Patient Service Representative: Internal Medicine - Tower 600 - Warren Clinic

Warren Clinic - New Haven, CT

Full-time

New Haven, CT

5,001-10,000 employees

Ambulatory Health Care Services

About the position

The position involves performing reception, registration, and billing functions in the front office of a medical practice, aimed at facilitating effective patient care delivery. The role requires strong organizational skills and the ability to manage multiple tasks efficiently while ensuring high patient satisfaction.

Responsibilities

• Maintains exemplary patient satisfaction and participates as an engaged team member.
• Greets and directs patients and visitors according to established office protocols.
• Informs patients of delays in care.
• Communicates schedule changes to physicians, clinical assistants, and other staff as appropriate.
• Maintains and corrects environment for cleanliness and safety.
• Schedules appointments, registers demographic and billing information, and determines eligibility to accommodate patient's care in the medical office.
• Successfully uses the EMR and other computer applications to accomplish tasks according to policies and procedures.
• Maintains medical records including preparation of charts, filing of correspondence and test results.
• Prepares encounter forms and other supporting billing documentation.
• Maintains and distributes provider schedules including application of templates, hold times, etc.
• Determines and collects co-pays and deductibles from patients.
• Requests payments of self-pay balances according to policies.
• Responsible for preparation of cash receipts, bank deposits, and balancing of cash drawer on a daily basis.
• Converts provider written description of diagnosis to appropriate ICD-9 code.
• Posts charges and payments to patient accounts.
• Reviews and corrects rejected or denied claims.
• Reviews and assists in collections of past due accounts.
• Prepares phone notes for communication to the provider from patients, pharmacists, and other healthcare sources.
• Makes calls to patients to remind them of pending appointments or communication from provider.
• Distributes mail and other communication to patients, providers, and staff.
• Determines eligibility and obtains authorization for services.
• Schedules tests and appointments for referred services.
• Tracks referrals made for specified services.
• Participates in quality initiatives and safety functions.
• Assists in identifying and ordering needed supplies.
• Remains informed and compliant with current Health System, Warren Clinic, HIPAA, and OSHA policies and procedures.

Requirements

• High School Diploma or GED.
• One (1) year experience in a similar role.
• Demonstrated PC skills.
• Effective organization of multi-task role.
• Understanding of healthcare delivery and billing processes in the medical office.
• Ability to accurately record and interpret data.
• Effective interpersonal, written, and oral communication skills.
• Ability to organize and prioritize work in an effective and efficient manner.