Patient Service Representative

US Oncology Inc.; Lawrenceville (NJ); On-site; USD 25,000 - 44,000; Full time

Job summary

US Oncology Inc. in Lawrenceville, NJ (onsite) is seeking a Patient Registration Specialist to support NJRetina as part of Prism Vision Group. The role involves accurate registration, pre-registration, identity and insurance verification, and adherence to HIPAA rules.

You will assist patients with appointments, collect payments, and provide financial counseling while coordinating with physicians and staff to ensure efficient care delivery. Occasional travel to other locations may be required.

Qualifications

• High School Diploma or GED is required.
• 2+ years in a patient-facing healthcare or customer service role preferred.

Responsibilities

• Schedule and complete patient registrations accurately following policies.
• Initiate pre-registration and ensure demographics/insurance information is current.
• Verify insurance, benefits, and referrals.
• Obtain IDs and insurance cards; validate patient identity and coverage.
• Maintain HIPAA privacy standards.
• Facilitate smooth patient flow through care processes.
• Provide information on appointments and payment policies.
• Offer upfront financial counseling and discuss funding resources.
• Collect payments per guidelines.
• Act as liaison between patients, physicians, and staff.
• Notify relevant parties about appointments, referrals, and authorization requirements.
• Train other patient services staff and deliver excellent customer service.
• Comply with company policies and standards.

Skills

Verbal communication

Written communication

Customer service

HIPAA compliance

Attention to detail

Teamwork

Cash handling

Multi-system navigation

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

This onsite role is located at NJRetina, Lawrenceville, NJ location, which is part of Prism Vision Group. There will be occasional travel to other locations based upon business needs.

Compensation Range: $18-$31.89/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 HIPAA 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)

Experience: 2+ Years experience in a patient facing healthcare function or other customer service function preferred.

KNOWLEDGE/SKILLS/ABILITIES:

• 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.
• 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.
• Ability to work as an integral team member under minimal supervision, in a fast-paced, complex environment.
• Ability to show tolerance and sensitivity in stressful situations and safeguard confidential information in accordance with established policies and HIPAA regulations.
• 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.