Patient Service Representative - SCL Health
Superior, CO
About the Job
Job Description:This position is responsible for billing, follow-up, and
resolving issues that delay or prevent payment of the patient's account
within Intermountain's policies and procedures.
Scope
1.Greets patients. Answer phones, takes messages, returns calls and
provides neededinformation, while documenting all phone calls accurately and
completely in the electronic medical record (EMR).
2. Schedules patient appointments for visits, procedures, diagnostic
tests, referrals and/or consultations.
3. Registers patients. Confirms, enters, and/or updates all required
demographic data on patient and guarantor on registration system. Follows
procedures when identifying patients.
4. Obtains copies of insurance card(s), forms of ID, and
signature(s) on all required forms. Verify information on appropriate
accounts to determine insurance coordination of benefits,
pre-certification/prior-authorization. Complete the Medicare Secondary Payer
(MSP) questionnaire when applicable. Verifies insurance to determine
coordination of benefits and obtains authorization and/or referrals as
required. Screens for non-covered services and waiver of liability (ABN)
through automated screening at time of service.
5. Informs self-pay patients of liability due and prepayment requirements.
Prepare estimate of procedures, calculates advance payment requirements on
previous or bad debt and current balances. Refer potentially eligible patients
to financial counseling and/or contract eligibility vendor(s). Refer
complex or non-compliant patient financial issues to Clinic Manager or Revenue
Service Center.
6. Collects patient payments and provides accurate receipt. Posts payments in
system. Reconciles receipts with cash collected and complete required
balancing forms. Documents patient account notes for all
interactions/transactions.
7. Maintains department and/or individual work queues and reports as required.
8. Prepares medical records for patient appointments by compiling information
from various sources to include authorizations and non-Epic documentation.
Accurately scans medical records as required for Medical Group or specialty
office.
9. Promotes mission, vision, and values of SCL Health, and abides by
service behavior standards.
10. Performs other duties as assigned.
Minimum qualifications:
One year of customer service experience involving interactions with customers
in person and by phone.
Professional manner and strong interpersonal and communication skills
Demonstrated basic computer skills and data entry
Preferred Qualifications:
High school diploma or GED
Physical Requirements:Interact with others by effectively communicating,
both orally and in writing.- and -Operate computers and other office equipment
requiring the ability to move fingers and hands.- and -See and read computer
monitors and documents.- and -Remain sitting or standing for long periods of
time to perform work on a computer, telephone, or other equipment.- and
-May require lifting and transporting objects and office supplies,
bending, kneeling and reaching.
Location:Superior Clinic
Work City:Superior
Work State:Colorado
Scheduled Weekly Hours:40
The hourly range for this position is listed below. Actual hourly rate
dependent upon experience.$18.29 - $22.54
We care about your well-being - mind, body, and spirit - which is why we
provide our caregivers a generous benefits package that covers a wide range of
programs to foster a sustainable culture of wellness that encompasses living
healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho,
Nevada, and Utah based caregivers, and for our Colorado, Montana, and
Kansas based caregivers; and our commitment todiversity, equity, and
inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants
will receive consideration for employment without regard to race, color,
religion, age, sex, sexual orientation, gender identity, national
origin, disability or protected veteran status.
All positions subject to close without notice.
Our facilities do not discriminate against any person on the basis of race,
color, national origin, disability, or age in admission or access to,
or treatment or employment in, its programs, services or activities, or
on the basis of sex (gender) in health programs and activities
resolving issues that delay or prevent payment of the patient's account
within Intermountain's policies and procedures.
Scope
1.Greets patients. Answer phones, takes messages, returns calls and
provides neededinformation, while documenting all phone calls accurately and
completely in the electronic medical record (EMR).
2. Schedules patient appointments for visits, procedures, diagnostic
tests, referrals and/or consultations.
3. Registers patients. Confirms, enters, and/or updates all required
demographic data on patient and guarantor on registration system. Follows
procedures when identifying patients.
4. Obtains copies of insurance card(s), forms of ID, and
signature(s) on all required forms. Verify information on appropriate
accounts to determine insurance coordination of benefits,
pre-certification/prior-authorization. Complete the Medicare Secondary Payer
(MSP) questionnaire when applicable. Verifies insurance to determine
coordination of benefits and obtains authorization and/or referrals as
required. Screens for non-covered services and waiver of liability (ABN)
through automated screening at time of service.
5. Informs self-pay patients of liability due and prepayment requirements.
Prepare estimate of procedures, calculates advance payment requirements on
previous or bad debt and current balances. Refer potentially eligible patients
to financial counseling and/or contract eligibility vendor(s). Refer
complex or non-compliant patient financial issues to Clinic Manager or Revenue
Service Center.
6. Collects patient payments and provides accurate receipt. Posts payments in
system. Reconciles receipts with cash collected and complete required
balancing forms. Documents patient account notes for all
interactions/transactions.
7. Maintains department and/or individual work queues and reports as required.
8. Prepares medical records for patient appointments by compiling information
from various sources to include authorizations and non-Epic documentation.
Accurately scans medical records as required for Medical Group or specialty
office.
9. Promotes mission, vision, and values of SCL Health, and abides by
service behavior standards.
10. Performs other duties as assigned.
Minimum qualifications:
One year of customer service experience involving interactions with customers
in person and by phone.
Professional manner and strong interpersonal and communication skills
Demonstrated basic computer skills and data entry
Preferred Qualifications:
High school diploma or GED
Physical Requirements:Interact with others by effectively communicating,
both orally and in writing.- and -Operate computers and other office equipment
requiring the ability to move fingers and hands.- and -See and read computer
monitors and documents.- and -Remain sitting or standing for long periods of
time to perform work on a computer, telephone, or other equipment.- and
-May require lifting and transporting objects and office supplies,
bending, kneeling and reaching.
Location:Superior Clinic
Work City:Superior
Work State:Colorado
Scheduled Weekly Hours:40
The hourly range for this position is listed below. Actual hourly rate
dependent upon experience.$18.29 - $22.54
We care about your well-being - mind, body, and spirit - which is why we
provide our caregivers a generous benefits package that covers a wide range of
programs to foster a sustainable culture of wellness that encompasses living
healthy, happy, secure, connected, and engaged.
Learn more about our comprehensive benefits packages for our Idaho,
Nevada, and Utah based caregivers, and for our Colorado, Montana, and
Kansas based caregivers; and our commitment todiversity, equity, and
inclusion.
Intermountain Health is an equal opportunity employer. Qualified applicants
will receive consideration for employment without regard to race, color,
religion, age, sex, sexual orientation, gender identity, national
origin, disability or protected veteran status.
All positions subject to close without notice.
Our facilities do not discriminate against any person on the basis of race,
color, national origin, disability, or age in admission or access to,
or treatment or employment in, its programs, services or activities, or
on the basis of sex (gender) in health programs and activities
Source : SCL Health
