Provider Relations Representative, Sr. jobs in Evansville, IN

Department: OCH Provider Practice Clincs - All Locations

Status/Schedule: Full Time

Shift: Days

Location: Hartford, KY - Beaver Dam, KY - Fordsville, KY - Morgantown, KY - Owensboro, KY

For more information contact: Sarah Beth Cole, scole@ochcares.com

Qualifications:

• Education: High school diploma or GED
• Experience: Preferred experience in Customer Service, Data Entry or EMR related roles
• Additional Requirements:
  • Candidates that are positive in nature, detail oriented, must have the ability to multitask, are committed to accuracy and excellence, have strong communication skills and have a patient, servant mentality will excel in this position.
  • Knowledge of medical terminology preferred
  • Must be detailed oriented
  • Strong organizational and time management skills
  • Excellent verbal and written communication skills
  • Strong sense of discretion and professionalism
  • Strong multi-tasking skills
  • Critical thinking skills

Job Description:

• The patient services representative (PSR) is responsible for a variety of administrative functions and patient care activities in support of the clinic to include - checking-in/outpatients collecting co-pays, verifying insurance, scheduling appointments and assist ng clinical staff to provide support for the efficient delivery of patient care.

• Job Responsibilities:

  • Opening and closing the office
  • Ensure waiting area is always neat
  • Answering phones and directing to appropriate dept/staff
  • Create patient telephone encounters/actions/messages for other staff
  • Scheduling appointments
  • Screen patients for possible contagious illnesses and providing direction if patient should be seen via telemedicine
  • Scheduling referral appointments such as specialty care, diagnostic testing, PT, etc
  • Entering patient demographics in to EMR
  • Verification of insurance eligibility and benefits
  • Obtain required forms (Registration, Health History, Third Party Liability, NPP, and Consents)
  • Identify insurance coverages and distinguish between primary, secondary & tertiary
  • Obtain case in jury information for Workman’s Comp and MVA
  • Check patient in and out
  • Contact patients that no show or Cancel/ Reschedule Report from confirmation calls
  • Live confirmation calls for upcoming appointments
  • Obtain and enter referral information
  • Mark No Shows in daily schedules
  • Scan demographic documents into the patients’ chart in EMR
  • Report daily on no shows and rescheduling trends
  • Open mail; distribute to appropriate individual/team
  • Collect copays, TOS payments, prepayments and any outstanding balances
  • Close out and balance cash drawer; complete bank deposit
  • Balance daily transactions
  • Run day end review and billing summary
  • Work front-end billing denials
  • Obtain, log in/out, distribute to appropriate clinical staff and follow up on outstanding incoming forms: disability, FMLA, handicapped permits, etc.
  • Read and comprehend patient billing to answer general questions
  • General financial counseling: patient balances, payment options, setup payment plans
  • Prep daily schedules and identify outstanding balances for upcoming appointments
  • Have ability to communicate effectively (both verbal and written) with patient, physicians, and other teammates
  • Liaison between patient and clinical staff
  • Additional tasks as assigned by the Management