Spectrum Health Services, Inc.

Patient Service Representative

Spectrum Health Services, Inc.  •  Philadelphia, PA (Onsite)  •  2 months ago
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Job Description

Essential Functions:

  • Informs patient prior to visit about the fee assessment process or co-pays
  • Performs patient pre-registration function and runs eligibility reports to determine insurance coverage.
  • Verifies third-party insurance coverage via on-line verification or telephone.
  • Receives and acknowledges all health center patients and visitors.
  • Maintains and verifies patient schedule.
  • Reviews sections of the patient information forms.
  • Collects all co-payments or initial fees from patients prior to the patient seeing the provider.
  • Obtains patient’s signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.).
  • Scan patient’s identification and insurance Cards into the EMR System
  • Services a minimum of 35 to 40 patients daily.
  • Schedules appointments in the EMR System.
  • Backfills the Medical Assistant to record messages for providers (for ex: RX refills, pharmacy, calls from other health care providers, etc.)
  • Handles and processes a high volume of phone calls (70-80 a day)
  • Places calls to patients to remind them of their appointments.
  • Contact patients who have missed their appointments, ascertain why, and reschedule if necessary.
  • Facilitates scheduling referral appointments for patients if needed.
  • Inputs data into computer system on an as needed basis
  • Provides printed patient instructions, community resources, clinical visit summary and any lab, diagnostic study, or referral orders.
  • Performs batching process and real time check out to include creation of daily batch and end of day batch reconciliation.
  • Assist with scheduling activities to support improving patient access including no show reports and care gap report.
  • Makes change and issues a receipt to the patient.
  • Registers and updates patient, emergency contact, financial and insurance information
  • Processes referrals on an as needed basis
  • Performs other duties as assigned

Qualifications/Experience:

  • General education degree or high school diploma
  • Three (3) to five (5) years’ experience in medical setting
  • Knowledge of medical and terminology, procedures, and diagnosis
  • Knowledge of computer and relevant software applications (Microsoft Suite EMR)
  • Knowledge of general administrative and clerical procedures
  • Working knowledge of medical insurance
  • Bilingual English-Spanish, French/Haitian Creole Preferred
Spectrum Health Services, Inc.

About Spectrum Health Services, Inc.

We are a Federally Qualified Health Center (FQHC). Our model of integrated care provides services for all life cycles and addresses the complexity of medical and social/economic issues facing our patients and the residents in the communities served. Our range of services include Pediatrics, Ob-Gyn, Adult Health, Dental, HIV/AIDS Outreach and Primary Care, Case Management, Behavioral Health, Nutrition, Podiatry, Weight Management, Community Health Workers, and Care Coordination.

Our clinical team of multi-disciplinary professionals work in concert to ensure that patient care is thorough, complete, and fully understood by the patient. Our Patient Centered Medical Home (PCMH) Level III model of care ensures that patient care is delivered through care teams involving an integrated approach that requires a high level of care coordination. As a result, we are able to address gaps in care and address barriers to care.

Industry
Healthcare & Social Services
Company Size
51-200 employees
Headquarters
Philadelphia, Pennsylvania
Year Founded
Unknown
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