Patient Service Representative

Montefiore Medical Center; United States; On-site; USD 33,000 - 48,000; Full time

Job summary

Montefiore Medical Center in Bronx, NY is seeking a clerical assistant to support clinic operations. The role greets patients, directs traffic, schedules appointments, secures authorizations and coordinates referrals to specialists and diagnostic services, using Epic and Smart EMR for records.

The position handles insurance verification, collects payments, scans documents, and assists with patient transportation and referrals, contributing to efficient service delivery and high patient

Responsibilities

• Receives all incoming phone calls and schedules appointments.
• Provides switchboard and paging service.
• Explains payment policy to patients with self-pay or co-payments and collects payments.
• Verifies insurance eligibility and communicates with billing.
• Scans required information into Epic or Smart EMR.
• Registers new patients into the program via EMR and updates EMR information.
• Directs patients with alerts in the EMR to appropriate staff.
• Prepare necessary forms and labels for collection of laboratory specimens.
• Schedules and arranges patient transportation when needed.
• Complete referrals as required.

Tools

Epic

Smart EMR

Job description

City/State: Bronx, New York

Grant Funded: Yes

Department: DOSA - Wellness Center Melrose Bargaining Unit

1199 Work Shift: Day

Work Days: MON-FRI

Scheduled Hours: 9 AM-5 PM

Scheduled Daily Hours: 7.5 HOURS

Hourly Rate: $29.42

For positions that have only a rate listed, the displayed rate is the hiring rate but could be subject to change based on shift differential, experience, education or other relevant factors.

To learn more about the "Montefiore Difference" - who we are at Montefiore and all that we have to offer our associates,

Job Summary

Performs a variety of clerical functions to insure the efficient operation of a clinic. Serves as a liaison between the patient, physician, specialist and diagnostic services and manages patient traffic flow by greeting patients and directing them to appropriate service components. Schedules appointments, secures authorization and coordinates referrals to specialists and diagnostic services. Verifies insurance coverage status and collects and records payments utilizing automated systems. Also facilitates collection of patient toxicology specimens, as needed. Performs other related work, as required.

Essential Functions

Receives all incoming phone calls and schedules appointments. Provides switchboard and paging service.

• Responds to phone calls promptly and transfers calls within fifteen seconds. Decrease in patient and staff complaints.

Explains payment policy to patients with self-pay or co-payments. Informs patients of current charges and outstanding balances and arranges for full or partial payment. Takes monetary collection, posts payments daily, reconciles daily cash collection and makes deposits regularly at MMC Cashier.

• Correct payment is received from 100% of patients. SATP fee for service policy is adhered to fully.

Under direction of physician, secures urgent approvals on referrals including scheduling of urgent appointments

• Required approvals are obtained promptly. Greater physician/patient satisfaction.

Contacts MMC departments for scheduling of specialist appointments and procedures. Notifies patients of scheduled visits and informs patient of any preparation involved.

• Prompt efforts to obtain all needed appointments. Greater physician/patient satisfaction.

Schedules all provider appointments. Ensures follow-up appointments are scheduled following visit when needed.

• All appointments are scheduled in a timely way.

Scans required information into Epic or Smart EMR.

• Accurate patient records are maintained.

Obtains external medical records for patients when needed. Pulls physical charts for providers when needed.

• Accurate patient records are maintained. Greater provider satisfaction.

Registers new patients into program via EMR and updates EMR information when needed. Collects, verifies and updates demographic information, insurance coverage/Medicaid and self-pay documentation. Checks-in patients in Epic for appointments and completes all demographic and other required data verification.

• Accurate information is entered into Epic and Smart EMRs. Information is updated regularly and verified with patients at each appointment check-in.

Verifies insurance eligibility, including Medicaid, Medicare, and HMO status. Ensures insurance information is communicated to the billing team in a timely way and scanned into medical record.

• Insurance information is accurately verified and communicated, leading to minimal billing errors.

Facilitate collection of toxicology samples from patients in a randomized manner consistent with program policy and regulatory requirements. Includes printing of necessary labels based on Smart alerts, ensuring toxicology samples provided are intact, labeled correctly and deposited in the appropriate receptacles for lab collection and alerting counselor or COD if a patient refuses to provide a sample.

• Toxicology samples will be requested and collected as indicated in SATP policy and according to schedule provided by EMR.

Direct patients with alerts in electronic medical record to appropriate staff and services. Clear patient alerts using appropriate comments.

• All alerts in electronic medical record will be addressed as needed and closed out with proper documentation.

Prepare necessary forms and labels for the collection of laboratory specimens and prepare all specimens for pick up by the laboratory.

• Items are prepared accurately and on a timely basis.

Schedules and arranges patient transportation when indicated. Handles related transportation issues

• Patient satisfaction with transportation assistance. Access to services for patients needing transportation will be maintained.

Complete referrals as required.

• Increased patient and staff satisfaction with referrals made.

Performs filing, record keeping, scanning and other clerical tasks.

• Information is accurately maintained.

Other related duties as assigned.

• Completes activities within the prescribed time frame as requested by im