Patient Services Representative

Company: Florida Community Health Centers
Location: Fort Pierce
Posted on: February 25, 2021

Job Description:

Patient--Processing/Medical--Records------------------------------------------ Primary Duties/Secondary--Duties--

• Employee has a working knowledge of and is able to explain all aspects of the--Medical Records Policies and Procedures. (i.e., release of records, subpoenas,--etc.)5-------------- 4-------------- 3-------------- 2-------------- 1---------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Greets patients as they arrive, has patient sign in, verifies demographic information and ensures ready "for staff" status changes. Maintains a warm and friendly environment--and exhibits good customer--service.5-------------- 4-------------- 3-------------- 2-------------- 1------------------------------------------------ ---------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Properly works "Eligibility Issues Bucket", for any insurance discrepancies the day before scheduled. Monitors next day appointment status by utilizing the automated eligibility and phone list--report.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ ----
• Responsible party and patient demographics including address verification, are completely entered into the system in accordance with the policy and procedure manual to include name, date of birth, income, family size, alerts, PCP and contact--preference.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Properly identify and verify third-party coverage, sliding fee scale eligibility and complete appropriate forms (i.e., insurance verification form, income information form, Availity, Medicare questionnaire [MSP], Medicaid verifications, etc.). Obtain proof of income annually with tax return or three consecutive pay stubs. Ensure proper pay codes are--added to account including selecting proper carriers and ID numbers as required for accurate billing.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Understand definition of and determines migrant seasonal farm worker status,--homeless status, and properly enters into EHR--Systems.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Employee accurately explains patient responsibility for all payor codes. (i.e.,--insurance, sliding fee scale, Medicaid, Medicare, and special--programs).5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• A properly executed consent for treatment and Health Care Proxy and Contact--Information Form are obtained according to--policy.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ ----Cashiering---------------------------------------------- Primary Duties/Secondary--Duties--
• Maintains cash drawer ensuring accuracy and security at all times. Cash drawer consistently balances preventing shortages/overages. Ensure cash drawer is balanced upon leaving for and returning from--lunch.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Explains charge totals for the day and patients portion to the patients. Collects appropriate co-pays, co-insurance and sliding fee scale portions during registration and/or exiting patient. Review outstanding balances in patient--accounts.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Review the current day's charges withpatient.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ ------
• Review account past-due balance. (i.e., ROA, CIB, Bad debt.)5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Process receipt for patient and keeps a signed copy of credit card--payments.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Timely entering of the completed encounter ensuring proper payor codes, correct site location, and diagnosis are assigned. (Encounters must be entered by noon on the 2nd business day after the date of--service.)5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Reviews workflow dashboard, claim in hold, patient account holds, and ensures all--claims are created and resolved. Completes deposit slip, balancing cash & checks to--DCRJ.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Process charge entry user audit report and balances charges to encounters and--payments Daily Cash Receipt Journal (DCRJ) and compares data entry on--report.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Balance and complete DCRJ accurately and completely.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --
• Ensure all receipts are accounted for and used in sequential--order.5-------------- 4-------------- 3-------------- 2-------------- 1-------------------------------------------------------------------------- ---------------------------------------------------------------------------------------- ------------------ ------------------ ------------------ ------------------ --Required qualifications:

• Legally authorized to work in the United StatesPreferred qualifications:
  • 18 years or older

Keywords: Florida Community Health Centers, Fort Pierce , Patient Services Representative, Sales , Fort Pierce, Florida