Patient Service Center Representative II - Remote - United States
JOB SUMMARY
The Patient Service Center Representative II is responsible for creating a positive patient experience by accurately and efficiently handling the day-to-day operations relating to both Financial Clearance and Scheduling of a patient. This includes adherence to department policies and procedures related to verification of eligibility/benefits, pre-authorization requirements, available payment options, financial counseling and other identified financial clearance related duties in addition to full scheduling duties. Upon occasion, the PSC REP II may be only assigned to complex pre-registration. The PSC REP II is expected to develop a thorough understanding of assigned function(s).
ESSENTIAL DUTIES AND RESPONSIBILITIES
Include the following. Others may be assigned.
Completes both scheduling functions and registration functions with the patient for an upcoming visit during one call:
- Scheduling: Responsible for timely scheduling, provide callers with important information related to their appointment (i.e. Prep information for test, directions, order management etc.)
- Financial Clearance: up to and including verifying patient demographic, insurance information and securing payment of patients financial liability/performing collection efforts
- If assigned to Order Management: verifies order is complete and matches scheduled procedure. Includes indexing and exporting physicians orders to correct account number.
If assigned to complex Pre-Reg:
- Collect and verify required patient demographic and financial data elements, including determining a patient’s financial responsibility and securing pre-payment for future services/performing collection efforts
- Create a complete pre-registration account for an upcoming inpatient/surgical admission
- Completes all pre-certification requirements by obtaining authorization from insurer and/or healthcare facility
- Other duties as assigned based on departmental needs
KNOWLEDGE, SKILLS, ABILITIES
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill and/or ability required. Reasonable …
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Regions Countries Benefits/Perks401k with up to 6% employer match Competitive benefits package Employee assistance Employee Assistance Program Employee Discount Program Health Savings Accounts Life Insurance Paid holidays Paid Time Off Voluntary benefits
SkillsBasic typing Communication Computer Customer service Healthcare industry expertise Leadership Multitasking Order Management Scheduling Technical Training Verbal communication Windows Windows environment
Tasks- Customer Service
- Financial clearance
- Order management
- Other duties as assigned
- Pre-certification
- Pre-registration
- Scheduling
- Scheduling appointments
2-3 years
EducationBusiness GED High school diploma High school diploma or GED Medical certification program Related medical certification program Two plus years of college
RestrictionsPosition may be eligible for a signing bonus for qualified new hires
TimezonesAmerica/Anchorage America/Chicago America/Denver America/Los_Angeles America/New_York Pacific/Honolulu UTC-10 UTC-5 UTC-6 UTC-7 UTC-8 UTC-9