Patient Services Representative - Primary Care

Roper St. Francis Healthcare; United States; On-site; USD 32,000 - 52,000; Full time

Job summary

Roper St. Francis Healthcare is seeking a Patient Services Representative to be the first point of contact for patients, handling registration, scheduling, and insurance verification. The role emphasizes exceptional customer service and accurate data entry within the practice management system.

Requirements include a High School Diploma or GED and preferred experience in healthcare registration. You may cover multiple physician practices as needed, supporting a compassionate patient experience

Qualifications

• High School Diploma or GED required.
• Prior experience in patient registration/healthcare preferred.
• Excellent communication and interpersonal skills.
• Knowledge of medical terminology and ICD-9 coding preferred.
• Basic math and computer skills essential.

Responsibilities

• Serve as the primary point of contact between patients and physician practices.
• Greet patients and provide excellent customer service.
• Schedule patients and enter information into the scheduling system.
• Process patients in practice at appointment times.
• Verify insurance information and assist with payments and registration.
• Assist with referrals, MyChart enrollment, and follow-up scheduling.
• Pull charts and route to clinical staff as needed.
• Coordinate authorizations and pre-certifications if applicable.

Skills

Customer service

Communication

Interpersonal skills

Typing 40+ WPM

MS Office proficiency

Education

High School Diploma or GED

Tools

Electronic Health Records (EHR)

Microsoft Office

Job description

Thank you for considering a career at Roper St. Francis Healthcare!

Scheduled Weekly Hours: 40

Work Shift: Days (United States of America)

• Monday- Thursday 7:30am - 5pm; Friday: 7:30am-12:30pm
• Address: 162 Seven Farms Drive, Suite, 210, Charleston

Reports to: Practice Manager/Supervisor

# of Direct Reports: 0

Primary Function/General Purpose of Position

The Patient Services Representative is the first line of quality service to our patients and the community. This position will be responsible for processing patient registration, verifying demographics, obtaining insurance cards, and patient identification. Responsibilities include scheduling appointments, transcribing orders, explaining financial options to patients, and updating medical records accurately and efficiently. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed.

Essential Job Functions

• Serves as the primary point of contact between patients and physician practices
• Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner
• Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.
• Processes patients in practice as they present for their appointments.
• Possesses the ability to troubleshoot and resolve problems promptly, ensuring patient flow is maintained and informs supervisor of any department and patient issues immediately
• Processes admission paperwork, including basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process. Corrects registration errors as needed.
• Records time indicators for lobby wait times.
• Calculates patient liabilities and actively collects and processes patient payments.
• Reconciles cash drawer at the close of the day.
• Performs charge entry for external services (i.e. nursing homes) as necessary.
• Schedules referrals or follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.
• Assists patients in obtaining necessary referrals for follow-up services and record referrals on tracking tool (referral/consults).
• Responsible for and/or assist in obtaining proper authorizations and pre-certifications if applicable for all procedures scheduled through the physician practice
• Pulls patient charts as needed per office policy, files and maintains information as appropriate in chart per policy, and routes charts to clinical staff as indicated in office per policy
• Verifies RX benefits in electronic health record, per protocol
• Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Licensing/Certification

None

Education

High School Diploma or GED (required)

Work Experience

Prior experience in patient registration/healthcare (preferred)

Training

None

Language

None

Patient Population

Demonstrates the knowledge and skills necessary to provide care appropriate to the age of the patients served on his or her assigned unit.

Demonstrates knowledge of the principles of growth and development of the life span and possesses the ability to assess data reflective of the patient’s status and interprets the appropriate information needed to identify each patient’s requirements relative to his or her age, specific needs and to provide the care needed as described in departmental policies and procedures.

Neonates (0-4 weeks)

Infant (1-12 months)

Pediatrics (1-12 years)

Adolescents (13-17 years)

Adults (18-64 years)

Geriatrics (65 years and older)

xNot applicable to this position

Working Conditions

xPeriods of high stress and fluctuating workloads may occur.

Long-distance or air travel as needed- not to exceed 10% travel.

xGeneral office environment.

xMay be exposed to high noise levels and bright lights.

xMay be exposed to physical altercations and verbal abuse.

May be exposed to limited hazardous substances or body fluids.*

May be required to use physical restraints.

May be exposed to human blood and other potentially infectious materials.*

May be exposed to adverse weather conditions; cold, hot, dust, wind, etc.

xMay have periods of constant interruptions.

Required to car travel to off-site locations, occasionally in adverse weather conditions.

Prolonged periods of working alone.

____ Other:

____ Not applicable to this position

* Individuals in this position are required to exercise universal precautions, use personal protective equipment and devices, and learn the policies concerning infection control.

Physical Requirements

Physical Demands

Frequency 0% 1-33% 34-66% 67-100%

Lifting/ Carrying (0-50 lbs.) x

Lifting/ Carrying (50-100 lbs.) x

Push/ Pull (0-50 lbs.)x

Push/ Pull (50-100 lbs.)x

Stoop, Kneelx

Crawlingx

Climbingx

Balancex

Bendingx

Work Position

Frequency 0% 1-33% 34-66% 67-100%

Sitting x

Walkingx

Standingx

Additional Physical Requirements/Hazards

Physical Requirements -

Manual dexterity (eye/hand coordination)

Perform shift work

Maneuver weight of patients

x Hear alarms/telephone/audio recordings

Reach above shoulder

x Repetitive arm/hand movements

Finger Dexterity

Color Vision

Acuity – far

Acuity – near

____ Not applicable to this position

Hazards

Depth perception

Use of Latex products

Exposure to toxic/caustic/chemicals/detergents

Exposure to moving mechanical parts

Exposure to dust/fumes

Exposure to potential electrical shock

Exposure to x ray/electromagnetic energy

Exposure to high pitched noises

Gaseous risk exposure

Other:

__x__ Not applicable to this position

Skills

Knowledge of medical terminology and ICD-9 coding (preferred)

Basic knowledge of Microsoft Office products, typing and computer skills (including 40+ WPM typing skills)

Basic math skills

Excellent communication and interpersonal skills

Ability to engage with staff and patients in a professional manner

Problem solving skills

Roper St. Francis Healthcare is an equal opportunity employer.

As a Roper St. Francis Healthcare teammate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer

• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, and short- and long-term disability
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department

Daniel Island Primary Care - RSFPP - Primary Care

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at [e-mail].