Patient Service Representative (Medical Records)

US Oncology Inc.; Spokane (WA); On-site; USD 25,000 - 44,000; Full time

Job summary

Spokane Eye Clinic, part of Prism Vision Group, is hiring a Patient Service Representative in Spokane, WA. This onsite role supports patient interactions by phone, internet, and in person, manages scheduling, registrations, and billing processes, and helps navigate pre-authorization and referrals.

Responsibilities include verifying demographics and insurance, collecting payments, and guiding patients through policies. Requires 2+ years in a patient-facing role and a GED; bilingual a plus.

Qualifications

• Excellent verbal and written communications skills in English; bilingual a plus.
• Must possess excellent critical thinking, analytical, troubleshooting and customer service skills.
• Mathematical and cash management skills.
• Excellent interpersonal skills and ability to work with diverse patients and staff.
• Ability to work as a team member in a fast-paced, complex environment.
• Safeguard confidential information per HIPAA guidelines.
• Computer literate and able to use multiple electronic systems.
• Proficient with Microsoft Office Suite.

Responsibilities

• Schedule and complete full registration for patients requesting appointments with attention to policies and accuracy.
• Initiate pre-registration and ensure demographic and insurance information is current.
• Verify insurance, benefits, and referrals.
• Obtain ID and insurance cards and validate patient identity and coverage.
• Maintain HIPAA standards and patient privacy.
• Facilitate smooth patient flow through the clinical care process.
• Provide information on appointments, parking, and payment policies to patients.
• Offer upfront financial counseling and discuss payment plans with patients.
• Explain financial obligations and collect funds per guidelines.
• Act as liaison for patients, physicians, and staff to resolve care issues.
• Notify necessary parties about appointment times, referrals, and pre-authorizations.
• Train other PSRs and deliver excellent customer service.
• Comply with company policies and standards.

Skills

English communication

Critical thinking

Analytical skills

Troubleshooting

Customer service

Cash handling

Interpersonal skills

Teamwork

HIPAA compliance

Computer literacy

MS Office

Education

GED

Job description

This onsite, non-exempt role is located at Spokane Eye Clinic, Spokane, WA, 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.

• 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.

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.