Work whereevery moment mattersEvery day almost Hartford HealthCare employees come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe Patient Service Representative is responsible for providing professional customer service to ensure operational efficiency and promote a positive patient experience Responsible for Patient Scheduling Pre Registration Registration Insurance Verification Insurance Authorization and ensures patients have been cleared for Rehab Outpatient office visitsJob SummaryThe Patient Service Representative performs a variety of secretarial billing and clerical duties to include utilizing the electronic medical record EMR to schedule follow up and specialty appointments and process patient charges coordinating referrals preparing the proper paperwork and collecting pertinent patient information answering phones performing other related duties as assigned Provides administrative support to the office staff Requires understanding of Rehab procedures and patient history requirements for Rehab proceduresJob responsibilitiesProvides support to Front deskreception area and provides general administrative supportGreet all patients and visitorsAnswer incoming phone calls in a professional manner and triage the call if appropriate to ensure the patientsrsquo needs are met in a timely mannerCreate and distribute electronic messages in the EMRMail information to new patients prior to visit in accordance with department policiesAssist with general office duties such as photocopying scanning information into a patientrsquos EMR distributing reports sorting mail faxes delivering materials etcAssist clinical staff with ensuring Plans Of Care have been signed for all patientsProvides back up support to other front desk staff as neededPatient Registration Insurance Verification and PreauthorizationRegister arriving patients to include completion of registration forms Gather and enter all patient demographic and insurance data necessary to complete a patient registrationGather pertinent information from insurance carriers financial counselors and other ancillary staffVerify insurance coverage and obtain authorizations if needed from insurance carrierObtain current complete and accurate patient insurance information to ensure full reimbursementProvide insurance carrier with necessary information to predetermine coverageObtain insurance referrals for patientsEnsure that all referral requests are properly signed and filedPatient SchedulingCommunicate with Provider office staff patients access center and registration to appropriately schedule and or reschedule departmental procedures according to specific protocols and patient care requirements maintaining patient confidentiality in accordance with HIPAA guidelinesSchedules patient appointments and informs patients of essential preparation requirements prior to visit referrals x rays medical reports lab work etcDocuments appointments and completes the necessary requisition forms and pre cert exams which may include prior authorizationsCollect document and obtain complete and accurate patient medical history necessary to ensure appropriateness and safetyEnsure completion and accuracy of providers order in relation to requested appointment type for compliancemedical necessity and communicates discrepancies to provider officeRequest accept and reconcile point of care paymentsCollect co payments and office charge as needed and explains office payment billing policies to patientsReconcile super bills co pays and walk in payments at the end of each session and refer payment and insurance problems to Billing Department Work whereevery moment mattersEvery day almost Hartford HealthCare employees come to work with one thing in common Pride in what we do knowing every moment matters here We invite you to become part of Connecticutrsquos most comprehensive healthcare networkThe Patient Service Representative is responsible for providing professional customer service to ensure operational efficiency and promote a positive patient experience Responsible for Patient Scheduling Pre Registration Registration Insurance Verification Insurance Authorization and ensures patients have been cleared for Rehab Outpatient office visitsJob SummaryThe Patient Service Representative performs a variety of secretarial billing and clerical duties to include utilizing the electronic medical record EMR to schedule follow up and specialty appointments and process patient charges coordinating referrals preparing the proper paperwork and collecting pertinent patient information answering phones performing other related duties as assigned Provides administrative support to the office staff Requires understanding of Rehab procedures and patient history requirements for Rehab proceduresJob responsibilitiesProvides support to Front deskreception area and provides general administrative supportGreet all patients and visitorsAnswer incoming phone calls in a professional manner and triage the call if appropriate to ensure the patientsrsquo needs are met in a timely mannerCreate and distribute electronic messages in the EMRMail information to new patients prior to visit in accordance with department policiesAssist with general office duties such as photocopying scanning information into a patientrsquos EMR distributing reports sorting mail faxes delivering materials etcAssist clinical staff with ensuring Plans Of Care have been signed for all patientsProvides back up support to other front desk staff as neededPatient Registration Insurance Verification and PreauthorizationRegister arriving patients to include completion of registration forms Gather and enter all patient demographic and insurance data necessary to complete a patient registrationGather pertinent information from insurance carriers financial counselors and other ancillary staffVerify insurance coverage and obtain authorizations if needed from insurance carrierObtain current complete and accurate patient insurance information to ensure full reimbursementProvide insurance carrier with necessary information to predetermine coverageObtain insurance referrals for patientsEnsure that all referral requests are properly signed and filedPatient SchedulingCommunicate with Provider office staff patients access center and registration to appropriately schedule and or reschedule departmental procedures according to specific protocols and patient care requirements maintaining patient confidentiality in accordance with HIPAA guidelinesSchedules patient appointments and informs patients of essential preparation requirements prior to visit referrals x rays medical reports lab work etcDocuments appointments and completes the necessary requisition forms and pre cert exams which may include prior authorizationsCollect document and obtain complete and accurate patient medical history necessary to ensure appropriateness and safetyEnsure completion and accuracy of providers order in relation to requested appointment type for compliancemedical necessity and communicates discrepancies to provider officeRequest accept and reconcile point of care paymentsCollect co payments and office charge as needed and explains office payment billing policies to patientsReconcile super bills co pays and walk in payments at the end of each session and refer payment and insurance problems to Billing Department Minimum RequirementsPreferred RequirementsEducationHigh school diploma or equivalentEducationAssociates or Bachelorrsquos degree in a clinical or business field preferred ExperienceMinimum of year of clericalsecretarial experienceExperienceReferral and Insurance verification experience preferredLicensure Certification RegistrationLicensure Certification RegistrationLanguage SkillsLanguage SkillsKnowledge Skills and Ability Requirements middot Ability to adhere to HIPAA policies at all times middot Ability to provide excellent and efficient customer servicemiddot Positive customer focused approach with commitment to providing excellent patient caremiddot Proven ability to work effectively in a team environmentmiddot Excellent written and verbal communication skills middot Ability to adapt quickly in a fast paced environment middot Strong computer skills solid working knowledge of Microsoft Office and EPIC softwaremiddot Knowledge of medical terminology and insurance requirementsMinimum RequirementsPreferred RequirementsEducationHigh school diploma or equivalentEducationAssociates or Bachelorrsquos degree in a clinical or business field preferred ExperienceMinimum of year of clericalsecretarial experienceExperienceReferral and Insurance verification experience preferredLicensure Certification RegistrationLicensure Certification RegistrationLanguage SkillsLanguage SkillsKnowledge Skills and Ability Requirements middot Ability to adhere to HIPAA policies at all times middot Ability to provide excellent and efficient customer servicemiddot Positive customer focused approach with commitment to providing excellent patient caremiddot Proven ability to work effectively in a team environmentmiddot Excellent written and verbal communication skills middot Ability to adapt quickly in a fast paced environment middot Strong computer skills solid working knowledge of Microsoft Office and EPIC softwaremiddot Knowledge of medical terminology and insurance requirements