Patient Service Representative - LanceSoft, Inc.

Job Title: Patient Services Representative

Location: Baltimore, MD 21215

Duration: 13 Weeks

Shift: Day 5x8-Hour (07:45 - 16:15)

Pay range: ($20-$22/hr. on W2)

Requirements:

• 1-3 years of relevant experience
• Formal working knowledge; equivalent to an Associate's degree (2 years college); requires knowledge of a specialized field
• Demonstrated knowledge of medical terminology obtained through formal training or previous experience.

Position Summary:

Performs registration and scheduling of outpatient appointments, charge entry, collection of co-pays and medical records functions. May perform referrals.

Essential Functions:

• Billing/Financial
• Optimizes facility and professional collections.

Tasks:

• Collects co-pays and fees for facility and professional services from patient/guarantor according to established Hospital and faculty practice/departmental policies and procedures. Balances and closes all payment batches at the end of the day.
• Reconciles cash drawer on a daily basis.
• Prepares and submits Hospital and faculty practice deposits in accordance with established Hospital and faculty practice/departmental policies and procedures.
• Verifies patient insurance coverage. Obtains facility and professional services authorizations; may assist patients with obtaining specialty referrals. Communicates facility and professional co-payment or other balance due information to patients/guarantor.
• Abstracts and copies information from patient records in response to documentation requests.
• Registration
• Performs a complete registration of patients.

Tasks:

• Interviews patients to obtain correct demographic and insurance information.
• Verifies insurance and obtains authorizations to insure proper billing and collections.
• Inputs a complete patient registration into a computerized registration system.
• Reviews completed registration with patient; assists patient with the signing of admission forms and other forms that may be required for department.
• Notifies provider of patient's arrival.
• Prepares admission packet of forms and labels for provider.
• Schedule appointments into computerized systems.
• May perform referrals.
• Medical Records
• Pulls and refiles records, files loose reports and other documents in the records, performs file maintenance in the file area. Processes release of medical records information. Answers telephone inquiries.

Tasks:

• Prepares and maintains accurate and complete records for outpatients; active, discontinued, and discharged
• Sorts and places progress notes, lab slips in chart and prepares notes to be sent to Health Information Department.
• Pulls and re-files charts needed for patient visits or related needs, and processes charts for microfilming.
• Reviews charts periodically for completeness and accuracy to ensure proper maintenance; assures medical records are maintained in accordance with accreditation standards, obtains MEC signature.
• Medical Practice Rep-Sinai Physician Partners 2
• Distributes and processes all information requests received in timely manner; logs records; follows up on records signed out, requesting return when appropriate. Handles walk-in requests for release of medical records; obtains appropriate authorizations for release.
• Charge Entry/Abstract
• Professional charge entry

Tasks:

• Abstracts and copies information from patient records in response to documentation requests.
• Reviews patient encounter forms to ensure accuracy and completeness prior to charge entry; consults with provider to obtain incomplete and/or missing data; verifies CPT/CDM/ICD-9 coding with designated personnel.
• Enters charges for professional and technical services into computerized billing systems. Balances and closes all charge batches at the end of the day.
• Customer Service
• Ensures that all customers receive exemplary service. Serves as a patient/customer advocate when needed.

Tasks:

• Demonstrates empathy and understanding of patient/customer concerns by listening carefully and responding appropriately.
• Exceed patient/customer needs by anticipating, identifying and responding to such needs in a prompt and courteous manner.
• Focuses on what can be done to improve situations for the patient, co-worker and other customers.
• Keeps patients/customers informed, explain delays, and provide clear and concise information.
• Maintains patient confidentiality; respects the privacy and needs of all patients; continually demonstrates actions that indicate an understanding of patient rights.
• Portrays a positive organizational image through adherence to dress code and maintaining a clean work environment.
• Recognizes everyone, including patients, visitors and co-workers as customers and treats them with dignity, courtesy and respect.
• Works at maintaining a good rapport and appropriate departmental relationships with all patient care personnel, promotes a spirit of cooperation through frequent communication.
• Demonstrates knowledge of and behaviors consistent with standards of conduct and code of excellence. Acts in a way that shows sensitivity for confidentiality, integrity and respect for diversity.

COVID-19 Vaccine (Facility Guideline):

Not Required

Flu Vaccine (Facility Guideline):

Required - Medical Exemptions Only