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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 from patients, including outstanding balances.
- Verify insurance coverage and bill insurance for services.
- Direct patients to the Patient Accounts Department as needed.
- Obtain referrals and authorizations for specialty services.
- 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 William F. Ryan Community Health Center.
- Collect and ensure all patient information is signed and scanned into the patient's hub.
- Assist patients with changing PCP by contacting insurance plans.
- Capture patient photos using appropriate equipment when authorized.
- Update/recertify patient registration information as necessary.
- Refer patients to appropriate Ryan Health departments and community or social agencies.
- Check-out patients after booking all appointments.
- Process telephone encounters efficiently and appropriately.
- 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 by a Supervisor.
- Verify detailed insurance information for all services provided.
- 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 the Electronic Medical Record (EMR) system.
- Attend trainings and webinars as assigned by Supervisor.
- Ensure appropriate Specialty Referral Forms are initiated with complete information.
- 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 patient's Electronic Health Record (EHR).
- Maintain assigned referrals according to the Network’s referral management policy.
- Process, monitor, and reconcile Urgent/STAT/High-Risk referrals.
- Schedule Urgent/STAT/High-Risk referrals within specified timeframes.
- Monitor Urgent/STAT/High-Risk specialty appointments to verify patient attendance.
- Obtain consultation reports from specialty providers to reconcile referrals.
- Review monthly reports of Urgent/STAT/High-Risk referrals to track metrics.
- Maintain and update incoming referrals to ensure all off-site appointments are scheduled.
- Document the status of off-site specialty appointments in the patient's EHR.
- Contact patients with appointment information via their preferred method.
- 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.
- Immediately report any problems or unusual occurrences to the supervisor.
- 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.
- Must enjoy working with the public.
Skills
- Excellent communication skills
- Excellent interpersonal skills
- Strong customer service skills
Location
- New York, NY 10025
Work Type
- Full Time
- Ambulatory primary care setting
Experience Level
- Entry
Education Level
- High School Diploma or GED
Salary/Compensations
- $26.93 - $28.49 Hourly
About the Company
- Ryan Health is a healthcare provider committed to its mission and goals.
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.