Patient Services Representative
Company: PRISM Vision Group
Location: Reston
Posted on: March 19, 2023
Job Description:
POSITION SUMMARY
The Patient Services Representative is responsible for scheduling
and registering patients for appointments. Success in this position
requires the ability to utilize the scheduling system to search for
appointments across multiple physicians, resources, while utilizing
understanding of insurance requirements to ensure patients are
scheduled with the appropriate provider within a convenient time
frame.
ROLE AND RESPONSIBILITIES
- Schedule and accurately complete full registration for patients
requesting appointments adhering to policies and procedures
regarding appointment scheduling and registration processes,
performing these tasks accurately with attention to detail to
ensure the highest quality standards.
- Initiate pre-registration process and ensure all demographic
insurance information is accurate, complete and up to date on
patient's screen.
- Verification of insurance information, verification of benefits
and insurance referral information.
- Verification of private patient insurance information for same
day appointments or by request.
- Adhere to HIPPA standards related to patient privacy and
confidentiality.
- Obtain legal photo identification and (if applicable) insurance
card (s), and validate patient identity and coverage (if
applicable) prior to services being rendered thereby ensuring
patient safety and financial reimbursement.
- Assure ease of patient flow through clinical care process.
- Provide patients with all required information regarding
appointments and payment policies (e.g. medical records, parking,
cash policies, anticipated charges, cancellation policy).
- Intervene as liaison/advocate for patients, physicians, and
staff in facilitating ease of care.Assist in identifying trouble
spots and problem patterns in the provision of care.
- Maintain a working knowledge of medical symptoms, signs, and
anatomical systems to identify and differentiate type and urgency
of medical need.
- Maintain knowledge of insurance referral requirements to ensure
access based on third party reimbursement criteria.
- Notify appropriate parties of the appointment time, referral
criteria, insurance verification, and prior authorization
requirements.
- Performs all above-mentioned tasks by paying attention to
detail and providing excellent customer service skills with
Patients, Physicians and other related members
- Maintains positive attitude consisting of cooperation,
self-motivation, courtesy, and professionalism.
- Comply with company compliance policies and standards
POSITION QUALIFICATIONS
Education: High School Graduate or General Education Degree (GED).
Bachelor's degree in relevant discipline highly preferred.
Keywords: PRISM Vision Group, Reston , Patient Services Representative, Sales , Reston, Virginia
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