Patient Service Representative Grand Rapids

Job Title

Job Summary:

Provides clerical support in complex matters to assist in the delivery of quality health care services.

Essential Functions:

1. Responsible for complex patient/customer problem solving, including high level discernment when registering patients in treatment rooms.

2. Performs administrative functions, including, but not limited to: assists with patient check-out; schedules complex patient appointments, incoming/outgoing referrals, surgeries and tests, including medical record review of incoming referrals; builds provider schedule template; navigates external patient referral portals; reconciles multi-department deposit.

3. Obtains insurance authorizations and/or verifies that prior authorization has been obtained; assists with retroactive insurance denials/appeals.

4. Responsible for complex EMR/EHR scanning and Right Fax faxing and uploading to EPIC.

5. Responsible for identifying and reminding patients of health maintenance gaps.

6. Ability to perform the role of Patient Services Representative, Associate when necessary.

7. Actively participates in safety initiatives and risk mitigating measures where appropriate and completes all position and unit safety related competencies and requirements on a timely basis.

Qualifications:

1. Required High School Diploma or equivalent

2. 2 years of relevant experience insurance billing, access management, patient financial services, electronic health records, lab service support or other related experience Required

Physical Demands:

Pallet to Waist (6" from floor) > 5 lbs: Seldom up to 10 lbs

Waist to Waist > 5 lbs: Seldom up to 10 lbs

Waist to Chest (below shoulder) > 5 lbs: Seldom up to 10 lbs

Waist to Overhead > 5 lbs: Seldom up to 10 lbs

Bilateral Carry > 5 lbs: Seldom up to 10 lbs

Unilateral Carry > 5 lbs: Seldom up to 10 lbs

Pushing Force > 5 lbs: Seldom up to 20 lbs

Pulling Force > 5 lbs: Seldom up to 15 lbs

Sitting: Frequently

Standing: Occasionally

Walking: Occasionally

Forward Bend - Standing: Seldom

Forward Bend - Sitting: Occasionally

Trunk Rotation - Standing: Seldom

Trunk Rotation - Sitting: Occasionally

Squat: Seldom

Stair Climbing: Seldom

Reach - Above Shoulder: Seldom

Reach - at Shoulder or Below: Seldom

Handling: Occasionally

Forceful Grip > 5 lbs: Seldom

Forceful Pinch > 2 lbs: Seldom

Finger/Hand Dexterity: Frequently

Visual Acuity ¹ [None = No; Seldom = Yes]: Seldom