Patient Service Representative jobs in United States
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The Miriam Hospital · 20 hours ago

Patient Service Representative

The Miriam Hospital is seeking a Patient Service Representative to manage scheduling and registration of outpatient visits. The role involves handling high volume calls, addressing patient inquiries, and ensuring efficient communication between patients and healthcare providers.

Clinical TrialsHealth CareNon Profit

Responsibilities

Answers phones from patients/customers professionally and responding to patient/customer inquiries and complaints
Schedules patients/customers based on scheduling guidelines and medical appropriateness
Receives a high volume of inbound calls with varying degrees of questions or concerns
Researches required information using accessible resources
Handling and resolving patient/customer complaints
Routing inbound calls to appropriate resources
Obtaining and collecting all necessary information from the patient/customer to schedule and register the patient for an appointment
Manages communication and coordination between the patient/customer and the providers/clinics
Manages and escalate priority issues
Communicates perceived problem issues to the Practice Manager or Director of Cancer services
Notifying appropriate personnel of any scheduling change due to patient cancellation in a timely fashion
Attempts to optimize and increase efficiency of visit or procedure by recommending potential alternatives
Ability to manage urgent calls in such a way that urgent situations related to the provision of patient care are handled in an appropriate manner
Receives and responds to patient and staff needs and complaints appropriately within the realm of the “patient care” environment, involving department supervisors and patient representative as needed
Participates in on-going education activities to develop, maintain, and enhance professional expertise
Continue efforts to enhance service excellence. Focusing on care, communication, compassion and patient/family centered care
Supports the department in ongoing efforts to attain and maintain top-decile performance in quality outcome measures
Maintains quality, safety, environmental and infection control in accordance with established department policies, procedures, and objectives
Oversees patient financial process to ensure patient payments (co-payments, deductibles, self-pay) are obtained at the time of service and are properly processed
Verify and update all necessary patient information ensuring that it is complete and accurate (i.e. demographics, referrals, authorizations, billing codes, and diagnosis information, etc)
Complete end of day batch, including reconciliation of arrived patient schedule and time of service payments
Orients and serves as a resource to new employees regarding department policies and procedures
Adheres to the established Performance Expectations as outlined in Brown University Health EPRS tool
Strive to answer all telephone calls within five rings, put callers on hold only with their permission, thank callers for waiting, and introduce a caller and describe the caller’s needs when transferring the caller to a co-worker
Seek positive solutions to the challenges of working in a high stress environment through respectful communication and active problem solving
Respond to all patient communications in a timely manner
Meets productivity standards set through call center specific applications that include but are not limited to; service levels based on response time to call, number of calls received, and abandoned calls throughout the day that are averaged per month

Qualification

EPICMedical terminologyCall center experienceMicrosoft OfficeCustomer serviceCommunication skillsInterpersonal skillsCritical thinking

Required

High School graduate or GED with two years of formal secretarial/business education or its equivalent
Knowledge of medical terminology required
Strong EPIC skills, including Cadence and Referrals preferred
Requires exceptional critical thinking and analytical skills
Ability to work under minimal supervision
Requires strong communication, customer service, interpersonal skills and telephone etiquette
Must be able to take appropriate action in a stressful environment
Two years' experience in an outpatient setting
Able to react effectively and calmly in emergencies
Motivation and drive for continuous self-development
Cooperatively interacts with the health care team to support and contribute to the overall goals of the department
Able to maintain patient/customer confidentiality
Computer Software/Systems include but are not limited to: Microsoft Office Professional Suite (Outlook, Word, Excel, Access), Internet Explorer, EPIC, Cisco
Ability to sit for extended periods of time

Preferred

Previous call center experience preferred
Knowledge of third party payors and insurance preferred

Company

The Miriam Hospital

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The Miriam Hospital is a private, not-for-profit hospital at 164 Summit Avenue in Providence

Funding

Current Stage
Late Stage
Total Funding
$32.1M
Key Investors
Rhode Island FoundationNational Institute of General Medical ScienceNational Institutes of Health
2021-12-08Grant· $1M
2021-10-07Grant· $11.1M
2014-09-09Grant· $20M
Company data provided by crunchbase