Patient Services Representative I (#9996)

Yuma Regional Medical Center • Yuma, AZ • 2w ago

This job was posted by https://www.azjobconnection.gov : For more information, please see: https://www.azjobconnection.gov/jobs/7038092

Location: Gastro Clinic

Summary:

ThePatient Services Representativeperforms scheduling and registration, verifies eligibility and obtains authorizations for ambulatory appointments, procedures, or surgery scheduling in support of the patients\' care needs. He/She is responsible for completing the patient registration in a timely and accurate manner to minimize interruption to patients\' care.

Patient Services Representativesecures all demographic and financial information, including Medicare/Medicaid, Third Party Liability (TPL), and Workers Compensation; verifies and/or notifies insurance company; completes cash deposits (co-pays, deductibles, self-pay); explains and answers registration questions on demand. Responsible to perform insurance verification, identify when pre-certification requirement exists for ambulatory appointment and obtains and documents pre-certification /authorizations prior to appointment.

Transcribes orders; obtains and verifies required precertification/authorizations, when appropriate, for any scheduled outpatient procedure or surgery. Schedules procedure or surgery as patients\' plan of care dictates. Communicates closely with patient throughout care delivery process regarding (but not limited to) insurance, co-pays, deductibles, authorizations, procedure or surgery date, appointments, etc.

Performs a variety of administrative duties including answering phones; faxing and filing of confidential documents; and basic Internet and email utilization.

Responsibilities:

Schedules and reschedules of all routine and non-routine medical

services for assigned patient population. Coordinates scheduling and referrals to other healthcare providers and services. Confirms daily data entry of medical appointments, special instructions, patient information/jurisdiction, and pre/postoperative or procedure instructions. Performs a variety of administrative duties including answering phones; faxing and filing of confidential documents; and basic Internet and email utilization. Provides excellent customer service to all internal and external customers. Works closely with the back office/medical assistant team and provider(s) to maximize the patients\' care experience.

Performs scheduling (and rescheduling where appropriate) and

registration, verifies eligibility and obtains authorizations for ambulatory appointments, procedures, or surgery scheduling in support of the patients\' care needs. Coordinates scheduling and referrals to other healthcare providers and services. Completes patient registration in a timely and accurate manner to minimize interruption to patients\' care.

Performs insurance verification, identifies when pre-certification

requirement exists for ambulatory appointment and obtains and documents pre-certification /authorizations prior to appointment.

Secures all demographic and financial information, including

Medicare/Medicaid, Third Party Liability (TPL), and Workers Compensation; verifies and/or notifies insurance company; completes cash deposits (co-pays, deductibles, self-pay); explains and answers registration questions on demand.

Obtains and verifies required precertification/authorizations, when

appropriate, for any scheduled outpatient procedure or surgery.

Schedules procedure or surgery as patients\' plan of care dictates.

Communicates closely with patient throughout care delivery process regarding (but not limited to) insurance, co-pays, deductibles, authorizations, procedure or surgery date, appointments, etc.

Transcribes orders

Performs a variety of administrative duties including answering

phones; faxing and filing of confidentialdocuments; and basic Internet and email utilization

Provides excellent customer service to all internal and external

customers. Works closely with the back office/medical assistant team and provider(s) to maximize the patients\' care experience.

Education:\ Essential:

HS DIPLOMA/GED

Other information:

Minimum Requirements

High School / Equivalency Diploma

1 year related experience preferred

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