Patient Services Representative

Borinquen Medical Centers, Inc.; Miami (FL); Hybrid; USD 32,000 - 52,000; Full time

Job summary

Borinquen Medical Centers, Inc. in Miami, FL is hiring a full-time Patient Services Representative to manage patient registration and information flow within the clinic.

The role includes coordinating administrative tasks, verifying insurance coverage, and communicating financial requirements to patients while delivering excellent customer service.

Qualifications

• High School Diploma or equivalent and Medical Assistant certificate/diploma.
• 3 years of experience in a related field.
• Bilingual preferred (Spanish or Creole).
• Strong interpersonal skills and ability to maintain confidentiality.
• Relies on experience and judgment to plan and accomplish goals.

Responsibilities

• Register and oversee patient registration and prepare forms.
• Explain financial requirements and verify insurance benefits.
• Schedule patient appointments and coordinate administrative activities.
• Lead and train clerks involved in patient registration.
• Input insurance information into the Athena system and maintain records.

Skills

Interpersonal skills

Confidentiality

Communication

Judgment

Education

High School Diploma

Medical Assistant certificate/diploma

Tools

Athena system

Job description

If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process.

Full Time Main Site, Miami, FL, US

Borinquen Medical Centers is based in Miami, FL and is seeking to hire a full-time Patient Service Representative to join our team!. The Patient Services Representative will be responsible to register and/or oversee the registration of patients for treatment in the clinic, ensuring that all policies and procedures are observed. Assists with the planning, coordination, and supervision of the administrative activities of the department. Prepares forms, verifies insurance benefits, and explains financial requirements to patients. Answering incoming new patient communication calls, registering these patients, and placing follow-up outbound calls to remind new patients of their appointments.

TASKS AND RESPONSIBILITIES

• Interviews in-coming patients for medical, and/or hospital care to obtain demographic information, authorizations for treatment, and related information and consent.
• Counsels patients and families regarding financial issues such as insurance, eligibility for assistance, sliding fee scales, verifies insurance coverage with insurance companies.
• Confirms patient services needed, schedules evaluations and admissions.
• Records patient demographic, insurance, and billing codes into registration and billing system; researches missing information on intake forms; obtains signatures and release forms.
• Leads, trains, and guides the activities of other clerks engaged in patient registration.
• Provides assistance in the planning, coordination, and implementation of clerical, data entry, and operating procedures within the department.
• Provides general information; receives and directs visitors and/or patients.
• Schedules patient appointments for treatment.
• Confirms services needed by patient, and orients patient to specific medical procedure(s) and nature of treatment involved.
• Enroll and dis-enroll Medicaid patients.
• Follows established departmental policies, procedures, and objectives, continuous quality improvement objectives, and safety, environmental, and/or infection control standards.
• May contact attending physicians regarding services required by patient, evaluations needed, and obtain relevant medical records.
• New patient service communication room: Answer phone calls
• New patient service communication room: Manage to answer several calls at the same time
• New patient service communication room: Provide excellent customer service
• New patient service communication room: Schedule appointments for New patients in all departments except (Dental, Behavioral and Specialty)
• New patient service communication room: Provide information pertaining to all required documents
• New patient service communication room: Provide information of all locations and services in those locations
• New patient service communication room: Obtain insurance information
• New patient service communication room: Input insurance information in our system Athena
• New patient service communication room: Provide data on a daily basis of all received and scheduled appointments
• New patient service outbound call: Print
• New patient service outbound call: Call patients 3 days prior of appointment to confirm appointments, then call 24 hours of appointment if not able to confirm cancel appointments.
• New patient service outbound call: Provide excellent customer service
• New patient service outbound call: Provide information of all required documents for registration
• New patient service outbound call: Provide information pertaining to the location which includes address and not limited to the Doctor and service they are scheduled to do.
• Performs miscellaneous job-related duties as assigned.
• Assist the supervisor as needed.
• Support staff in assigned project based work.
• Other duties as assigned by immediate supervisor as required.

REQUIREMENTS

• High School Diploma, or equivalent registration and medical records experience.
• Bilingual preferred. (Spanish or Creole).
• Strong interpersonal skills.
• Ability to interact effectively with consumers, administration, faculty, and staff.
• Handle the information with high level of confidentiality.
• Medical Assistant certificate or diploma.
• 3 years of experience in a related field.
• Considerable knowledge of standard concepts, and procedures within a particular field.
• Relies on experience and judgment to plan and accomplish goals.

BENEFITS

• Medical/Dental/Vision/Short Term Disability