Do you have a passion for helping others and a knack for organization? The Evaluation & Treatment Center is seeking a Patient Service Representative to support our front desk operations and provide a welcoming, efficient, and compassionate experience for every patient.

Learn more about the program here: https://www.olvhs.org/etc

Benefits & Perks:

Paid Holidays Additional Paid Time Off (PTO) Qualifying Non-For-Profit for Federal Student Loan Forgiveness Program (click here to learn more: https://studentaid.gov/manage-loans/forgiveness-cancellation) Casual dress code Health, dental & vision insurance options Free dental insurance Paid Employer sponsored life insurance. Supplemental insurance programs for additional life insurance, short-term disability, accident & cancer insurance Up to $600 every year for completing biometric health screenings on a single health insurance plan & up to $1,200 if a spouse also completes Up to $180 annual gym reimbursement Take advantage of our Dental & Outpatient Mental Health services while working Employee referral program

Additional Information: 

Schedule: MTWThF 8a-4p Hourly Rate based on relevant years of experience

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FULL JOB DESCRIPTION

Responsible to: Healthcare Administrator

 

Job Summary: 

The Baker Victory Healthcare Center provides high quality care to our patients.  The Patient Service Representative will perform front desk responsibilities related to the check-in, check-out, insurance verification, scheduling of patients, and preparing the office for next day’s patients.

Essential Job Duties:

- Maintains a neat and orderly work environment, answering phones, scheduling and confirming appointments, collect appropriate demographic and insurance information from patient or representative; demonstrates friendly, courteous attitude in all communications.

-Using the availability provided by Evaluation and Assessment Specialists, schedules staff to conduct evaluations/assessments.

-Performs administrative duties such as copying correspondence, insurance cards, preparing mailings and the collection and distribution of mail and messages.

-Ensures accurate data entry.

-Managing patient insurance verifications utilizing other 3rd party payer portals verification systems.

-Operating computer using practice management software, internet and other vendor related programs.

-Check patients in and out.

-Runs daily reports consistent with the needs of the center

-Verifies and analyzes insurance plans, benefits, coverage and updates insurance master in software.  Communicates appropriate and relevant information to Healthcare Center team.  

-Reviews patient accounts and evaluates balances owed; negotiates payment terms collecting outstanding balances prior to next scheduled visit/treatment

-Requests, verifies, and scans prior authorizations/referrals

-Stays abreast of plan coverage changes educating team members

-Coordinates scheduling efforts with department professionals

-Provides follow up notification to patient on approval or denial of coverage; schedules approved procedures

-Post payments and denials

-Utilizes denial reports to assess root causes of claim denials monitor denials for frequency, eligibility, clinical; takes necessary action to correct denial and allow for resubmission.  and shares findings with all department stakeholders

-Monitors specific frequency denials and keeps practice leadership informed

-Serves as a Liaison between patient, healthcare professional, and financial team

-Maintains accurate and timely review of clinical documentation against posted charges; engages provider to mitigate documentation and coding errors

-Reconciles daily schedules and charges

-Creates electronic claim for submission to 3rd party payors

-Generates daily reports documenting the history of the daily department clinical documentation activities

-Any other duty as assigned by your Supervisor.

Skills:

•              Customer skills

•              Communication skills

•              Computer skills

 

 

Minimum Education Required:  

High School Diploma (Associate’s Degree preferred)

 

Minimum Experience Required:  

1-2 years of administrative experience, medical office experience preferred

 

License/Registration/ Certifications Required:

NYS Driver’s License

 

 

Training Requirements:  

OLVHS' New Hire Orientation

 

 

Physical Requirements:

•Strength:  Sufficient to assist with lifting and transferring a patient, and perform CPR

•Mobility:  Sufficient mobility to bend, stoop, and bend down to the floor; ability to move around rapidly; and to move in small, confined areas.

•Hearing:  Sufficient to hear through the stethoscope to discriminate sounds; to hear cries for help; to hear alarms on equipment and emergency signals; and various overhead pages.

•Vision:  Sufficient to make physical assessments of patients and equipment.