Patient Service Specialist

Patient Service Specialist

Under the direction of the Practice Manager, the Patient Service Specialist is responsible for coordinating all the functions and activities related to patient access including, but not limited to: front end customer service, patient registration, insurance/coverage verification, appointment scheduling, charge entry, billing and managed care, and a variety of administrative duties in support of department (handling phones & mail, filling out forms, filing, photocopying, faxing, preparing letters, reports, etc.).

Essential Responsibilities / Duties:

• Answer calls and routes telephone calls appropriately; take messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information. Provide routine information to callers and gives only authorized advice from providers.
• Own a practice workflow selected by manager (e.g., pre-visit planning, workflow dashboard management, charge entry, claim management, clinical inbox management).
• Create patient cases and document telephone calls and messages into Athena or other EMR.
• Schedule patient appointments and appropriate testing for patients as requested, including scheduling specialty appointments/testing as required. Follow scheduling notes and direct schedules patient visits in other BMC practices as advised.
• Register patients in EMR and verifies information including demographics and obtain accurate health insurance information. Perform pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility. Obtain prior authorizations and/or insurance referrals as per practice need.
• Collect required insurance co-pays from patients including any prior balances.
• Perform outreach to select patient groups as directed for patient care and quality measurement/guidelines.
• Place administrative supply orders.
• Follow up with providers on missing slips and creates claims in the medical record system.
• Work assigned revenue cycle buckets as directed.
• Manage and process invoices as directed with Accounts payable.

(The above statements in this job description are intended to depict the general nature and level of work assigned to the employee(s) in this job. The above is not intended to represent an exhaustive list of accountable duties and responsibilities required.)

Job Requirements

Required Education and Experience:

High school diploma and at least two years of experience as a Medical Secretary, or equivalent combination of education and experience, required.

Preferred Education and Experience (If none, please enter "N/A"):

N/A

Certifications, Licenses, Registrations Required (If none, please enter "N/A"):

N/A

Certifications, Licenses, Registrations Preferred (If none, please enter "N/A"):

N/A

Knowledge, Skills & Abilities (KSAs) (If none, please enter "N/A"):

• Excellent customer service, communication, and interpersonal skills required.
• Ability to work independently with little supervision.
• Microsoft Office, Word, Excel, and Outlook.

Equal Opportunity Employer/Disabled/Veterans

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