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Patient Service Representative II

at Spectrum Healthcare Partners in Portland, Maine, United States

Job Description

Company Overview

Spectrum Healthcare Partners is Maine’s largest multi-specialty, physician-owned and directed professional organization and is comprised of over 200 physicians practicing in the areas of anesthesiology, orthopedics, pain management, pathology, radiation oncology, radiology, and vascular & interventional services. Spectrum provides services at many of Maine’s hospitals throughout the state and in eastern New Hampshire. Monday – Friday 8 AM – 4:30 PM Flexibility required to occasionally cover shifts as needed (9:30 AM – 6 PM or 5:45 AM – 2:15 PM) Job Summary Position in the Physical Therapy Department is responsible for performing a variety of front-office functions including check-in, check-out, time of service collection, charge reconciliation and basic pre-authorization tasks to provide support/guidance to patients, office staff, physicians, advanced practice providers and physical therapists. Represents the practice in a professional, courteous manner while receiving patients into the practice. ESSENTIAL FUNCTIONS

+ Greets each patient as they enter the practice in a professional, caring manner and is warm in welcoming patients and vendors.

+ Performs patient check-in/check-out process with all patients. Reviews patient chart to determine what registration information is needed from the patient at time of check-in. Ensures patient records are accurate and up-to-date including patient name, address, date of injury, payer information, etc. by verifying existing information or entering updated data into the computer system.

+ Collects copays and outstanding balances at the time of service. Performs daily payment reconciliation.

+ Answers incoming internal and external calls.

+ Utilizes electronic health record for messaging to/from clinical staff.

+ Enters patient information into practice management system from faxed referrals, phone or email and schedules appointments per clinical protocol.

+ Schedules outside diagnostic testing and secures authorization when required by insurance.

+ Performs Pre-Authorization tasks including managing ongoing authorizations for future visits when required by insurance.

+ Manages incoming faxes and other documents including but not limited to disability forms, referrals, and medical record requests.

+ Scans medical documentation and other required documents into electronic health record or other document imaging system(s)

+ Performs insurance verification as appropriate to ensure accurate billing to appropriate insurance for patient encounter(s).

+ Maintains open communication with clinical staff to minimize interruptions to the providers’ schedules.

+ Collects all charge slips, reviews for accuracy and completeness. Reconciles charge sheets against schedule to ensure appropriate billing. Returns charge slips to clinical staff if they do not have the necessary information or if there are any discrepancies.

+ Prepares daily charges and payments for transfer to Portland office, when applicable.

+ Ensures the waiting area is presentable. Notifies Facilities of any specific needs or concerns to ensure a pleasant and safe experience for all staff, visitors and patients.

QUALIFICATIONS

+ Associates degree or equivalent years of experience.

+ Knowledge of Orthopaedics

+ 2 or more years of experience in a medical office or similar role in health care organization/ environment helpful and preferred

+ Strong customer service skills

+ Ability to work independently and as part of a team

+ Excellent communication and interpersonal skills, with the ability to interact with all internal and external customers in a professional and caring manner

+ Proficient computer skills including Microsoft Office and email

+ Ability to complete work in a timely, accurate and thorough manner

+ Ability to maintain confidentiality

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Job Posting: JC191906828

Posted On: Sep 09, 2021

Updated On: Oct 04, 2021