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Patient Services Rep/Med Asst - WIC

Company: Edward-Elmhurst Health
Location: Elmhurst
Posted on: May 31, 2021

Job Description:

GENERAL SUMMARY: As a Patient Services Representative, under general supervision and according to established policies and procedures, provides front desk coverage. Answers incoming calls, schedules appointments, greets patients, registers new patients in computer system, schedules laboratory and off-site diagnostic tests requested by provider, verifies insurance eligibility and interprets covered benefits. Processes patient charges by totaling fees, applying insurance coverage, calculating adjustments, and receiving and recording payments in computer system. Performs defined Medical Assistant duties as needed in order to ensure patient flow and timely medical care by following established procedures and precedents, prepares patients for physical examination, obtains specimens and conducts select point of care laboratory tests and records results. PRINCIPAL DUTIES AND RESPONSIBILITIES: PATIENT SERVICES REPRESENTATIVE: Answers telephone calls, determines nature of calls, takes and relays messages, and responds to routine inquiries following established procedures. Greets patients and patient families arriving for scheduled appointments. Registers patient by obtaining pertinent information such as name, demographic data, insurance coverage, etc. according to established procedures. Enters information into computer system. Verifies insurance eligibility and advises patients of covered benefits. Requests and reviews managed care referrals and ensures that services provided are within scope of authorization. Schedules all appointments including patient visits, laboratory tests, off-site diagnostic tests, etc., over the telephone and in person prior to patients leaving. Assists patients with scheduling off site diagnostic tests via Central Scheduling. Inputs patient charges by reviewing and verifying charge slips from providers, enters procedures and diagnostic codes, charges and selects appropriate options in computer system to ensure maximum reimbursement. Receives and records patient payments made at time of service. In doing so, calculates adjustments and/or discounts when totaling charge amount, processes credit card transactions, prepares receipts for cash or check payments, and updates patient account information in computer system. Balances actual daily receipts with computer-generated total, researches and modifies discrepancies and/or errors, and prepares day end close. Performs next day preparation for the office including chart preparation, pre-registration, appointment confirmation and payment request. Performs other duties as assigned such as maintaining patient files, photocopying documents and materials, answering routine questions regarding procedures or examinations, as so forth. May be required to cross-train in abstraction duties which involve extracting information from medical records and transcribing information into the electronic medical record for the purpose of transitioning to a paperless chart environment or an alternative electronic medical records system. Maintains confidentiality of patient information in all situations. Partners with other staff members to ensure office operations run efficiently, keeping pace with office patient volumes, and helping to ensure patient wait times are kept to a minimum. MEDICAL ASSISTANT: Escorts patients to examination rooms, obtains vital signs and other patient data, including AAP, ACT, PHQ9, etc. and makes patient comfortable while waiting for the provider. Performs procedures such as sterile preps, dressing changes and the like following established protocol and as directed/ordered by the provider. Collects and prepares specimens for routine laboratory tests (POC testing and specimens to be sent to lab for processing) according to established procedures, completes reports with results, forwards same to provider, and ensures inclusion in electronic patient medical record. Ensures examination rooms are stocked with necessary supplies. KNOWLEDGE, SKILLS AND ABILITIES REQUIRED: Required Education, Skills and/or Experience: High School Diploma or GED Keyboard and computer skills Preferred Education, Skills and/or Experience A minimum of three months previous business office OR healthcare based experience Previous insurance and managed care experience Medical terminology or coding experience Excellent keyboarding skills Required License/Certification: A valid drivers license is required if the incumbent is selected to perform related duties at an off-site location. If the incumbent uses their personal vehicle, the incumbent must maintain automobile liability coverage as required by law and evidence of such coverage may be requested. Preferred License/Certification: Current CPR Certification issued by American Heart Association or American Red Cross within 90 days of start date into this position.

Keywords: Edward-Elmhurst Health, Elmhurst , Patient Services Rep/Med Asst - WIC, Other , Elmhurst, Illinois

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