Patient Service Representative

CareWell Health; United States; Remote; USD 28,000 - 33,000; Full time

Job summary

CareWell Health is hiring a remote Registration Specialist to support Woman Health Center, Family Health Center and Bariatrics. You will interview patients to gather demographic and financial information, verify insurance, and ensure accurate data entry in the registration system.

Responsibilities include scheduling tests and surgeries, collecting payments, maintaining HIPAA confidentiality, and assisting with referrals and authorizations.

Qualifications

• Requires High School Diploma. Ability to type and effectively use a personal computer is essential.
• Certification from National Association of Healthcare Access Management is a plus.
• Minimum of one-year experience in a healthcare environment and knowledge of healthcare insurance carriers preferred.

Responsibilities

• Register and preregister patients by conducting interviews for demographic and financial information.
• Contact patients in a courteous and respectful manner.
• Maintain confidentiality, security, and integrity in the management of patient information.
• Answer phones and ensure messages are documented and sent to the appropriate recipients.
• Schedule office appointments for tests and surgeries as needed per patient care.
• Record patient demographic/insurance information into the registration system and verify accuracy.
• Screen patients’ insurance cards for validation and input insurance address for accurate billing.
• Coordinate with the insurance verification system and contact insurance companies for verification/referral information.
• Assess patient insurance coverage to determine if financial screening is needed and refer self-paying patients to Financial Counselor.
• Collect deductibles or co-payments and forward payments to the cashier.
• Assist with referrals and authorizations for surgeries, endos, and radiology and nutrition.
• Complete required documentation to comply with state/federal regulations and related guidelines.
• Cross-train to provide coverage when needed and participate in quality improvement activities.

Skills

Customer service

Phone handling

Data entry

Confidentiality

Insurance verification

Education

High School Diploma

Job description

Remote

Job Summary

Register and preregister patients that present to the Woman Health Center, Family Health Center and Bariatrics by conducting interviews for demographic and financial information in accordance with the established financial guidelines.

Essential Functions

• Contact patients in a courteous and respectful manner
• Maintain confidentiality, security, and integrity in the management of patient information according to the hospital’s policy and procedures.
• Answer phones and ensure messages are documented appropriately and sent to the appropriate recipients.
• Schedule office appointments for tests and surgeries as needed per patient care.
• Accurately records the patient’s demographic / insurance information into the registration system. Verifies information for accuracy and makes appropriate notes as needed.
• Screen patients’ insurance cards for validation and input insurance address in the system for accurate billing.
• Ensure the use of the insurance verification system and make appropriate calls to insurance companies for verification/ referral information when needed.
• Assess patient insurance coverage to determine if financial screening is needed. Refer all self-paying patients to the Financial Counselor.
• Compare existing demographic/ insurance information in CE to current data presented from the patient to verify if information has changed and adjust accordingly. Collects and scan all necessary documents to ensure that all information is received at the point of registration (i.e. insurance cards, ID, referrals and authorizations).
• Print and separate by physician all registration documents and place in the designated area for all registrars to access.
• Collect deductibles or co-payment from patients and maintain numerical/manual receipts. Forward all payments to the cashier.
• Assist with referrals and authorizations needed for surgeries, endos, and radiology and nutritional.
• Collects and scans all necessary documents to ensure that all information is received for patient care
• Completes all required documentation to comply with all State/ Federal regulations, third party regulations and distributes appropriate literature.
• Work on/ complete reports and tasks that are assigned in a timely manner
• Cross-trained to provide coverage when needed.
• Participates in ongoing training to ensure skill sets are maintained.
• Participates in quality improvement activities.

Other Duties

Please note this job description is not designed to cover or contain a comprehensive listing of activities, duties or responsibilities that are required of the employee for this job. Duties, responsibilities and activities may change at any time with or without notice.

Minimum Education/Certifications

Requires High School Diploma. Ability to type and effectively use a personal computer is essential. Certification from National Association of Healthcare Access Management is a plus.

Minimum Work Experience

Minimum of one-year experience in a healthcare environment and previous knowledge of healthcare insurance carriers preferred.

CareWell Health provides a salary/hourly rate range for all open positions to comply with New Jersey Law. The rates listed for each position is a good faith determination of potential base compensation that may be offered to a successful applicant for this position at the time of this job advertisement and may be modified in the future. When determining a team member’s base salary and/or rate, several factors may be considered as applicable (e.g., specialty, service line, years of relevant experience, education, credentials, negotiated contracts, budget and internal equity). The salary range does not include bonuses/incentives, differential pay or other forms of compensation, which can be discussed in detail with your talent acquisition specialist.

The salary/hourly rate range for this position is: $20.34

Salary ranges shown on third-party job sites may not accurately reflect ranges provided by CareWell Health. Candidates should discuss salary/hourly compensation and details of our comprehensive benefits with our talent acquisition specialist if selected for an interview.