Patient Services Representative (PSR) - Spectrum Health Services, Inc

Job Summary:

The incumbent for this position provides services to patients arriving for medical and dental services and handles the patient scheduling, check in and registration and process. This position is the first point of contact for the organization. The Patient Service Representative must have interpersonal skills and critical thinking to be successful in this position. The PSR serves as an important member of the Patient Centered Medical Home (PCMH) care team in ensuring appropriate data capture and accuracy of front-end processes and timely communication with the patient and the care team members.

Essential Functions (Medical):

• Informs patient prior to visit about the fee assessment process or co-pays
• Performs patient pre-registration function and runs eligibility reports to determine insurance coverage.
• Verifies third-party insurance coverage via on-line verification or telephone.
• Receives and acknowledges all health center patients and visitors.
• Maintains and verifies patient schedule.
• Reviews sections of the patient information forms.
• Collects all co-payments or initial fees from patients prior to the patient seeing the provider.
• Obtains patient’s signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.).
• Scan patient’s identification and insurance Cards into the EMR System
• Services a minimum of 35 to 40 patients daily.
• Schedules appointments in the EMR System.
• Backfills the Medical Assistant to record messages for providers (for ex: RX refills, pharmacy, calls from other health care providers, etc.)
• Handles and processes a high volume of phone calls (70-80 a day)
• Places calls to patients to remind them of their appointments.
• Contact patients who have missed their appointments, ascertain why, and reschedule if necessary.
• Facilitates scheduling referral appointments for patients if needed.
• Inputs data into computer system on an as needed basis
• Provides printed patient instructions, community resources, clinical visit summary and any lab, diagnostic study, or referral orders.
• Performs batching process and real time check out to include creation of daily batch and end of day batch reconciliation.
• Assist with scheduling activities to support improving patient access including no show reports and care gap report.
• Makes change and issues a receipt to the patient.
• Registers and updates patient, emergency contact, financial and insurance information
• Processes referrals on an as needed basis
• Performs other duties as assigned

Keyword: Patient Services Representative (PSR)
Required Experience:

Qualifications/Experience:

• General education degree or high school diploma
• Three (3) to five (5) years’ experience in medical setting
• Knowledge of medical and terminology, procedures, and diagnosis
• Knowledge of computer and relevant software applications (Microsoft Suite EMR)
• Knowledge of general administrative and clerical procedures
• Working knowledge of medical insurance

From: Spectrum Health Services, Inc