Patient Service Representative

At The CORE Institute, we are dedicated to taking care of you so you can take care of business Our robust benefits package includes the following:

• Competitive Health & Welfare Benefits
• Monthly $43 stipend to use toward ancillary benefits
• HSA with qualifying HDHP plans with company match
• 401k plan after 6 months of service with company match (Part-time employees included)
• Employee Assistance Program that is available 24/7 to provide support
• Employee Appreciation Days
• Employee Wellness Events

Qualifications

• High school diploma/GED or equivalent is required.
• 1–2 years of experience in a hospital, medical office, or customer service setting (preferred).
• Familiar with and understand Medicare, Medicaid and other government payors and HMO/PPO payors guidelines and principals.
• Understands benefits (i.e.: deductibles, copays, and coinsurance) and how to calculate estimates per the payor contract as applicable.
• Previous patient registration in a medical office, hospital or outpatient surgery center.
• Medicare, Medicaid and other government payor guidelines.
• Clear understanding of insurance benefits and how to calculate patient responsibility.
• Knowledge of Patient Registration.
• Strong customer service and communication skills.
• Ability to communicate patient responsibility clearly with patients, communicate with physician's office staff, payors and hospital teammates.
• Ability to resolve issues in a professional manner.
• Ability to work independently with minimal supervision.

Essential Functions

• Greet patients, families, and visitors in a courteous and professional manner.
• Answer and route incoming patient calls promptly and professionally.
• Maintain a clean and organized front desk area.
• Maintain confidentiality and compliance with HIPAA and hospital policies.
• Assist with other clerical or administrative tasks as assigned.
• Maintain a clean and organized work environment and ensure supplies are stocked.
• Collaborate with other departments to ensure smooth patient flow and timely service.
• Initiate and announce overhead emergency codes, including "Code Red" in the event of fire or smoke detection, following facility procedures.
• Respond calmly and appropriately to emergency situations, including notifying security and/or emergency response teams.
• Collect and verify patient demographics, insurance information, and required documentation.
• Input accurate patient data into the hospital EMR system.
• Prepare patient charts in advance of scheduled appointments to ensure all required documentation is complete and accurate. Include all necessary forms, such as consent forms. Patient Estimate Letters and procedure-specific paperwork
• Obtain patient signatures for consent forms, insurance authorizations, and privacy acknowledgments.
• Provide patients with information on hospital policies, procedures, and financial responsibilities.
• Coordinate with clinical and billing departments to ensure proper patient flow and documentation.
• Respond to patient and visitor inquiries and resolve registration issues efficiently.
• Confirm and document insurance information to reduce the risk of claim denials.
• Explain financial responsibility to patients when appropriate.
• Accept and process payments for co-pays or deposits, when necessary.
• Be familiar with individual payor guidelines and the process of collecting over the counter payments/deductibles/co-pay/coinsurance. Knowledge of payor contracts including Medicare, Medicaid and other government contracts and guidelines.
• Investigate questionable information promptly, i.e. MVA and work comp information that conflicts with insurer information.
• Notify Business Office Manager and Physician Office of any benefit, financial or authorization concerns or issues immediately.
• Work two weeks ahead of surgeries to avoid late notice cancellations.
• Contact patients in advance of their scheduled imaging appointments to provide information about their financial responsibility (e.g., co-pays, deductibles, self-pay estimates).
• Review and explain out-of-pocket costs clearly and answer any patient questions regarding their financial obligation.
• Work with patients to establish