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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 outstanding balances from patients.
- Verify insurance coverage and bill insurance for services.
- Direct patients to the Patient Accounts Department as needed.
- Obtain referrals and authorization 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 health center.
- Collect and scan all required patient information.
- Assist patients with changing their Primary Care Physician (PCP).
- Capture patient photos when authorized.
- 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 authorized staff when provider 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 the Electronic Medical Record (EMR) system.
- Attend assigned trainings and webinars.
- Ensure appropriate Specialty Referral Forms are initiated and completed.
- Fax referral forms and supporting documents to off-site specialists.
- Obtain prior authorization for specialty visits.
- Schedule appointments with off-site specialists.
- Document specialty appointment details in the patient's Electronic Health Record (EHR).
- Maintain assigned referrals according to policy.
- Process, monitor, and reconcile Urgent/STAT/High-Risk referrals.
- Ensure timely scheduling of Urgent/STAT/High-Risk referrals.
- 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 for appointments within five business days.
- Review billing/global alerts before processing patients.
- 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.
- Excellent communication and interpersonal skills.
- Strong customer service skills.
- Experience with eClinicalWorks electronic health record system (preferred).
- Experience working in a community or human services agency (preferred).
- Bilingual English/Spanish (preferred).
- 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.
- Works well with others and contributes input to improve outcomes.
- Asks for and provides feedback in a tactful, respectful way.
- 90-day probationary period.
Skills
- Customer Service
- Communication
- Interpersonal Skills
- Electronic Health Record Systems
- EMR
- eClinicalWorks
- Bilingual English/Spanish
Location
- Wadsworth - New York, NY
Work Type
- Full Time
- Day Shift
Experience Level
- Entry
Education Level
- High School Diploma or GED
Salary/Compensations
- $27.96 - $29.56 Hourly
About the Company
- 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.
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.