Patient Services Representative

PRISM Vision Group; Millburn (NJ); On-site; USD 25,000 - 43,000; Full time

Job summary

PRISM Vision Group’s Hudson Eye Physicians & Surgeons practice in Millburn, NJ seeks a Patient Services Representative. This full-time, non-exempt role supports the patient access team, handling inbound and outbound communications, scheduling appointments, and coordinating visit logistics to ensure a seamless patient experience from first contact through follow-up care.

You will verify insurance, collect payments, provide financial counseling, maintain HIPAA privacy, and train other staff while

Qualifications

• 2+ years of experience in a patient-facing healthcare function or customer service role
• Strong verbal and written English communication
• Bi-lingual abilities a plus

Responsibilities

• Schedule and register patients for appointments with attention to policies
• Perform pre-registration and ensure demographic/insurance information is up to date
• Verify insurance and benefits and collect payments when applicable
• Verify identity and coverage before services
• Maintain HIPAA privacy and confidentiality
• Facilitate smooth patient flow through the care process
• Provide upfront financial counseling and discuss payment options
• Educate patients on appointments, policies, and parking
• Act as liaison between patients, physicians and staff
• Train new patient services representatives
• Adhere to company policies and standards

Skills

Verbal and written communication

Customer service

Problem solving

Interpersonal skills

Teamwork

Microsoft Office familiarity

Education

High School Diploma or GED

Tools

Microsoft Office Suite

Job description

Overview

Position Title: Patient Services RepresentativeEmployment Type: Full-Time, Non-Exempt

Hours: 7:30am-5pm (Monday-Friday)Practice: Hudson Eye Physicians & Surgeons, a PRISM Vision Group Partner PracticeLocation: Millburn, NJ

Travel: Required between offices dependent on office/location needsCompensation: $18.00 - $31.89 per hour, based on experience and qualifications

The Patient Service Representative (PSR) serves as a vital member of the patient access team and is responsible for delivering exceptional customer service throughout the patient care journey. This role manages the full scope of patient access functions, including handling inbound and outbound patient communications via telephone, online platforms, and in-person interactions. The PSR assists patients with scheduling appointments, coordinating visit logistics, and ensuring a seamless experience from initial contact through follow-up care.

Responsibilities

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

Qualifications

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 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.