Patient Services Representative I - Waccamaw Community Hospital (Murrells Inlet, SC)
Company: Tidelands Health
Location: Myrtle Beach
Posted on: May 28, 2023
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Job Description:
POSITION SUMMARY: The purpose of this position is to register
all patients needing services and handles all first call resolution
for the departments assigned. The role is responsible for obtaining
accurate and complete demographic, financial, and medical
information. The employee will transfer calls as appropriate,
and/or make appointments as necessary. For procedures, the employee
may pre-register the patient, verifying insurance, etc. In
addition, the employee may assist with making referrals. The person
performing this role anticipates and acts on the needs of our
customers to enhance the patient experience.
Responsible for pre-registering and scheduling moderately complex
procedures and coordinating multiple resources for patient
services. May also perform duties for prior authorization,
referrals (incoming/outgoing), good faith estimates, and/or payment
collections.
DUTIES:
Engages patients throughout the registration process to create a
welcoming and positive patient experience. Consistently displays
good customer service behaviors to all patients and visitor to
promote positive patient experiences. Assists patients to their
destination as needed and manage patient visitor flow according to
hospital policy and safety guidelines.
Obtains and accurately enters required information for registration
into the electronic health system. Follows prescribed procedures
for positive identification and medical record number assignment,
so no duplication or wrong patient registrations occur. Reviews
demographic and insurance information for completeness, and follows
through with correcting any deficiencies, so collection efforts are
not delayed due to insufficient or incorrect information.
Ensures all appropriate signatures are obtained and forms completed
including and not limited to the following: Medicare Secondary
Payer Questionnaire, Advance Beneficiary Notice (ABN waiver), HIPAA
Privacy Notice, AOB (Assignment of Benefits), Medicare Important
Messages etc. Provides information and/or handouts and answers
questions on patient rights and responsibilities, HIPAA Privacy
Notice, and any financial assistance documentation.
Thoroughly and accurately documents insurance verification
information in the system, identifying deductibles, copayments,
coinsurance, and policy limitations. Obtains referral,
authorization and pre-certification information if needed;
documents this information in the EHR, electronic health
record.
Answers all inbound and/or places outbound telephone calls as
assigned and appropriately directs callers and ensures all calls
are handled efficiently and in a timely manner. Consistently
exhibits the highest level of service to all callers and fellow
staff.
Contacts patients by phone to remind them of upcoming appointments,
relay instructions and/or to ask follow-up care questions as
needed. Cancels and reschedules appointments as needed. May assist
with identifying and initiating necessary referrals for specialist
appointments, procedures and tests.
Organizes, expedites and follows-up on any paperwork related to
patient care.
Schedules various types of appointments for providers and
communicates any necessary instructions to the patient.
Performs various administrative support duites for department/work
location. Opens, sorts and distributes all types of mail and
correspondence as is necessary and assigned.
LEVEL OF RESPONSIBILITY:
EDUCATION REQUIRED:
EXPERIENCE REQUIRED:
PREFERRED EXPERIENCE:
KNOWLEDGE/SKILLS/ABILITIES (KSAs):
Ability to interact successfully with the public. Ability to
perform effectively despite sudden deadlines and changing
priorities; maintaining personal composure in high stress
situations.
Ability to demonstrate a high level of interpersonal skills
required to interact with patients, patients' families/visitors and
clinical staff.
Ability to perform with a high degree of accuracy and with
meticulous attention to detail. Demonstrate a strong ability to use
initiative and judgment and to identify, analyze and solve
problems.
PHYSICAL REQUIREMENTS: LIGHT PHYSCIAL AGILITY TEST RATING (PAT)
While performing the duties of this job, the employee is frequently
(activity or condition exists from 1/3 to 2/3 of the time) required
to stand, sit, and walk; frequently to use hands, fingers; and
frequently to talk or hear. The employee must exert up to 15 pounds
of force occasionally (activity or condition exists up to 1/3 of
the time), and/or up to 5 pounds of force frequently, and/or a
negligible amount of force constantly to move objects.
The physical demands described here are representative of those
that must be met by an employee to successfully perform the
essential functions of this job and will be tested by post offer
PAT.
Job ID: 2023-12158
Shift: Weekday - Evenings
External Company Name: Tidelands Health
External Company URL: http://www.tidelandshealth.org/
Street: 4070 Hwy 17 Bypass
Keywords: Tidelands Health, Wilmington , Patient Services Representative I - Waccamaw Community Hospital (Murrells Inlet, SC), Sales , Myrtle Beach, North Carolina
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