Patient Services Representative

PRISM Vision Group; Fairfax (VA); On-site; USD 24,796 - 43,931; Full time

Job summary

Retina Group of Washington, part of Prism Vision Group, is seeking a Patient Service Representative in Fairfax, VA. The role covers inbound/outbound patient interactions, scheduling, and workflow execution to support efficient clinical operations.

The PSR will verify demographics, insurance details, and benefits, handle referrals, and provide upfront financial counseling. Strong communication and accuracy are essential in a fast-paced healthcare environment.

Qualifications

• Excellent verbal and written communication skills in English.
• Bi-lingual a plus.
• Cash handling and basic mathematical skills.
• Strong interpersonal and customer service abilities.
• Ability to work in a fast-paced healthcare setting.

Responsibilities

• Register patients and complete full registration for appointments with attention to detail.
• Initiate pre-registration and ensure accurate demographic and insurance data.
• Verify insurance information and benefits; confirm referrals when required.
• Obtain IDs and insurance cards; validate patient identity and coverage.
• Adhere to HIPAA and protect patient privacy.
• Facilitate smooth patient flow through the care process.
• Provide appointment and payment policy information to patients.
• Offer upfront financial counseling and establish payment plans.
• Inform patients of financial obligations and collect payments.
• Act as liaison among patients, physicians, and staff to resolve issues.
• Notify staff of appointment times, referrals, and prior authorizations.
• Train other PSR staff and maintain high customer service standards.
• Comply with company policies and standards.

Skills

Verbal communications

Written communications

Interpersonal skills

Cash management

Teamwork

Computer literacy

Microsoft Office

Education

High School Diploma or GED

Tools

Microsoft Office

Job description

This role is located at Retina Group of Washington, Fairfax, VA office, which is part of Prism Vision Group.

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 communication 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.