Patient Services Representative I at OrthoLoneStar PLLC – Nacogdoches, Texas

ESSENTIAL FUNCTIONS:

• Answer multiple line telephone, schedule appointments and redirect to appropriate departments as needed.
• Schedule and reschedule appointments for patients with attention to all insurance rules and limitations per physician preferences, including physical therapy appointments.
• Confirm appointments in advance; reach out to patient when necessary.
• Prepare schedules for clinic and identify any issues prior to visit.
• Greet patients, check-in and help patients complete necessary intake forms.
• Confirm, capture, and correct any changes in patient demographics and insurance.
• Verify insurance and obtain benefits as needed; identify remaining deductible amount and/or copay to collect.
• Collect patient payment according to the patient’s benefits and as noted within the EHR and other applicable software.
• Collect and scan patient’s insurance card and photo ID.
• Mail no show letters daily.
• Review daily superbills for completion from clinic team, make edits necessary to collect proper time of service payment due at check-out.
• Balance payments received and prepare deposit daily.
• Complete all scheduling tasks, messages, requests, referrals, and faxes.
• Return voicemails as well as making second and third attempts to patients who have left voicemails.
• Provide EOB to patients and thoroughly explain balance as needed.
• Fax DWC forms to proper recipients.
• Collate, sort and identify a variety of medical information for scanning/queuing into EMR system
• Sort faxes and assist with any fax failures and distributing to appropriate departments as needed.
• Assist with Release of Information requests by completing in office or sending to third party accordingly.
• All other duties as assigned.

QUALIFICATIONS

Education:

• High School diploma

Experience:

• Previous experience in a medical office setting
• Computer experience

Special Skills:

• Fluent in Spanish (preferable)
• Knowledge of medical and insurance terminology
• Attention to detail
• Ability to multitask between multiple applications
• Ability to effectively communicate both orally and written
• Ability to work in a fast paced environment

Physical Demands:

• Must have adequate visual acuity to read, the ability to interpret and understand written material

Environmental Working Conditions:

• Indoors with rare conditions of extreme noise.
• Continuously handle multiple tasks simultaneously and work as a part of a team.
• Frequently performs tedious and exacting work in high volume conditions with frequent changes in tasks.