Patient Service Representative

St. Charles Health System; Redmond (OR); On-site; USD 35,000 - 45,000; Full time

Job summary

St. Charles Health System is hiring for a patient scheduling role in Redmond, Oregon. This position involves managing appointment scheduling, ensuring financial clearance, and providing exceptional customer service to patients.

The ideal candidate will have a high school diploma or GED, and preferably experience in a healthcare setting. Responsibilities include handling patient demographics, processing payments, and addressing registration-related queries. This is a vital role in maintaining efficient clinic operations.

Qualifications

• Required: High school diploma or GED.
• Preferred: One year of clerical support in a healthcare setting or related experience.
• Basic medical terminology.

Responsibilities

• Accurately schedule appointments according to guidelines.
• Perform real time eligibility for insurance benefits.
• Maintain patient demographics and billing information.
• Assist with patient check-in and check-out processes.
• Deliver customer service that promotes goodwill.

Education

High school diploma or GED

Job description

Essential Functions and Duties

Patient Scheduling

• Accurately schedules appointments based on department scheduling guidelines, maximizing patient access and provider utilization.
• Uses electronic health system to maintain department appointment requests, waitlist and follow up reports.

Pre-Arrival and Financial Clearance

• Performs real time eligibility (RTE) for insurance benefits.
• Uses RTE information to accurately route scheduling requests or schedule appointments.
• Ensures authorization is linked to all appointments at the time of check in.
• Reconciles daily schedules with appointment reports.
• Responsible for addressing registration related work queue items that require resolution prior to encounter closure.

Patient Registration

• Responsible for accurately recording patient demographics, insurance and billing information at the time of scheduling, check in, and check out.
• Courteously and confidently requests appropriate patient payments from patients/guardians. Accurately process all payment types (copays, co-insurance, prepayment, deductible, self-pay balances) and completes daily deposits and batch reports.
• At the time of check out, provides patient with printed After Visit Summary upon request, schedules follow up visits as needed, collects any copay that remains due for the day’s services.

Clinic Daily Operations

• Maintains patient access related departmental files, programs and lists.
• Performs daily readiness activities such as turning on computers, equipment, kiosks, readying patient waiting areas and check in areas, ensuring supplies are fully stocked.
• Assists with processing and resolving incoming and outgoing electronic and telephone messages, worklist entries and basic work queue items within the electronic health record in accordance with established protocols.
• Responsible for entry level support and knowledge of document collection and distribution, locating and distributing patient documents and information to appropriate staff members.
• Faxing, scanning, indexing medical records into document management system.
• Opening and distributing incoming communications (mail, paper and electronic faxes).

Customer Service

• Delivers customer service and/or patient care in a manner that promotes goodwill, is timely, efficient, and accurate.
• Supports the vision, mission, and values of the organization in all respects.
• Provides direction and assistance to patients as needed.
• Facilitates scheduling of, or arranges for interpretive services for patients as needed.
• Supports Lean principles of continuous improvement with energy and enthusiasm, functioning as a champion of change.
• Provides and maintains a safe environment for caregivers, patients, and guests.
• Supports the onboarding process of new caregivers to the department.
• Conducts all activities with the highest standards of professionalism and confidentiality.
• Complies with all applicable laws, regulations, policies, and procedures, supporting the organization’s corporate integrity efforts by acting in an ethical and appropriate manner, reporting known or suspected violation of applicable rules, and cooperating fully with all organizational investigations and proceedings.
• May perform additional duties of similar complexity within the organization, as required or assigned.

Education

Required: High school diploma or GED.

Preferred: N/A.

Licensure/Certification/Registration

Required: Ability to travel to business functions/trainings/meetings and all St. Charles Health System worksites.

Experience

Required: N/A.

Preferred: One year of clerical support in a healthcare setting or related experience. Basic medical terminology.