Sr. PSR

PRISM Vision Group; Westfield (NJ); On-site; USD 26,000 - 54,000; Full time

Job summary

PRISM Vision Group’s Eye Care & Surgery Center in Wesfield, NJ is seeking a Sr. Patient Services Representative for full-time, non-exempt hours 7:30am-5pm, Monday-Friday. Travel between offices is required.

Compensation ranges from $18.99 to $39.45 per hour based on experience and qualifications. The role focuses on scheduling, registration, insurance verification, and financial counseling to ensure timely appointments with the appropriate provider.

Qualifications

• High School Graduate or GED; Bachelor’s degree in relevant discipline highly preferred.
• 5+ years of experience in a healthcare setting.
• Excellent verbal and written English communications; bilingual ability a plus.
• Computer literate; proficient with Microsoft Office; Athena PMS and EMR experience within 4 weeks of hire.

Responsibilities

• Schedule and register patients for appointments with accuracy and adherence to policies.
• Perform pre-registration and ensure demographic and insurance information is current.
• Verify insurance, benefits, and referrals; validate patient identity and coverage.
• Provide upfront financial counseling and establish payment plans as needed.
• Communicate with patients, physicians, and staff to facilitate care delivery.
• Train other patient services representatives and uphold compliance standards.

Skills

Customer service

Attention to detail

Team collaboration

English proficiency

Education

GED

Bachelor’s degree preferred

Tools

Athena PMS

EMR systems

Job description

Overview

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

Hours: 7:30am-5pm (Monday-Friday)Practice: The Eye Care & Surgery Center, a PRISM Vision Group Partner PracticeLocation: Wesfield, New Jersey

Travel: Required between offices dependent on office/location needsCompensation: $18.99 - $39.45 per hour, based on experience and qualifications

Position Summary:

The Senior Patient Services Representative is responsible for scheduling and registering patients for appointments. Success in this position requires the ability to utilize the scheduling system to search for appointments across multiple physicians, resources, while utilizing understanding of insurance requirements to ensure patients are scheduled with the appropriate provider within a convenient time frame.

Responsibilities

ROLE AND RESPONSIBILITIES

• Schedule and accurately complete full registration for patients requesting appointments adhering to policies and procedures regarding appointment scheduling and registration processes, performing these tasks accurately 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 screen.
• Verification of insurance information, verification of benefits and insurance referral information.
• Verification of private patient insurance information for same day appointments or by request.
• Obtain legal photo identification and (if applicable) insurance card (s), and validate patient identity and coverage (if applicable) prior to services being rendered thereby ensuring patient safety and financial reimbursement.
• Adhere to HIPPA standards related to patient privacy and confidentiality.
• Assure ease of patient flow through 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 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 compliance policies and standards

Qualifications

POSITION QUALIFICATIONS

Education:High School Graduate or General Education Degree (GED). Bachelor’s degree in relevant discipline highly preferred.

Certificates & Licenses

None required

Experience:5+ years of experience in a healthcare setting required.

KNOWLEDGE/SKILLS/ABILITIES

• Working knowledge of medical symptoms, signs, and anatomical systems to identify and differentiate type and urgency of medical need.
• Knowledge of insurance referral requirements to ensure access based on third party reimbursement criteria.
• Excellent verbal and written communications skills in English. Bi-Lingual (English/Spanish, English/Polish, English/French, English/Arabic) a plus.
• Must possess excellent, critical thinking, analytical, troubleshooting, problem resolution, and customer service skills.
• Excellent 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.
• Knowledge of medical terminology preferred.
• Ability to work as an integral team member under minimal supervision, in a fast-paced, complex and highly stressful environment.
• Computer literate and ability to use multiple systems and acquire proficiency in multiple electronic systems

Computer Skills

• Facile with Microsoft Products
• Within 4 weeks of hire must be facile with Athena PMS and practice based EMR

WORK ENVIRONMENT

An office environment with controlled atmosphere. Possible exposure to staff or patients with communicable diseases and blood borne pathogens.