Representative Patient Service I

SHELBY COUNTY HEALTH CARE CORPORATION; Memphis (TN); On-site; USD 30,000 - 36,000; Full time

Job summary

Shelby County Health Care Corporation is seeking a Patient Access Clerk to serve as the primary contact for patients in inpatient and outpatient clinics. The role handles registration, benefits checks, and co-pay collection to support accurate and timely care delivery.

The position requires high school completion, clerk/medical office training preferred, and at least two years of clerical or customer service experience in a medical setting.

Qualifications

• High School Diploma or equivalent is required or preferred.
• Completion of a clerical or medical office program is preferred.
• At least 2 years of clerical, customer service, or related experience (medical office or admin services) preferred.

Responsibilities

• Greets patients upon arrival and verifies registration details.
• Verifies patient identity and address; checks eligibility and benefits.
• Collects co-pays and any outstanding balances; issues receipts.
• Enters charges and updates system; maintains cash drawer.
• Schedules follow-ups and assists with referrals and authorizations as needed.
• Maintains confidentiality and adheres to HIPAA and compliance policies.

Skills

Customer service

Attention to detail

HIPAA compliance

Education

High School Diploma or equivalent

Clerical/medical office program (preferred)

Job description

JOB SUMMARYThis position serves as the primary access point for patients within the inpatient and outpatient medical clinics/practices and is the initial focal point of the patient experience. Responsible for the gathering, entry and verification of registration information. In addition, this position is responsible for the collection of co-pays, may provide entry of patient charges and facilitates the care process by effectively processing information in a timely and accurate manner. This position must retain a high level of professionalism at all points of time.Key Job ResponsibilitiesEssential FunctionGreets patients upon arrival in practice.Completes and verifies registration information for each patient:Verifies patient identity per protocol.Verifies address utilizing open ended questions.Ensures benefit verification process for current service date has been completed.Scans insurance card(s) into system.Ensures patient has received HIPAA, Financial Policy, MSP, Pt Notification of Provider based clinic (if appropriate) have been signed, and scans as needed into system.Collect co-pay as well as any outstanding self-pay balance:Provide patient with receipt of transaction.Enter into system.Maintain cash-drawer, reconcile any end-of-day cash receipts per ambulatory protocol.Updates system as “checked in” for communication with clinical staff.Works assigned encounter edits on a frequent basis throughout the day. Depending upon size of department assigned work could be also be Encounter Prep, Eligibility Checks, Appointments to schedule, Appointments to re-schedule, no-shows, encounters with no charge.Performs check-out duties for patients as they exit practice.Schedules patient for follow-up as requested by providerProvides assistance for referrals as directedConsistently monitors waiting room for potential customer service issues. Updates patients on a ten (10) minute frequency when providers are running behind in schedule.Essential FunctionUnderstands and performs individual role in assuring compliance for regulatory, accreditation and system process.If assigned, answers phone and routes patient to appropriate clinical or administration area.If dedicated scheduling staff do not exist in the department, schedules both new patients and follow-up care based on patients calling into the practice. If scheduling new patients, responsible for obtaining necessary information for insurance verification.Maintains communication with Practice Manager on daily basis.Assists patients in obtaining necessary referrals for follow-up services. Also could be responsible for obtaining proper authorizations and pre-certifications for all outside procedures scheduled through the outpatient clinic or department.Maintains confidentiality of patient, department and hospital information. Adheres to established department and organization policies in processing and releasing patient information (i.e. HIPPA, Confidentiality, and Compliance Policies).Back-up and provides coverage for relief and absences as required. Demonstrates flexibility of work schedule/duty assignments.Physical DemandsA thorough completion of this section is needed for compliance with legal standards such as the Americans with Disabilities Act. The physical requirements described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.Physical DemandN/ARarelyOccasionallyFrequentlyConstantlyWeightStandingXWalkingXSittingXLiftingXCarryingXPushingXPullingXClimbingXBalancingXStoopingXKneelingXCrouchingXCrawlingXReachingXHandlingXGraspingXFeelingXTalkingXHearingXRepetitive MotionsXEye/Hand/Foot CoordinationXEducationEducation LevelEducation DetailsRequired/ PreferredHigh School Diplomaor equivalent.RequiredandCompletion of a clerical or medical office programPreferredWork ExperienceExperienceExperience DetailsRequired/ PreferredAt least 2 years experience’ clerical, customer service, or related experience such as medical office or administrative servicesRequiredand. Completion of a unit clerk, medical office, general clerical, customer service training or equivalent education may be utilized in lieu of experience (documentationRequired