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PATIENT SERVICE REPRESENTATIVE - PNNACLE FAMILY MEDICINE- FT

Company: State of Franklin Healthcare Associates
Location: Johnson City
Posted on: August 23, 2020

Job Description:

State of Franklin Healthcare Associates is currently seeking a Full-Time,Patient Service Representativeto be a part of our Pinnacle Family Medicine team.SummaryProvides patient service and support in the daily administrative activities of a medical office including patient check in/check out, telephone coverage and other clerical duties.Essential Duties and ResponsibilitiesCheck inGreetspatients and welcomes them to the office in a polite and friendly manner.Reviewsdemographic, insurance and provider information with patients at every visit and updates records as necessary.Ensures new patients complete all required paperwork and creates a new account in the computer system.Obtainsa copy of the patient's insurance card and driver license.Completespopulation health data elements and processes.Updates electronic medical record system (EMR), takes patient's photograph, scansand indexes documents.Providespatient with SoFHA payment and privacy policies and answers any patientquestions.Prints encounter form for the patient.Refers the patient to the Patient Account Representative when flagged, when the patient has a delinquent balance or upon arrival of patient on initialvisit if it is a Worker's Compensation or liability case.Informspatients about delays and wait times.Escalatesany unusual patient behavior to supervisor or clinical staff asappropriate.Check outGreetspatients and addresses them in a polite and friendly manner.Schedulesreturn appointments as designated on patient encounter form.Reviews the patient encounter form to ensure it has been accurately completed.Mayverify charges and orders in EMR, distribute clinical summary and change patient status to check out.Determinesthe patient's responsibility for the services rendered.Collectsthe appropriate amount noting the payment on the patient encounter formand provides the patient with a receipt.Referspatients to the Patient Account Representative if the patient requests payment arrangements or has a question regarding the account balance.Balancescash drawer.Mayprepare banking deposits and close out credit card machines for the day.Mayprepare encounter forms and send them to Central Billing Office.TelephonesAnswers, screens and routes calls to appropriate individuals.Records and routes messages appropriately.Schedules, coordinates and reschedules patient appointments.Maycall to remind patients of their appointments or print clientele report toverify confirmed appointments, calling those who did not respond.Maintains clinic Provider scheduling guidelines as directed by Provider and/or supervisor.Respondsto emergency calls according to established procedure.Answers general insurance and billing questions. General OfficePerforms otheradministrative duties such as locking/unlocking doors or front office windows, opening/distributing mail, typing, filing, faxing and collectingdocuments to be shredded, forwarding phones to the day/evening setting, etc. Other Compiles information and prepares reports.Maintains records.Participates in educational activities.Follows organizational policiesand procedures, including State of Franklin Healthcare Associates Compliance Manual, Code of Ethics and Business Standards, HR Policies and Procedures Manual, Team Member Handbook, OSHA Manual and any otherpolicies or procedures for the job function, department, location or clinic.Performs other duties as assigned.SupervisesNone.QualificationsEducation High school diploma or equivalent and knowledge of grammar, punctuation and sentence structure are required.ExperiencePrevious experience in a medical office or customer service position is preferred. Basic knowledge of insurance and billing procedures, including ICD-10, CPT and HCPCS coding is desired as applicable. Surgery scheduling and preauthorizing is recommended but not required.Certificates, Licenses, RegistrationsNot required.CompetenciesService: Demonstrates high levels of service to patients, physicians, team members and other departments; works to meet or exceed service expectations; remains calm when faced with challenging or difficult situations; effectively resolves service issues.Quality: Offers ideas and solutions to improve outcomes and enhance service; analyzes relevant issues and data before taking action; effectively implements changes.Integrity: Acts with the highest levels of personal ethics, honesty and accountability.Performance: Applies job specific knowledge, skills and experience to accomplish desired results; requires appropriate level of supervision; work is thorough, accurate and completed in a timely fashion; remains calm and uses sound judgement in decision-making; is reliable and dependable; utilizes time and resources responsibly; complies with policies and procedures; work area is organized, neat and clean; keeps current and effectively applies new methods, skills and technologies.Communication: Expresses facts and ideas in a clear, convincing and organized manner both orally and in writing; listens effectively and clarifies information as needed; professional, respectful and compassionate in communications with others; considers the situation and responds appropriately; follows proper channels of communication and shares essential information with appropriate individuals; relays details of situation accurately and timely; maintains appropriate confidentiality.Teamwork: Builds and maintains effective working relationships; recognizes strengths and contribution of others; manages and resolves conflicts in a respectful and constructive manner.Working ConditionsWork is performed in a medical office environment involving contact with patients, physicians, staff, insurance carriers and other business partners. Occasional local travel between work sites and additional hours, including evening or weekend work, may be necessary.Physical RequirementsNot RequiredOccasionalFrequentContinuousWalkingXStandingXSittingXLifting up to 10 lbsX up to 25 lbsX up to 50 lbsX Assisted liftingXClimbingXPullingXPushingXVisionXColor VisionXHearingXSpeakingXChemicals/PPEXPathogens/PPEXOutside WorkXJob Posted by ApplicantPro

Keywords: State of Franklin Healthcare Associates, Johnson City , PATIENT SERVICE REPRESENTATIVE - PNNACLE FAMILY MEDICINE- FT, Sales , Johnson City, Tennessee

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