Posted 2w ago

Patient Services Rep I

@ Good Shepherd Rehabilitation
Philadelphia, Pennsylvania, United States
OnsiteFull Time
Responsibilities:Greet visitors, Schedule appointments, Verify insurance
Requirements Summary:High School Diploma required; Associate's Degree preferred; Sunrise Billing system certification may be required; healthcare experience preferred.
Technical Tools Mentioned:Sunrise Billing system, Electronic Medical Records (EMR), Telephone and communications systems
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Job Description



  • JOB SUMMARY





    • Greet visitors, ascertain purpose of visit, and direct them to appropriate staff.





    • Maintain pleasant and positive disposition during every patient interaction to ensure a positive patient experience






    • Instruct patients to complete documents and forms such as intake and insurance forms.






    • Schedule, cancel and confirm patient appointments.





    • Compile, record and archive medical charts, reports, and correspondence with confidentiality.





    • Operate telephones and direct calls, emails and documents to appropriate staff.




    • Transmit correspondence and medical records by mail, e-mail, or fax.




    • Verify insurance via various methods (phone, internet, etc), obtain authorizations and certifications and explain patient responsibitilty forms.




    • Perform financial functions with accuracy (i.e. charge entry) to ensure optimal payment for services.




    • Assist billing department with insurance denials via monitoring and working worklists in the electronic medical records system





    • Assists in patient care and related activities as instructed by the physical therapist, physical therapist assistant, occupational therapist, certified occupational therapist assistant or speech language pathologist.




    • Manages patient interactions and implements service recovery techniques to ensure positive patient relations.




    • Clean and organize work area and disinfect equipment after treatment




    • Participate in daily log recording as required per site.




    • Change linens, such as bed sheets and pillow cases.




    • Contribute to a creative culture of daily continuous improvement







  • ESSENTIAL FUNCTIONS




    • PATIENT/CUSTOMER




      • Essential Accountabilities




        • Ensures communication and collaboration with supervisors and fellow co-workers to serve patients and other customers to the best of his/her ability.



        • Is professional in all actions and appearance



        • Ensure compliance with regulatory parameters



        • Uses resources wisely – as if they were one’s own.



        • Demonstrates understanding and ownership of how his/her role contributes to achieving the success of the Department and the Health System.



        • Demonstrates a personal commitment to ensuring a clean and safe working environment.



        • Anticipates patients’/customers’ needs and acts accordingly.



        • Works to enhance patient satisfaction



        • Assist patients and families



        • Analyzes problems from the customers’ point of view.



        • Honors patient/customer/employee confidentiality.



        • Seeks feedback on how to improve performance and offers constructive feedback, as well.



        • Applies learning for improved performance.



        • Presents self professionally & demonstrates professional behavior during interactions with others



        • Strives to understand and value differences in others’ race, nationality, gender, age, background, experience, and style.



        • Customer Service Skills




        • Utilizes AIDET principles to enhance communication.








    • PATIENT/EMPLOYEE SAFETY ACCOUNTABILITIES




      • Patient Care Providers




        • Participates in Entity and Department wide initiatives for Patient /Employee safety



        • Demonstrates an awareness of patient/ employee safety when carrying out daily responsibilities of their position.



        • Validation of annual competencies required for the position







    • OPERATIONS




      • Essential Accountabilities




        • Scheduling Functions



        • Patient Identification




        • Pre-Reg/Registration-Patient Information Updates




        • Check-in Process



        • Check-out Process



        • Cash Collection




        • Reconciliation and deposit.




        • Insurance Verification Process




        • Email




        • Management of Medical Records




        • Financial Counselor





        • Department Productivity and goals (site specific)





        • Site Opening Function 





        • Site Closing Function





        • Ability to Multi-Task





        • Understanding Clinical Work Processes




        • Attendance/Time Management




        • Involvement in Departmental Meetings




        • Personal Impact



        • Health System ID is worn in accordance to GSPP policy











        • Ensures compliance with all applicable federal, state, and local regulatory standards (ex TJC, DOH, FDA, HIPAA, HCFA, DPW, LCGME, SCGME, etc)














        • Flexible and readily adopts new processes and engages in practice operation changes












  • QUALIFICATIONS: 




    • To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

       




      • Education




        • High School Diploma required



        • Associate's Degree preferred





      • Work Experience




        • Previous healthcare experience preferred





      • Licenses / Certifications




        • Sunrise Billing system certification may be required