Patient Svc Representative - Pediatric Opthalmology
Company: Mercy
Location: Springfield
Posted on: April 17, 2024
|
|
Job Description:
We're a Little Different
Our mission is clear. We bring to life a healing ministry through
our compassionate care and exceptional service.
At Mercy, we believe in careers that match the unique gifts of
unique individuals - careers that not only make the most of your
skills and talents, but also your heart. Join us and discover why
Modern Healthcare Magazine named us in its "Top 100 Places to
Work."
Overview:
Greets, instructs, directs and schedules patients and visitors.
Performs a variety of clerical duties for physicians and clinic
staff. Retrieves insurance and patient information, provides forms
for tests or interoffice communications and secures signatures as
needed. Enters new and established patient information into the
computer. Answers incoming calls, sets appointments for patients,
dispatches messages and/or calls for all employees. Monitors and
revises physician schedules as appropriate. Performs patient care
activities within the scope of data entry/processing and patient
account functions. Establishes payment plans and collection of
payments. Answers questions on insurance claims, obtaining
disability insurance benefits, home health care, medical equipment,
surgical care, medical records and patient referrals. In
communicating with patients, families, visitors and employees, a
caring, friendly, personal and professional approach is expected.
Performs related duties as assigned. All duties, responsibilities
and qualifications documented in this job description/evaluation
form are subject to reasonable accommodation. This job
description/evaluation is not to be construed as a detailed
statement of duties, responsibilities requirements. Employees of
Mercy Health System are expected to comply with all federal, state
and local regulations in addition to organization policy and
procedures.
Qualifications:
Greets and checks in patients in a friendly manner.Evaluates
patient chart and registration information for current address,
telephone number and insurance information.CHARGE ENTRY AND PAYMENT
COLLECTION DUTIES:3.1 Copies and collects all pertinent insurance
information and secures signatures as needed for medical
records.3.2 Data entry of hospital charges.3.3 Collects co-pay and
explains payment requirements and filing of insurance.3.4 Defines
charges for services rendered and verifies tests were completed.3.5
Preparation and entry of data processing functions related to
patient billing and insurance, daily charges and payments.
Responsible for input accuracy and timeliness.3.6 Preparation and
monitoring of payment agreements. Assists receptionists in credit
status questions.3.7 Makes payment adjustments on accounts with
manager approval.3.8 Balances all charges and payments at end of
day. Prepares daily bank deposit.CLERICAL DUTIES:4.1 Sets
telephone, as appropriate, for end of day.4.2 Pulls, files, sorts,
distributes and maintains medical records.4.3 Prepares appointment
reminder cards or other mailed patient information.4.4 Prints
computer appointment schedules for each physician and distributes
to departments as needed.4.5 Enters appointments in the computer
with appropriate information; e.g., lab tests requested.4.6 Prints
labels, registration forms and/or other computer information
needed.4.7 Records information for recall appointments.4.8 Relays
telephone calls to appropriate area or takes messages.4.9 Handles
returned mail, returned checks, post-dated checks, bankruptcies,
deceased accounts and attorney accounts.4.10 Provides follow-up on
delinquent accounts and recommends collection action to the
physicians.4.11 Notifies answering service when doctor is gone or
office is closed.4.12 Ensures the return message has an accurate
telephone number and patient name.SCHEDULING:5.1 Schedules future
appointments for patient and informs the patient of any preparation
needed prior to test(s).5.2 Schedules referral appointments with
specialists, outside agencies, and other healthcare facilities.
Notifies the patient by telephone of referral appointment.5.3
Performs proper scheduling of appointments. Reschedules appointment
at request of patient or if doctors change their schedules.Performs
administrative duties associated with managed care and
referrals.Obtains patient authorization for medical record release.
Sends medical record requests to physicians, healthcare facilities,
and other agencies within medical records guidelines.Researches
appropriate procedure and diagnosis codes when missing or
unfamiliar for approval by supervisor or physician.Assists patients
and insurance companies with account inquiries and other
queries.Provides and coordinates written communications to
governmental agencies, insurance companies and patients using
standard forms.Processes benefit correspondence, signature and
insurance forms as needed.Maintains patient authorization files in
regard to Medicaid, Medicare and other insurance
requirements.Researches and resolves problems with patients'
accounts and makes all necessary update or corrections. Works
accounts receivable collections which includes telephone contact
with the patient.Counsels patients regarding accounts and accepts
payments on current and delinquent balances.Assists patients in
completing necessary forms to obtain hospitalization or surgical
pre-certification from insurance companies.Confirms all workman's
compensation claims with employers.Enters patient registration and
insurance information in the computer system.Responsible for
correct billing of insurance and workman's compensation
claims.GENERAL DUTIES:20.1 Performs other duties as assigned by
supervisor.20.2 Meets Health System attendance standards.
We Offer Great Benefits:
Day-one comprehensive health, vision and dental coverage, PTO,
tuition reimbursement and employer-matched retirement funds are
just a few of the great benefits offered to eligible co-workers,
including those working 32 hours or more per pay period!
We're bringing to life a healing ministry through compassionate
care.
At Mercy, our supportive community will be behind you every step of
your day, especially the tough ones. You will have opportunities to
pioneer new models of care and transform the health care experience
through advanced technology and innovative procedures. We're
expanding to help our communities grow. Join us and be a part of it
all.
What Makes You a Good Match for Mercy?
Compassion and professionalism go hand-in-hand with us. Having a
positive outlook and a strong sense of advocacy is in perfect step
with our mission and vision. We're also collaborative and unafraid
to do a little extra to deliver excellent care - that's just part
of our commitment. If that sounds like a good fit for you, we
encourage you to apply.
Keywords: Mercy, Springfield , Patient Svc Representative - Pediatric Opthalmology, Other , Springfield, Missouri
Click
here to apply!
|