Patient Services Specialist (FT)

Planned Parenthood of Central and Western New York; City of Niagara Falls (NY); On-site; USD 25,000 - 29,000; Full time

Benefits offered by this job

Paid Time Off

10 paid holidays

Medical insurance

Dental insurance

Vision insurance

HSA/FSA

401(k) with match

Job summary

Planned Parenthood of Central and Western New York is seeking a Patient Services Specialist to greet patients, verify demographics, check in/out in the EHR, and assist with eligibility screening for programs such as Medicaid for Pregnant Women and the Family Planning Benefit Program.

This full-time role supports scheduling, insurance verification, and billing processes, travels to multiple sites as needed, and emphasizes compassionate, confidential service in a HIPAA-compliant environment.

Qualifications

• Experience in healthcare and/or medical billing is preferred.
• Strong customer service and communication skills.
• Ability to handle client information discreetly and maintain confidentiality.

Responsibilities

• Greet patients and visitors in a friendly, professional manner.
• Verify patient demographics and insurance information in the EHR system.
• Check patients in/out and assist with scheduling; verify eligibility for programs.

Skills

Healthcare experience

Customer service

MS Office

Education

High School Diploma or GED

Tools

MS Office

Job description

Description: Patient Services Specialist Niagara Falls NY + North Tonawanda NY

Planned Parenthood of Central and Western New York (PPCWNY) protects and provides health care and education that empowers individuals and families. With respect. Without judgment. No matter what.

In support of PPCWNY’s mission, the Patient Services Specialist is responsible for greeting patients, verifying patient demographic information, checking patients in/out of EHR system, verifying insurance, and screening applicants for presumptive eligibility, Medicaid for Pregnant Women, and the Family Planning Benefit Program.

Essential Functions

• Greets patients, visitors, and colleagues in a friendly, courteous, and professional manner
• Operates telephones efficiently by promptly answering the telephone, screening telephone calls and referring appropriately, and recording and delivering telephone messages as necessary
• Addresses patient concerns in a prompt, courteous, confidential, and caring manner
• Maintains a clean and organized work area, ensuring patient confidentiality according to HIPAA compliance regulations
• Schedules, confirms and reschedules patient appointments as needed in a timely, efficient manner
• Verifies and/or creates patient demographic and insurance information in the Electronic Practice Management System (EPM) to assure timely and accurate billing
• Verifies and/or generates required consents in EPM such as but limited to: Request for Medical Services and the Payment Arrangement – Insurance form
• Verifies insurance eligibility and coverage prior to services being rendered
• Requests photo identification and insurance information from patients in accordance with our policy
• Interfaces with EPIC to check in and register patients
• Assesses patients for their placement on a Discount Fee Schedule
• Requests income information from patients by completing the appropriate documentation
• Assesses eligibility and screens patients for grants and other payment sources such as but not limited to: Medicaid Presumptive Eligibility for Pregnant Women and the Family Planning Benefit Program
• Assists patients with completion of insurance forms as necessary; assists in obtaining necessary program eligibility documentation, if necessary
• Collects payment and informs client of any outstanding financial responsibility
• Verifies checks, credit cards, and debit cards, as outlined in procedures; provides patient with a receipt
• Provides emergency contraceptives and birth control to patients/people who walk in for supply sales in accordance to company policy and procedure
• Reviews charges for completeness and accuracy; enters client visit record (CVR) data into EPM
• Follows appropriate Cash Handling procedures
• Faxes and/or scans medical records requests and paperwork, as directed

Other Accountability Activities

• Provides excellent customer service to all patients and visitors with the intent of exceeding expectations
• Travels to other sites as needed to fill in when a Patient Service Specialist is absent, as directed by the Health Center Manager
• Participates in and adheres to agency’s Compliance, Quality, and Risk Management program
• Attends and participates in staff meetings; may assist with training of new staff or attending training workshops, as requested
• Participates in affiliate initiatives
• Accepts individual and joint responsibility for, participates in, and works to achieve productivity, customer service, and capacity goals as set by PPCWNY
• Performs other duties as assigned
• Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints, and needs.

Requirements

Applicants must possess the following qualifications (or equivalent combination of education and experience):

Education

• High School Diploma or GED preferred

Experience

• 1-3 years of experience in healthcare and/or medical billing preferred
• Experience in customer service desirable

Knowledge, Skills, & Abilities

• Must be able to handle client information discreetly
• Must be organized, able to prioritize tasks and handle multiple projects
• Must have excellent customer service and communication skills and be comfortable with multi-tasking
• Proficiency in MS Office (Word, Excel, Email) is required with ability to work between multiple computer screens
• Ability to work independently
• Must have excellent communication skills (verbal and written), be able to work a flexible schedule with ability to travel to multiple sites when needed
• Must be able to work a flexible schedule, and travel to health centers across the agency as needed.
• Planned Parenthood seeks candidates who are proficient in two or more languages

Working Conditions

• Standard health center environment
• May experience visual fatigue working at computer with potential extended periods of sitting
• Well-lit/ventilated

Physical Requirements

• Possess sufficient mobility to perform the Essential Functions listed in this Job Description with or without an accommodation
• Ability to travel to all agency locations as assigned

Work Schedule

This is a full-time (37.5 hours per week); regular schedule will be Monday – Friday with occasional evenings and weekends.

Benefits & Compensation

At PPCWNY, we are committed to equitable compensation practices and transparency. In alignment with these efforts, the pay for this position ranges from $18.00 to $20.91/hour. Actual compensation will be determined by experience and other factors permitted by law. In addition to competitive compensation, PPCWNY offers an extensive benefits package with generous Paid Time Off, 10 paid holidays, affordable medical, dental, and vision options, Health Savings Account or Flexible Spending Account, 401(k) with match, and much more!

Planned Parenthood of Central and Western New York is an equal opportunity employer.