Patient Service Representative

Healthcare Outcomes Performance Co. (HOPCo); King of Prussia (Montgomery County); On-site; USD 35,000 - 55,000; Full time

Job summary

An established industry player is seeking a dedicated Patient Service Representative to join their team. This entry-level position offers a unique opportunity to work in a dynamic healthcare environment, where you'll be the first point of contact for patients. You'll play a vital role in ensuring smooth patient experiences by managing registrations, handling inquiries, and maintaining accurate records. With a focus on collaboration and patient satisfaction, this role promises excellent growth opportunities and a supportive work culture. If you're passionate about healthcare and committed to providing exceptional service, this is the perfect opportunity for you.

Benefits

Comprehensive medical, vision, and dental plans

100% employer-paid life insurance

401(k) match

Generous paid sick and vacation time

Flexible work hours

Growth and advancement opportunities

Employee referral reward program

Qualifications

• 1-2 years of patient registration/front office experience preferred.
• Knowledge of insurance rules and medical terminology required.

Responsibilities

• Greet and assist patients, ensuring accurate information is collected.
• Handle incoming calls and provide necessary information to callers.
• Maintain confidentiality of patient information in compliance with HIPAA.

Skills

Customer Service

Insurance Knowledge

Medical Terminology

Communication Skills

Financial Transactions

Education

High School Diploma/GED

Tools

Athena EMR

Computer Scheduling Systems

Job description

Join to apply for the Patient Service Representative role at Healthcare Outcomes Performance Co. (HOPCo)

Get AI-powered advice on this job and more exclusive features.

About Us:

Premier is a leading orthopedic practice committed to diagnosing and treating a wide range of orthopedic injuries and conditions. We operate in over 50 locations and have more than 70 physicians dedicated to providing exceptional care across the Greater Philadelphia area. With a team of nearly 1,000 employees, we thrive in a supportive environment that prioritizes collaboration and patient satisfaction.

Join our Team at Premier!

Title: Patient Service Representative

Location: King of Prussia, PA

Schedule: Monday-Friday, 8:00am-4:30pm

What We Offer:

• Comprehensive benefits, including medical, vision, and dental plans, 100% employer-paid life insurance, and a 401(k) match.
• Generous paid sick and vacation time.
• Flexible work hours.
• Excellent opportunities for growth and advancement.
• Employee referral reward program.

Essential Functions:

• Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival.
• Answers all incoming calls in a timely manner and accurately supplies requested information to callers; relays written or verbal messages as needed.
• Instructs patients in completion of medical history and other patient information forms and makes any necessary corrections to the patient's account as needed.
• Obtains accurate and complete demographic and insurance information from patients and collects required financial contract/consent form(s), as well as reviews patients and guarantors’ information assuring all necessary documents are populated, completed, and signed correctly. Ensures all required authorizations and/or referrals are attached to patient appointments for that date of service.
• Identifies and collects co-payments, co-insurances, and past-due account balances.
• Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to the Practice Billing Department.
• Evaluates patient financial status and establishes payment plans as needed based upon authority levels.
• Accurately completes and interprets insurance and benefits verification. Notifies patients, designated family member(s), physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
• Scans all new or updated patient information into the EMR system (including but not limited to photo ID, insurance cards, referrals, and patient paperwork).
• Schedules follow-up appointments and notifies patient if service requires an authorization or referral, and sends the request to PCP in a timely manner.
• Records all record requests in the system and reviews HIPAA requirements and patient Medical Record Request form prior to the release of patient information to any person other than the verified patient.
• Communicates with patients in the lobby if physician or provider is running behind schedule.
• Reviews and prepares charts for the following day according to the practice schedule.
• Maintains a secure and accurate cash drawer, daily balances the cash drawer, and closing batch.
• Protects patients’ rights by maintaining the confidentiality of personal and financial information; maintains patient confidentiality consistent with HIPAA requirements.
• Maintains a clean and organized front office workspace.

Qualifications:

• High school diploma/GED or equivalent working knowledge experience preferred.
• Minimum of one-two years of patient registration/front office experience in a medical or healthcare setting.
• Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems. Athena or another Electronic Medical Records experience is highly preferred.
• Must be able to communicate effectively with physicians, staff members, patients, and the public and be capable of establishing good working relationships with both internal and external stakeholders.
• Previous experience in collecting money is preferred.
• Knowledge of insurance rules and regulations including eligibility and referral requirements.
• Skill in customer service.

Additional Details:

• Seniority level: Entry level
• Employment type: Full-time
• Job function: Health Care Provider
• Industries: Hospitals and Health Care