Patient Services Representative

SWCHC, Inc.; Bridgeport (CT); On-site; USD 35,000 - 52,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Flexible spending accounts

Retirement plan (403B)

Short-term disability insurance

Long-term disability options

Life Insurance

Employee assistance program (EAP)

Job summary

SWCHC, Inc. in Bridgeport, CT is seeking a Patient Services Representative to greet patients, verify insurance, schedule appointments, and support billing at the front desk.

You will work with clinical staff, manage recalls, handle payments, and help ensure accurate patient records while delivering friendly, professional service.

Qualifications

• Experience with electronic appointment scheduling systems.
• Strong customer service and interpersonal skills.
• Knowledge of referral or prior authorization procedures preferred.

Responsibilities

• Register patients and manage scheduling to meet regulatory and business requirements.
• Support billing and collections, verify insurance, collect co-pays and co-insurances at point of service.
• Review daily schedules to maximize appointment availability; update and maintain patient records in the system.
• Process payments and balance cash drawer; handle end-of-day reporting and payment arrangements.

Skills

Appointment scheduling

Customer service

Prior authorization knowledge

Education

High School diploma / GED

Job description

SUMMARY:

The Patient Services Representative works closely with patients and clinical professionals while utilizing excellent customer service skills; multi-tasking while professionally managing all front desk patient care/clerical related functions.

SPECIFIC DUTIES AND RESPONSIBILITIES:

All duties are subject to accommodation in accordance with the Americans with Disabilities Act (ADA)

The Patient Services Representative demonstrates proficient data entry skills, supports the billing and collection process by utilizing knowledge of insurance verification, self-pay collections, collecting co-pays, at point of service. Maintains confidentiality in a professional manner, exhibits efforts tomaintain and improve job specific competencies, and perform other duties as assigned.

Typical tasks may include but are not limited to:

EHR Task:

• Registering patient to meet regulatory and business requirements; enrolling patients using My Chart Portal; updating patient information; printing profiles, scheduling and managing recall lists and scanning documents into the patient’s Electronic Health Record (EHR)

Payment Management:

• Opening, balancing, and closing daily cash drawer and posting payments; processing payments with a credit card machine, including end ofday reporting; collecting co-pays, deductibles and/or co-insurance at point of service; facilitating payment arrangements

Patient Schedule:

• Reviewing schedules daily to ensure accuracy and maximizingavailable appointment slots; obtaining medical releases as needed for patient requested forms; registering patients via phone or in person
• Ensure all insurance, demographic, and eligibility informationis obtained, entered, and maintained in the system in an accurate manner; perform insurance verification process(es) for all third-partypayers; discuss financial terms and payment/payment arrangement options with patients; calculate and enter sliding fee eligibility basedon a client income

Requirements

Qualifications:

• Electronic appointment scheduling and strong customer serviceexperience with a knowledge of referral or prior authorization procedures isalso preferred.
• Excellent interpersonal skills and phone etiquette; strongcritical thinking and problem-solving skills and the ability to work as a member of the team to serve patients is a must.
• Bi-lingual in English and another language preferred.

Education and/or Experience:

• High School diploma, or GED is required.
• Minimumof one year job related experience and experience with data entry is highlypreferred.

Physical Requirements/Work Environment:

• Variable shifts between 8am-8pm, including weekends/holidays asneeded
• Minimal physical effort
• Must be able to operate computer and telephone continuously
• Multi-site travel/coverage as necessary

PhysicalRequirements and Work Environment:

The physical requirements and work environment described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This position requires the manual dexterity sufficient to operate phones, computers, andother office equipment. The positionrequires the physical ability to kneel, bend and perform light lifting. This person must have the ability to write and speak clearly using the Englishlanguage to convey information and be able to hear at normal speaking levelsboth in person and over the telephone. Specific vision abilities required by this job include close vision, depth perception and the ability to adjust focus. Generally, the working conditions are good with little or no exposure to extremes in health, safety hazards and/or hazardous materials. This person must have the ability to travel as required to work with staff.

Compensation and Benefits

In addition, this position will be eligible for additional benefits consistent with the role. The compensation of the finalist selected for this role will be determined based on various factors, including but not limited to: scope of role, level of experience, education, accomplishments, internal equity, budget, and subject to Fair Market Value evaluation. The hiring range listed is a good faith determination of potential compensation at the time of this job advertisement and may be modified in the future.

Benefits Include:

• Medical insurance
• Dental insurance
• Flexible spending accounts (FSA)
• Retirement plan (403B)
• Short-term disability insurance
• Long-term disability options
• Life Insurance
• Employee assistance program (EAP)

Paid Time Off:

• 14 PTO Days
• 5 Sick Days
• 10 Paid Holidays