Lead Patient Service Representative

US Oncology Inc.; Chevy Chase, Northern (MD, KY); Hybrid; USD 27,000 - 55,000; Full time

Job summary

Prism Vision Group seeks a Patient Services Representative for the Friendship Ambulatory Surgery Center in Chevy Chase, MD. This non-exempt, onsite role involves ensuring smooth patient flow, accurate registration, and proactive financial counseling. Occasional travel to other locations may be required to support business needs.

You will verify insurance, collect payments, educate patients on charges and policies, and collaborate with physicians and staff to resolve issues promptly.

Qualifications

• 8+ years of experience as patient services representative.
• 2+ years in a lead role or supervising others.
• Experience with pre-registration, insurance verification and billing.
• Knowledge of HIPAA and privacy standards.

Responsibilities

• Schedule and complete patient registrations accurately.
• Initiate pre-registration and verify demographics and insurance.
• Verify benefits, referrals and insurance information.
• Collect payments and provide upfront financial counseling.
• Act as liaison for patients, physicians and staff.
• Notify parties of appointments, referrals and prior authorizations.
• Train fellow staff and ensure policy compliance.
• Maintain professional, compliant operations in a fast-paced setting.

Skills

Customer service

Communication skills

Financial counseling

Cash handling

Problem solving

Multi-system navigation

Education

High School Diploma or GED

Bachelor's degree preferred

Tools

Microsoft Office Suite

Electronic health record systems

Job description

This non-exempt, onsite job is located at the Friendship Ambulatory Surgery Center, in Chevy Chase, MD, which is part of Prism Vision Group. There will be occasional travel to other locations based upon business needs.

Compensation Range: $19.30-$40.15/hr (Dependent on Experience)

ROLE AND RESPONSIBILITIES

• Schedule and accurately complete full registration for patients requesting appointments while adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately and with attention to detail to ensure the highest quality standards.
• Initiate pre-registration process and ensure all demographic insurance information is accurate, complete and up to date on patient’s chart.
• Verification of insurance information, verification of benefits and insurance referral information.
• Obtain legal photo identification and (if applicable) insurance card(s) and validate patient identity and coverage prior to services being rendered to ensure patient safety and financial reimbursement.
• Adhere to HIPPA standards related to patient privacy and confidentiality.
• Assure ease of patient flow through the clinical care process.
• Provide patients with all required information regarding appointments and payment policies (e.g. medical records, parking, cash policies, anticipated charges, cancellation policy).
• Provide upfront financial counseling services at time of check-in including identifying alternate funding resources and establishing payment plans.
• Advise patients of financial obligations and collect funds according to established guidelines.
• Act as a liaison/advocate for patients, physicians, and staff in facilitating ease of care. Identify and resolve trouble spots and problem patterns in the provision of care.
• Notify appropriate parties of the appointment time, referral criteria, insurance verification, and prior authorization requirements.
• Train other patient services representatives and provide excellent customer service skills.
• Comply with company policies and standards.

POSITION QUALIFICATIONS

Education: High School Graduate or General Education Degree (GED). Bachelor’s degree in relevant discipline preferred.
Experience: 8+ years of experience as patient services representative required, including 2+ years of leading other team members.

KNOWLEDGE/SKILLS/ABILITIES

• Working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
• Knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.
• Excellent verbal and written communications skills in English. Bi-Lingual a plus.
• Must possess excellent, critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.
• Excellent mathematical and cash management skills.
• Excellent interpersonal skills and ability to work effectively with physicians, co-workers, other departments and patients of all ages, and from across a broad range of cultural and social economic backgrounds.
• Knowledge of medical terminology preferred.
• Ability to work as an integral team member under minimal supervision, in a fast-paced, complex and highly stressful environment.
• Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systems.
• Proficient with Microsoft Office Suite.

WORK ENVIRONMENT

An office environment with a controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.