Job Description

Thank you for considering a career at Mercy Health!

Scheduled Weekly Hours:

40

Work Shift:

Days (United States of America)

Mercy Health

About Us

As a faith-based and patient-focused organization, Mercy Health exists to enhance the health and well-being of all people in mind, body and spirit through exceptional patient care. Success in this goal requires a culture of compassion, collaboration, excellence and respect. Mercy Health seeks people that are committed to our values of compassion, human dignity, integrity, service and stewardship to create an environment where associates want to work and help communities thrive.

Lead Patient Services Representative – Kings Mills Multispecialty Suite

The Lead Patient Service Representative supports the practice leader to ensure team members provide quality work and excellent customer service. Lead responsibilities are designated and assigned by the practice leader including but not limited to: orientation of new hire Patient Services Representatives, assisting in ensuring communication to PSR team related to new workflows and best practices as related to customer service and the revenue cycle. The Lead PSR role also provides front-office support duties including, but not limited to, registering patients, check in/check out, obtaining referrals and pre-certifications, collecting co-pays/cash handling, scheduling appointments, and answering phones. This position will provide excellent customer service and may be asked to occasionally cover other physician practice locations as needed as well as onboard and mentor new team members. Additionally, the lead patient Service Representative serves as a resource for employees when the practice leader is unavailable and communicates and models the mission and values of Bon Secours Health System.

Essential Functions:

• Participates as an active member of the patient care team, including attendance at clinical huddles.
• Assists practice leader with other duties which may include coordinating provider schedules and rescheduling patients, timekeeping, end of day reconciliation of cash drawers, service recovery when necessary.
• When applicable, proactively reviews the provider schedules and identifies opportunities for improvement to communicate with Practice Site Leader
• Serves as the primary point of contact between patients and physician practices. Serves as a resource to team members providing onboarding support and ensure a positive patient experience.
• Provides strong communication and excellent customer service skills by greeting patients and the community in a respectful manner
• Answers internal and external calls in a friendly and helpful manner, routes calls, schedules patients, and enters necessary information for patient scheduling into the computer system in a timely and accurate manner.
• Processes patients in practice as they present for their appointments. Coordinates and prioritizes prompt and appropriate placement of patients. Consider rewording to “requests to accommodate patients’ scheduling needs as allows with provider schedule templates”
• Possesses the ability to troubleshoot and resolve problems promptly, serves as an escalation resource for PSR team members, ensuring patient flow is maintained and informs supervisor or manager of any department and patient issues immediately
• Provides support for basic insurance verification. Secures, completes and verifies all pertinent patient demographic and insurance information as part of the registration process., Corrects registration errors as needed
• Records time indicators for lobby wait times.
• Calculates patient liabilities and actively collects and processes patient payments.
• Performs charge entry for external services (i.e. nursing homes) as necessary.
• Schedules referrals and follow-up appointments and/or assists with scheduling, rescheduling or canceling other services for patients. Assists patients with online scheduling and MyChart as necessary.
• Assists patients in obtaining necessary referrals and/or record requests for follow-up services and record referrals on tracking tool (referral/consults).
• Responsible for and/or assist in obtaining proper authorizations and pre-certifications for all outside procedures scheduled through the physician practice
• Verifies RX benefits in electronic health record, per protocol
• Refers patients to financial counselors when additional financial counseling or payment arrangements are needed. Completes accounts in revenue cycle software
• Follows referral management standard work by assisting patients in obtaining necessary referrals, obtaining proper authorizations and pre-certifications, and verifies all referral orders and requests are complete.
• Understands and performs individual role in assuring compliance with regulatory, accreditation, Medical Group and health system processes. Performs all assigned duties in a manner consistent with appropriate customer service requirements and in support of Bon Secours’ ethics and values.

This document is not an exhaustive list of all responsibilities, skills, duties, requirements, or working conditions associated with the job. Employees may be required to perform other job-related duties as required by their supervisor, subject to reasonable accommodation.

Education:

High School Diploma or GED (required)

Licensure/Certification:

None

Experience:

2-years of face-to-face customer service experience OR 3 years of phone customer service experience (required)

Experience in healthcare environment (preferred)

Mercy Health is an equal opportunity employer.

As a Mercy Health associate, you’re part of a Misson that matters. We support your well-being – personally and professionally. Our benefits are built to grow with you and meet your unique needs, every step of the way.

What we offer
• Competitive pay, incentives, referral bonuses and 403(b) with employer contributions (when eligible)
• Medical, dental, vision, prescription coverage, HAS/FSA options, life insurance, mental health resources and discounts
• Paid time off, parental and FMLA leave, short- and long-term disability, backup care for children and elders
• Tuition assistance, professional development and continuing education support

Benefits may vary based on the market and employment status.

Department:

Kings Mills Ears, Nose and Throat - MHP Cincinnati Specialty Care LLC

It is our policy to abide by all Federal and State laws, as well as, the requirements of 41 CFR 60-1.4(a), 60-300.5(a) and 60-741.5(a). Accordingly, all applicants will receive consideration for employment without regard to race, color, national origin, religion, sex, sexual orientation, gender identity, age, genetic information, or protected veteran status, and will not be discriminated against on the basis of disability. If you’d like to view a copy of the affirmative action plan or policy statement for Mercy Health – Youngstown, Ohio or Bon Secours – Franklin, Virginia; Petersburg, Virginia; and Emporia, Virginia, which are Affirmative Action and Equal Opportunity Employer, please email recruitment@mercy.com If you are an individual with a disability and would like to request a reasonable accommodation as part of the employment selection process, please contact The Talent Acquisition Team at recruitment@mercy.com