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About the Role

Cornerstone Family Healthcare is actively recruiting for a Patient Services Representative to join our growing team in Middletown, NY.

Responsibilities

• Greets all patients promptly upon entering the patient waiting area, responds promptly and appropriately to their request.
• Uses appropriate phone etiquette, treating all callers with courtesy and respect.
• Is attentive to all callers placed on hold and diligently monitors time spent on hold.
• Monitors the patient waiting area and ensures that it is kept clean and orderly.
• Notifies the practice manager or Administrator on Duty of patients in the waiting room with an extended wait time.
• Schedules appointments, changes appointments and cancels appointments as needed.
• Verifies scheduled appointments when a patient presents as an appointment/walk in to ensure that they still want/need other scheduled appointments.
• Participates in the departmental patient registration process.
• Verifies patient information at each visit and makes necessary updates in the practice management system.
• Ensures that required documentation is collected for each patient; photo identification, insurance information, birth certificate (pediatrics), etc.
• Scans registration documents, patient identification, insurance card and other required documentation to the practice management system.
• Verifies insurance eligibility and PCP for each patient at every visit and accurately enters into the practice management system.
• Collects copayments and visit payments at the time of registration.
• Makes appropriate referrals to the Patient Billing Coordinator for patients who cannot pay their copayment.
• Alerts the Care Team of any potential barriers (anticipated insurance, financial issues, etc.) that may cause delays or difficulties during the day.
• Participates in Quality Improvement activities with the Care Team or department.
• Follows up on referrals for assigned provider, tracking consultation notes until they are received, documenting appropriate follow up in EMR and calling patients/specialists when necessary.
• Completes referrals in EMR when consultation notes have been received.
• Completes referral reporting on a monthly basis and submits to the Referrals Supervisor.
• Provides patients with information regarding specialty referrals and assists with making appointments as needed.
• Monitors provider schedule on a daily basis, ensuring that all visits have been completed or marked as a DNKA at the end of the day.
• Completes all DNKA follow up with the patient and documents appropriately in EMR.
• Confirms appointments for the following day’s appointments.
• Administers the requisite amount of Patient Satisfaction Surveys.
• Is knowledgeable about the SFS policies and required documentation.
• Offers sliding fee scale to patients with no insurance.
• Follows CORNERSTONE policies and procedures to qualify patients for the SFS as necessary.
• Provides cross coverage in other departments as assigned.
• Maintains confidentiality of all aspects of the center including, but not limited to, patient confidentiality, financials, and employee relations.
• Attends and participates in monthly department, All Staff and other required meetings.
• Perform other related duties as assigned

Requirements

• High School Diploma or GED
• Bilingual (Spanish and English)

Skills

• Excellent customer service skills
• Appropriate phone etiquette
• Knowledgeable about different types of insurance and their general rules (i.e. PPO/HMO and PCP/referral rules)
• Knowledgeable about the Sliding Fee Scale (SFS) policies and required documentation

Location

• Middletown, NY

Work Type

• Full-time

Education Level

• High School Diploma or GED

Salary/Compensations

• $20.00 per hour

Benefits

• Competitive salaries
• Health Benefits
• Retirement plan
• Paid Time Off
• Sick Time
• Flexible Spending
• Dependent Care
• Paid Holidays

About the Company

• Cornerstone Family Healthcare is a non-profit Federally Qualified Health Center with a mission to provide high quality, comprehensive, primary and preventative health care services in an environment of caring, dignity and respect to all people regardless of their ability to pay.
• For more than fifty years, Cornerstone has been responsive to meeting the needs of the communities in which we serve with a continued emphasis on the underserved and those without access to health care regardless of race, economic status, age, sex, sexual orientation or disability.