Patient Service Center Representative

*****This position is a Hybrid Remote Position*****

GENERAL SUMMARY:

Responsible for a broad spectrum of duties beginning with the initial receipt of core data elements and completion of the pre-registration process including personal demographics, insurance coverages and patient contacts. Provides patient education regarding discussion of non-contract/out of network insurance and upfront payment options.

PRINCIPAL JOB FUNCTIONS:

1. Commits to the mission, vision, beliefs and consistently demonstrates our core values.

2. Adheres to federal regulations regarding Advance Directives, COBRA, Medicare, Corporate Compliance, Joint Commission, OSHA and HIPAA; reports safety and customer concerns.

3. Maintains productivity and quality standards as defined through the organizational and departmental goals and objectives.

4. Confirms/enters complete and accurate demographic and insurance information in the electronic medical record (EMR) and provides arrival and pre-procedure instructions by telephone during pre-registration process.

5. Receives incoming calls for scheduling of outpatient Medical Center services for designated departments and completion of pre-registration process

6. Performs outbound calls to complete pre-registration process for all pre-scheduled admissions and appointments.

7. Serves as a liaison to hospital departments and physicians' offices for all missing outpatient orders and Appropriate Use Criteria (AUC) for radiology procedures.

8. Reviews and evaluates outpatient orders received from the physician and/or physician staff and enters into EMR.

9. Prepares and provides patients with an estimate, if one is warranted, for their expected services. Collects and/or counsels on expected payment due.

10. Responsible to meet production targets for daily phone calls and other production metrics as assigned.

11. Answers phone queue, returns messages and directs calls as appropriate.

12. Performs complete phone registration and verbal consents as needed.

13. Maintains professional growth and development through seminars, workshops, and professional affiliations to keep abreast of latest trends in field of expertise.

14. Participates in meetings, committees and department projects as assigned.

15. Performs other related projects and duties as assigned.

(Essential Job functions are marked with an asterisk "*". Refer to the Job Description Guide for the definition of essential and non-essential job functions.) Attach Addendum for positions with slightly different roles or work-specific differences as needed.

EDUCATION AND EXPERIENCE:

High school diploma or equivalency required. Associates degree preferred. One (1) year of relevant work experience (i.e. hospital registration, billing or insurance) preferred. Must be 19 years of age to witness legal consents.