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Northern Light Health · 7 hours ago

Patient Service Representative - Neurosurgery

Portland, ME

Full-time

Onsite

New Grad, Entry Level

Northern Light Health is seeking a Patient Service Representative for their Neurosurgery Clinic. This role is responsible for performing various office functions, acting as a liaison between the practice and its patients while ensuring high levels of customer service and compliance with hospital policies.

Health CareHospital

Responsibilities

Treats all patients and customers in polite, prompt and helpful manner in keeping with Organization Values and Standards

Active participant in regular huddles and team meetings to improve workflows and contribute to improving patient population outcomes

Ability to maintain productivity and efficiency in work flow to accommodate the volume and acuity of the practice

Demonstrates ability to handle difficult conversations with patients and internal customers

Registers all patient demographic and insurance information accurately at the time of appointment, and provides necessary forms for completion in accordance with all insurance regulations and practice policy

Provides excellent customer service for incoming inquiries. Screens calls, documents detailed messages and routes to the appropriate individual in a timely manner

Schedules, reschedules, confirms, acknowledges, and cancels patient appointments including surgical and ancillary service

Monitors daily schedules, notifying manager or all team members of potential issues or access opportunities

Collects co pays/patient due balances

General understanding of insurance plans with a greater detailed knowledge of the most frequently seen insurance plans

Utilizes insurance verification system and takes appropriate action based on eligibility response

Obtains patient consents and signatures, schedules follow-up appointments when indicated

Performs end of day reconciliation of payments, appointments and validation

Investigate and problem solve insurance denials on a monthly basis in order to recover lost revenue and to become aware of how to proactively submit clean claim

Is patient centric in interactions and in decision making

Participates in the referral process as outlined by Medical Associates

Initiates, receives, and/or processes insurance and services referrals in compliance with the patient's plan and in conjunction with the Medical Associates referrals protocol

Proactive in identifying, reporting and participating in the resolution of any potential or actual patient safety issues

Processes health information requests in accordance with Organization and MMA policy

Screens and invites patients to the electronic patient portal

Displays cooperative behavior. Interacts positively and effectively with others to promote a team environment

Creates, maintains, and pulls patient charts, either physically or electronically, as outlined by the practice

Acts as a back-up for coworkers as needed

Demonstrates and promotes the mission and values of the organization

Ensures compliance with the hospital, state, and federal regulations

Works in a way to uphold HIPAA standards, in compliance with the law

Performs additional duties as required or assigned to maintain the overall efficiency and continuity of the facility

Qualification

Patient-centered careInsurance verificationHIPAA complianceEmotional intelligenceProblem-solvingCompassionAccountabilityTeam collaborationCommunication skillsIntegrity