Patient Service Representative

The CORE Institute; West Chester (Chester County); On-site; USD 35,000 - 45,000; Full time

Job summary

An established industry player in orthopedic care is seeking a dedicated front office professional to join their team. This role involves greeting patients, managing registrations, and ensuring accurate insurance processing. With a focus on patient satisfaction, you will thrive in a collaborative environment that values your contributions. Enjoy comprehensive benefits and opportunities for growth while being part of a team committed to exceptional care in the Greater Philadelphia area. If you are passionate about healthcare and customer service, this position is perfect for you.

Benefits

Comprehensive medical, vision, and dental plans

100% employer-paid life insurance

401(k) match

Generous sick and vacation time

Employee referral reward program

Opportunities for growth and advancement

Qualifications

• 1-2 years of front office experience in a medical setting.
• Knowledge of insurance rules and medical terminology.

Responsibilities

• Greet and assist patients upon arrival.
• Collect and verify patient information and insurance details.
• Maintain confidentiality of patient records in compliance with HIPAA.

Skills

Patient Registration

Customer Service

Insurance Knowledge

Medical Terminology

EMR Systems

Education

High School Diploma or GED

Tools

Athena EMR

Job description

CCO West Chester
915 Old Fern Hill Rd
Suite 1 Building B
West Chester, PA 19380, USA

Schedule: 7:00am-3:30pm (Opener), 8:00am-4:30pm (Closer)

About Us:
Premier is a leading orthopedic practice committed to diagnosing and treating a wide range of orthopedic injuries and conditions. We operate in over 50 locations and have more than 70 physicians dedicated to providing exceptional care across the Greater Philadelphia area. With a team of nearly 1,000 employees, we thrive in a supportive environment that prioritizes collaboration and patient satisfaction.

What We Offer:

• Comprehensive benefits, including medical, vision, and dental plans, 100% employer-paid life insurance, and a 401(k) match.
• Generous sick, and vacation time.
• Excellent opportunities for growth and advancement.
• Employee referral reward program.

ESSENTIAL FUNCTIONS

• Promptly greets and acknowledges patients. Informs MAs and Providers of the patient’s arrival.
• Answers all incoming calls in a timely manner and accurately supplies requested information to callers; relays written or verbal messages as needed.
• Instructs patients in completion of medical history and other patient information forms and makes any necessary corrections to the patient's account as needed.
• Obtains accurate and complete demographic and insurance information from patients and collects required financial contract/consent form(s), as well as reviews patients and guarantors’ information assuring all necessary documents are populated, completed, and signed correctly. Ensures all required authorizations and/or referrals are attached to patient appointments for that date of service.
• Identifies and collects co-payments, co-insurances, and past-due account balances.
• Explains financial requirements to the patient in response to patient questions on billing and insurance matters; refers questions regarding more complex insurance/benefits questions to the Practice Billing Department.
• Evaluates patient financial status and establishes payment plans as needed based on authority levels.
• Accurately completes and interprets insurance and benefits verification. Notifies patients, designated family member(s), physicians, and/or supervisors of network insurance coverage issues that may result in coverage reduction.
• Scans all new or updated patient information into the EMR system (including but not limited to photo ID, insurance cards, referrals, and patient paperwork).
• Schedules follow-up appointments and notifies patient if service requires an authorization or referral, and sends the request to PCP in a timely manner.
• Records all record requests in the system and reviews HIPAA requirements and patient Medical Record Request form prior to the release of patient information to any person other than the verified patient.
• Communicates with patients in the lobby if physician or provider is running behind schedule.
• Reviews and prepares charts for the following day according to the practice schedule.
• Maintains a secure and accurate cash drawer, daily balances the cash drawer, and closing batch.
• Protects patients’ rights by maintaining the confidentiality of personal and financial information; maintains patient confidentiality consistent with HIPAA requirements.
• Maintains a clean and organized front office workspace.

QUALIFICATIONS

• High school diploma/GED or equivalent working knowledge experience preferred.
• Minimum of one-two years of patient registration/front office experience in a medical or healthcare setting.
• Requires knowledge of insurance rules and regulations, medical terminology, and computer scheduling systems. Athena or another Electronic Medical Records experience is highly preferred.
• Must be able to communicate effectively with physicians, staff members, patients, and the public and be capable of establishing good working relationships with both internal and external stakeholders.
• Previous experience in collecting money is preferred.
• Knowledge of insurance rules and regulations including eligibility and referral requirements.
• Skill in customer service.

Qualifications

Skills

Behaviors

:

Motivations

:

Education

Experience

Licenses & Certifications

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.