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About the Role

The Patient Services Representative is responsible for handling front office functions in support of Ryan Health's mission and goals.

Responsibilities

• Check in patients and create same-day visits.
• Collect copays and fees, including outstanding balances.
• Verify insurance coverage and bill insurance for services.
• Ensure referrals and authorizations for specialty services are obtained.
• Screen patients for Sliding Fee eligibility and inform them of available assistance.
• Balance patient revenue collected for bank deposit.
• Orient patients to services, procedures, and information about the health center.
• Collect and scan all patient information into the patient hub.
• Assist patients with changing PCP when necessary.
• Capture patient photos using appropriate equipment.
• Update/recertify patient registration information.
• Refer patients to appropriate Ryan Health departments and community agencies.
• Check-out patients after booking all appointments.
• Process telephone encounters efficiently.
• Book and status referral requests, including diagnostic and procedure orders.
• Schedule and status urgent/STAT/High-Risk referrals.
• Review practitioner schedules and mark no-show appointments.
• Verify patient address/telephone number for certified mail.
• Consult with providers and authorized staff when schedules need overriding.
• Act as a Greeter when assigned.
• Verify detailed insurance information for all services.
• Screen and complete insurance applications for eligible patients.
• Process payment plans/bills, including itemized bills.
• Process Utilization Thresholds.
• Assist patients with insurance restrictions.
• Maintain and update insurance verification via EMR system.
• Attend assigned trainings and webinars.
• Ensure appropriate Specialty Referral Forms are initiated and complete.
• Fax referral forms and supporting documents to off-site specialists.
• Obtain prior authorization for specialty visits when required.
• Schedule appointments with off-site specialists.
• Document specialty appointment details in the EHR.
• Maintain assigned referrals according to network policy.
• Process, monitor, and reconcile Urgent/STAT/High-Risk referrals.
• Ensure appointments for Urgent/STAT/High-Risk referrals are scheduled within specified timeframes.
• Monitor Urgent/STAT/High-Risk specialty appointments to verify patient attendance.
• Obtain consultation reports from specialty providers.
• Review monthly reports of Urgent/STAT/High-Risk referrals.
• Maintain and update incoming referrals.
• Document the status of off-site specialty appointments in the EHR.
• Contact patients with appointment information.
• Print and mail completed referral forms to patients.
• Call patients with appointment information when the appointment is within five business days.
• Review billing/global alerts before processing patients.
• Report any problems or unusual occurrences to the supervisor immediately.
• Perform other duties and/or projects as assigned.

Requirements

• Experience in a front office healthcare environment.
• Ability to respect patient confidentiality.
• Working knowledge of Electronic Health Record systems.
• Excellent communication and interpersonal skills.
• Strong customer service skills.
• Professional, courteous, and respectful attitude in dealing with patients.
• Demonstrate knowledge and skills necessary to provide care appropriate to the age of the patient served.
• Commitment to exceeding patient expectations.
• Ability to work well with others.
• Contribute input to improve outcomes.
• Ask others for opinions and feedback.
• Provide feedback in a tactful and respectful way.

Skills

• Front office healthcare environment experience
• Patient confidentiality
• Electronic Health Record (EHR) systems
• Communication skills
• Interpersonal skills
• Customer service skills
• eClinicalWorks electronic health record system (preferred)
• Bilingual English/Spanish (preferred)

Location

• New York, NY

Work Type

• Full Time
• Onsite

Experience Level

• Entry

Education Level

• High School Diploma or GED

Salary/Compensations

• $26.93 - $28.49 Hourly

About the Company

• Ryan Health is an Equal Opportunity Employer.

Equal Opportunity

• Ryan Health is an Equal Opportunity Employer and does not discriminate on the basis of age, color, disability, ethnicity, marital or family status, national origin, race, religion, sex, sexual orientation, gender identity, military veteran status, or any other characteristic protected by law.