Patient Service Representative

US Oncology Inc.; Vineland (NJ); Hybrid; USD 25,000 - 44,000; Full time

Job summary

Eye Associates of Vineland, part of Prism Vision Group, is seeking a Patient Service Representative for an onsite role located in Vineland, NJ. Occasional travel to other locations may be required; the position is non-exempt and involves inbound/outbound patient interactions, scheduling, and basic revenue cycle duties.

The PSR will handle registrations, pre-registrations, insurance verification, HIPAA compliance, and financial counseling at check-in, collaborating with physicians and staff to

Qualifications

• Education: High School Graduate or GED.
• Experience: 2+ years in a patient-facing healthcare or customer service function preferred.
• Excellent verbal and written communication in English; bilingual ability is a plus.
• Strong analytical, troubleshooting and problem-resolution skills.
• Excellent interpersonal skills and ability to work with patients, physicians and staff.

Responsibilities

• Schedule and complete patient registrations for appointments with attention to policies and accuracy.
• Initiate pre-registration and verify demographics and insurance information.
• Verify insurance benefits and referral information.
• Obtain IDs and insurance cards and validate patient identity and coverage.
• Adhere to HIPAA standards for patient privacy.
• Facilitate smooth patient flow through the care process.
• Provide information on appointments, policies and payments at check-in.
• Offer upfront financial counseling and assist with payment plans.
• Explain financial obligations and collect funds per guidelines.
• Act as liaison for patients, physicians and staff to resolve issues.
• Notify relevant parties about appointments, referrals and prior authorizations.
• Train other patient services representatives and uphold company policies.

Skills

Verbal communication

Written communication

Bilingual (English/Spanish)

Customer service

Analytical skills

Troubleshooting

Interpersonal skills

Microsoft Office Suite

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

This onsite role, non-exempt is located at the Eye Associates of Vineland 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)

The Patient Service Representative (PSR) is responsible for providing the full scope of a) inbound and outbound access patient interactions and functions whether by telephone, internet or in-person, b) patient scheduling and logistics, c) executing daily workflows including cancellation, missed visit and tickler-recall deployment and d) executing revenue cycle claim scrubbing and missing slip completion.

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.