Patient Service Representative - Orthopedics

Summit Health Management, LLC; United States; On-site; USD 25,000 - 30,000; Full time

Job summary

VillageMD is seeking a Patient Service Representative (PSR) to join a multidisciplinary medical office team. You will assist with registration, scheduling, billing and patient communication, delivering high-quality customer service and ensuring efficient patient flow.

Under supervision of the Primary Care Provider and Office Supervisor, the PSR will use the EHR and practice management systems to verify insurance, collect payments, coordinate referrals, and support timely pre-authorizations.

Qualifications

• High School Graduate or GED required; Associate Degree preferred.
• Ability to communicate in English, both orally and in writing.
• Previous PSR experience preferred; excellent customer service skills.

Responsibilities

• Greet visitors and direct them appropriately to ensure a smooth check-in.
• Maintain efficient patient flow during registration and visits.
• Answer calls promptly and relay messages to the right staff.
• Update PCP in the EHR and reflect accurate demographics and insurance details.
• Process self-pay charges, collect payments, and provide receipts.
• Schedule appointments and manage waitlists per guidelines.
• Verify insurance, schedule tests, and initiate pre-authorizations.

Skills

Customer service

Communication skills

multitasking

Education

High School/GED

Associate degree preferred

Tools

EHR

Practice Management System

Windows-based environment

Job description

About Our Company

We’re a physician-led, patient-centric network committed to simplifying health care and bringing a more connected kind of care.

Our primary, multispecialty, and urgent care providers serve millions of patients in traditional practices, patients' homes and virtually through VillageMD and our operating companies Village Medical , Village Medical at Home , Summit Health , CityMD , and Starling Physicians .

When you join our team, you become part of a compassionate community of people who work hard every day to make health care better for all.We are innovating value-based care and leveraging integrated applications, population insights and staffing expertise to ensure all patients have access to high-quality, connected care services that provide better outcomes at a reduced total cost of care.

Please Note: We will only contact candidates regarding your applications from one of the following domains: @summithealth.com, @citymd.net, @villagemd.com, @villagemedical.com, @westmedgroup.com, @starlingphysicians.com, or @bmctotalcare.com.

Job Description

The Patient Service Representative (PSR) serves as a key member on a multidisciplinary team contributing to the daily activities of the medical office team-based care, performing a variety of administrative duties to assist the Care Team with providing patients with the highest standards of medical care and a positive customer service experience. Under the direction of the Primary Care Provider, Clinical Practice Manager and Office Supervisor, this highly motivated individual works to ensure patient satisfaction and efficient operations, is passionate about patient care, possess strong interpersonal skills, and can function independently. The ideal candidate will be motivated, energetic, and an empathetic communicator who is passionate about delivering the highest quality of care. This opportunity offers an excellent salary, great benefits as well as the ability to be part of a physician-led, patient-centric network committed to simplifying the complexities of health care and bringing a more connected kind of care.

Essential Job functions:

• Greets visitors, patients, and families in a friendly professional manner and directs them appropriately.
• Maintains an efficient patient flow through the registration process and provides excellent customer service to patients/families.
• Promptly answers the telephone, directs all calls appropriately, takes an accurate message and delivers to the appropriate individual/demonstrates appropriate etiquette.
• Informs patients of delay in physician schedules, assists with patient comfort while delayed.
• Update’s patient care team in the EHR to reflect accurate PCP
• Posts all self pay charges, collects payments, and provides patient with receipt. Accurately reconciles daily payments. Reconciles billing slips to daily schedule.
• Opens and closes batches properly, accurately reconciles collections, prepares deposits and documents corrections.
• Scans the insurance card, processes insurance verifications utilizing the on-line system, and updates the patient account. Update’s patient information including demographics, insurance, HIPAA forms and financial waivers.
• Schedules appointments accurately according to department guidelines; using waitlist when applicable. Confirms future appointments as needed. Review Eligibility and Phone report.
• Schedules and enters orders for diagnostic tests, and procedures, following all appropriate workflows.
• Initiates authorization request
• Works cooperatively with Patient Care Resources and clinical staff to ensure timely pre-authorizations.
• Completes referrals according to departmental guidelines and properly enters into the appropriate system.
• Enroll patients in patient portal
• Update lab/imaging/pharmacies
• Performs screenings as applicable
• Arrange specific patient services such as ASL interpreter, needed transportation
• Effectively communicates problems, concerns, or issues to the Office Supervisor / Manager appropriately and promptly.
• Actively participates in pilot programs
• Performs patient outreach for AWV’s, quality lists
• Manages Department Staff Inbox
• Manage patient ticklers, portal requests, online scheduling requests
• Completes letters as assigned (no-show/late cancellation, return to work/school)

General Job functions:

• Performs various clerical duties such as faxing, photocopying, scanning, filing and mailings.
• Demonstrates flexibility with various work schedules, covers for other staff when asked including other office locations.
• Demonstrates the ability to adequately follow downtime procedures.
• Other job duties as required.

Education, Certification, Computer and Training Requirements:

• High School Graduate or GED required. Associate Degree preferred.
• Previous PSR experience preferred.
• Ability to communicate in English, both orally and in writing.
• Must have excellent customer service skills.
• Must have the ability to organize and perform multiple tasks in a timely manner.
• Knowledge of medical office and terminology preferred.
• Basic proficiency in computer use required. Previous experience with Standard Office Technology in a Window based environment preferred.
• Experience with EHR, Practice Management System and Departmental/Ancillary Systems preferred.

Travel:

• Ability to commute to satellite offices as needed.
• Pay Range: $18.13 - $22.02 Hourly

The provided compensation range is based on industry standards and salary determinations will be made based on numerous factors including but not limited to years of experience and location of position.

About Our Commitment

Total Rewards at VillageMD

Our team members are essential to our mission to reshape healthcare through the power of connection. VillageMD highly values the critical role that health and wellness play in the lives of our team members and their families. Participation in VillageMD’s benefit platform includes Medical, Dental, Life, Disability, Vision, FSA coverages and a 401k savings plan.

Equal Opportunity Employer

Our Companyprovides equal employment opportunities ( EEO) to all employees and applicants for employment without regard to, and does not discriminate on the basis of, race, color, religion, creed, gender/sex, sexual orientation, gender identity and expression (including transgender status), national origin, ancestry, citizenship status, age, disability, genetic information, marital status, pregnancy, military status, veteran status, or any other characteristic protected by applicable federal, state, and local laws.

Safety Disclaimer

OurCompanycares about the safety of our employees and applicants.Our Companydoes not use chat rooms for job searches or communications.Our Companywill never request personal information via informal chat platforms or unsecure email.Our Companywill never ask for money or an exchange of money, banking or other personal information prior to the in-person interview. Be aware of potential scams while job seeking. Interviews are conducted at selectOur Companylocations during regular business hours only. For information on job scams, visit, https://www.consumer.ftc.gov/JobScams or file a complaint at https://www.ftccomplaintassistant.gov/ .