Patient Service Representative

Piedmont Health Services Inc; Siler City (NC); On-site; USD 25,000 - 32,000; Full time

Job summary

Piedmont Health Services, Inc. in Siler City, NC seeks a Patient Services Representative (Medical & Dental) to check in patients, schedule appointments, verify insurance, and ensure accurate registrations in the EMR.

The role requires HIPAA understanding, excellent customer service, and the ability to work with minimal supervision while coordinating with the Center Manager to resolve denied claims and maintain confidential records.

Qualifications

• High school diploma or equivalent.
• 1 to 2 years of experience providing customer service in a healthcare organization is preferred.
• Experience with patient access (scheduling, registration, insurance verification) is preferred.

Responsibilities

• Check-in patients and complete data entry into the EMR accurately.
• Schedule patient appointments and manage registration paperwork.
• Verify insurance and collect necessary forms prior to discharge.
• Coordinate with the Center Manager to correct denied claims and minimize errors.
• Maintain confidentiality of medical records and HIPAA compliance.
• Answer center calls in a timely, professional manner.
• Assist team members and participate in trainings/meetings.

Skills

Customer service

Data entry

HIPAA compliance

Communication skills

Attention to detail

Education

High school diploma or equivalent

Tools

Dentrix

Athena

Microsoft Outlook

Job description

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

About Piedmont Health Services

Piedmont Health Services, Inc. (PHS) is a 501(c)(3) nonprofit and Federally Qualified Health Center (FQHC) in North Carolina. Dedicated to delivering top-tier, accessible, and inclusive primary healthcare, PHS has proudly served for 55 years and remains the largest community health center in central NC. Operating 11 Community Health Centers, two PACE (Program of All-Inclusive Care for the Elderly) SeniorCare facilities, and 2 Mobile Health Units, PHS extends its services to residents across five counties, including Alamance, Caswell, Chatham, Orange, and Lee.

What's an FQHC?

Federally Qualified Health Centers (FQHC) are community-based healthcare providers that receive funds from the Health Resources and Services Administration (HRSA) Health Center Program to provide primary care services in under-served areas.

Job Title:

Patient Services Representative

Department:

Case Management

Reports to:

Center Manager

Benefits -

• Medical, Dental, Vision, Life Insurance (Short & Long Term Disability)
• 403(b) Plan
• 11 Paid Holidays
• CME (Continuing Medical Education)

About Position:

The Patient Services Representative (Medical & Dental) is responsible to successfully check in medical, dental, and behavioral health patients when they arrive and assure completion of their registration process. The Patient Service Representative (PSR) will schedule patient appointments for our medical and/or dental sites, and complete required documentation prior to patients leaving our healthcare centers. The PSR will coordinate with Center Managers to correct denied claims to minimize our error rate, and ensure patient data is accurate and complete. This position must comply with local, state, federal, industry, and regulatory standards. The PSR must demonstrate an understanding of the HIPAA Privacy Rule and release of medical information, and possess the ability to work independently to process complex patient claims and authorization issues. This position requires excellent customer service skills and the incumbent must be an effective communicator.

Work Location:

Siler City - 224 South 10th Avenue, Siler City, NC 27344

Work schedule

Monday: 8:00 am - 5:00 pm, Tuesday: 8:00 am - 5:00 pm, Wednesday: 8:00 am - 5:00 pm, Thursday: 8:00 am - 8:00 pm, Friday: 8:00 am - 5:00 pm, Saturday: 8:00 am - 1:00 pm (Saturday work will be at Moncure CHC)

Duties/ Responsibilities:

• Check-in patients which includes gathering, completing and documentation of accurate data such as PCP, address and insurance verification into Electronic Medical Records database.
• Assures completion of the registration process.
• Completes patient check-out procedures and necessary close documentation.
• Answers center phone calls in a timely, professional, and efficient manner.
• Demonstrates understanding of HIPAA and release of medical information.
• Refers patients to external specialty practices as necessary.
• Schedules patient appointments.
• Works in coordination with the Center Manager to correct denied claims and minimize error rate.
• Attends Center Management staff meetings and other corporate trainings/meetings.
• Maintains patients’ confidence by keeping patient medical records confidential.
• Assist other team members in the performance of their assignments, projects or goals.
• Provides appropriate forums to encourage teamwork with staff members.
• Works with CM staff to help improve provider efficiency and productivity.

Minimum Qualifications:

Education/Experience

High school diploma or equivalent

Preferred:

1 to 2 years of experience providing customer service in a healthcare organization; Experience with patient access (scheduling, registration, insurance verification)

Knowledge, Skills, And Abilities:

• Knowledge of two software databases, Dentrix and Athena;
• Strong analytical, critical thinking, and organizational skills;
• Must be punctual and extremely reliable;
• Able to quickly learn and adapt to new processes and ideas;
• Excellent interpersonal, verbal and written communication skills;
• Detail-oriented with exceptional time management skills;
• Able to work in a fast-paced environment;
• Must be accurate and efficient in data entry;
• Able to identify and understand issues and problems;
• Able to handle sensitive and confidential information;
• Experience with Microsoft Outlook;
• Able to work with minimal supervision, problem solve in a high stress environment, and interact positively with all internal and external customers;
• Able to determine work priorities;
• Able to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals.

Immunizations:

Be medically cleared from communicable diseases and have all immunizations up-to-date prior to employment

Pay Range:

$17.66 - $23.74 (commensurate with years of experience)

EEO STATEMENT

Piedmont Health Services, Inc. provides equal employment opportunities to all employees and applicants for employment and prohibits discrimination and harassment of any type without regard to sex, sex stereotyping, pregnancy (including pregnancy, childbirth, and medical conditions related to pregnancy, childbirth, or breastfeeding), race, color, religion, ancestry or national origin, age, disability status, medical condition, marital status, sexual orientation, gender, gender identity, gender expression, transgender status, protected military or veteran status, citizenship status, genetic information, or any other characteristic protected by federal, state, or local laws. This policy applies to all terms and conditions of employment, including recruiting, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training.