Representative Patient Service I (6943)

Regional One Health; Memphis (TN); Presencial; USD 32.000 - 42.000; Jornada completa

Descripción de la vacante

Regional One Health in Memphis, TN seeks a friendly, detail-oriented Patient Services/Unit Clerk to be the first point of contact in OPD Medicine. You will gather, enter and verify registration details, collect co-pays, and facilitate patient flow throughout visits.

You will verify insurance information, scan documents, and ensure HIPAA and financial policies are respected while maintaining professional communication with patients and clinic staff.

Formación

• High School Diploma or equivalent required.
• Minimum 2 years clerical, customer service, or related experience (medical office or admin services) required.
• At least 1 year experience in unit clerk, medical office, or related field; completion may be substituted with appropriate training (documentation required).

Responsabilidades

• Greets patients upon arrival in practice.
• Completes and verifies registration information for each patient.
• Verifies patient identity and address per protocol.
• Ensures benefit verification for current service date.
• Scans insurance cards into system and ensures required signatures.
• Collects co-pays and processes payments; balance cash drawer.
• Updates system to indicate patient as checked in.
• Performs encounter edits, scheduling, and referrals as needed.
• Schedules follow-ups and assists with referrals.
• Maintains waiting room service quality and HIPAA/compliance standards.
• Back-up for coverage and flexible scheduling as required.

Conocimientos

Registration

Customer service

HIPAA compliance

Clerical tasks

Electronic systems

Educación

High School Diploma or equivalent

Herramientas

Registration software

Insurance verification systems

Descripción del empleo

Job Details: Job Location: OPD Medicine - Memphis, TN 38103, Position Type: Full Time, Travel Percentage: None, Job Shift: Day, Job Category: Patient Services, OPD Medicine Department

A Brief Overview

This 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.

What you will do

• Greets 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 provider
  • Provides assistance for referrals as directed
• Consistently monitors waiting room for potential customer service issues. Updates patients on a ten (10) minute frequency when providers are running behind in schedule.
• Understands 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.
• Performs other duties and responsibilities as required.

Physical Demands

• Standing - Occasionally
• Walking - Occasionally
• Sitting - Constantly
• Lifting - Rarely
• Carrying - Rarely
• Pushing - Rarely
• Pulling - Rarely
• Climbing - Rarely
• Balancing - Rarely
• Stooping - Rarely
• Kneeling - Rarely
• Crouching - Rarely
• Crawling - Rarely
• Reaching - Rarely
• Handling - Occasionally
• Grasping - Occasionally
• Feeling - Rarely
• Talking - Constantly
• Hearing - Constantly
• Repetitive Motions - Frequently
• Eye/Hand/Foot Coordination - Frequently

Regional One Health is an equal opportunity employer.

Qualifications

• High School Diploma or equivalent Required
• Minimum 2 years experience clerical, customer service, or related experience such as medical office or administrative services Required
• At least 1 year experience Completion of a unit clerk, medical office, general clerical, customer service training or equivalent education may be utilized in lieu of experience (documentation required) Required