers.
  • Performs continuous account monitoring for registration accuracy and real time corrections.

Qualifications

  • High School Graduate.
  • Genera l understanding of medical procedures, process and billing.
  • Exceptional customer service abilities and problem resolution skills.
  • 1+ year working in customer service, preferably in healthcare.

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