Enterprise Technology Solutions · 19 hours ago
Patient Service Representative
Enterprise Solutions Inc is seeking a Patient Service Representative to support their healthcare operations. The role involves managing patient demographics, scheduling appointments, and assisting with billing inquiries while ensuring accurate data entry and patient communication.
Health CareIT ManagementManagement ConsultingService Industry
Responsibilities
Will be assisting with huge data backlog project to transfer patient demographic information, appointments into EPIC
Assist with scrubbing patient schedule
Assist with inbound call queue
Patient Registration: At registration, enters complete accurate patient demographic and insurance information in system. Greet patient, verify and correct any demographics and insurance information, copy insurance card and ensure copy is added to patient medical record. Communicate any changes in demographic and insurance information to the appropriate areas. Obtain updated patient registrations signature with date and ensure that the form is added to patient record. Collects and enters co-pay
Patient Check Out: At check out, verify patient charges in electronic system, recheck insurance information, schedule return appointments if appropriate and collect balances due. Run appropriate daily close reports, reconciling all cash, checks and credit card charges received for each business day. Verify charges in charge audit work queue and correct errors before releasing charges. Complete individual and/or practice reconciliation report including bank deposit slip
Scheduling: When scheduling appointment, enter necessary patient demographics if new patient; verifies information if established patient. Chooses appointment time based on patient request, physician/provider availability and urgency of appointment
General Clerical Duties: File. Make Copies. Answer the telephone, provide accurate follow up, take and communicate messages
EPIC and Charge Entry Audit: Responsible for resolving Work Queues in Epic including, but not limited to: Follow Up; Claim Edit; Charge Review (Audit and Review); Missing Guarantor. Research and analyze denials, correct errors to ensure charges captured and processed and goal for site errors is met or exceeded. Respond to patients and staff for billing and insurance questions. Resolve work queue errors & denials through research and analysis by reviewing chart and office notes, pre-authorizations, hospital documents, etc. Ensure charges drop for claims processing. Work closely with practice coder in resolution process. Respond to requests from practice Revenue Cycle Advocate. Serve as resource for front desk registration to ensure accuracy on insurance information. Resolve patient billing concerns. Assist providers in charge capture when necessary
Teamwork and Communication: Work within a team to achieve patient and team goals. Share and initiate regular and professional communication with co-workers. Participate in regular staff meetings. Works with team to identify opportunities of improvement and actively participates in the improvement process
Human Experience: Show courage through creating and sharing innovative ideas to improve the experience for both patients and peers. Round on patients to create meaningful connections and keep patients informed of visit details (delays/wait times). Model the experience principles through consistently engaging in Always Event behaviors and viewing feedback through the patient lens. Recognize and value the unique differences and similarities in both our team members and patients to create an inclusive environment where diversity is celebrated. Explain all processes to patients in plain language and utilize teach back to ensure understanding. Know and model the mission, vision and values, and how they relate to role-specific responsibilities. Model our people credo through a passion to care for each other, our patients and our communities
Qualification
Required
HS Diploma/ GED
1+ years of relevant experience within a healthcare setting
EPIC experience
Customer Service experience
Must be computer savvy
Preferred
OnBase experience (heavily preferred)
Medical scheduling: 1 year
OnBase: 1 year
Insurance verification: 1 year
Company
Enterprise Technology Solutions
Enterprise Technology Solution provides IT solutions with healthcare management, managing industrial supplies, and telecommunications.
Funding
Current Stage
Growth StageRecent News
Washington Technology
2025-02-06
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