Patient Service Representative

Patient Service Representative Overview

• The Patient Service Representative plays a vital role in ensuring smooth clinic operations and exceptional customer service.
• Responsible for welcoming patients, verifying insurance coverage, and managing enrollment documentation accurately.
• Supports scheduling of follow-up appointments and consultations, ensuring timely and efficient patient care.
• Creates a welcoming atmosphere in the waiting room, enhancing patient experience.
• Works collaboratively with healthcare providers to facilitate seamless clinic operations.
• Delivers outstanding customer service to patients and internal/external customers consistently.
• Handles patient inquiries, registration processes, and insurance verification with professionalism and accuracy.
• Ensures compliance with clinic policies and procedures while maintaining a clean and organized reception area.
• Participates in daily huddles and contributes to team discussions for operational improvements.

Patient Service Representative Key Responsibilities & Duties

• Perform professional scheduling of patient appointments and follow-ups efficiently.
• Greet and register patients upon arrival, ensuring accurate demographic checks.
• Verify insurance coverage, including pre-authorizations, and assist with billing forms.
• Conduct reminder calls and outreach to reschedule missed appointments.
• Document patient information, including PCP assignments and insurance eligibility.
• Distribute metro cards to patients and reconcile issued cards daily.
• Maintain a clean and organized reception area, ensuring a positive patient experience.
• Handle co-payments and sliding scale fees, reconciling them accurately.
• Provide transportation assistance and escalate unresolved issues to the Clinic Manager.

Patient Service Representative Job Requirements

• High School Diploma or GED required; additional certifications in healthcare administration are a plus.
• Minimum of 2 years of experience in medical reception or a related field.
• Proficiency in E-Clinical Works or similar healthcare software preferred.
• Familiarity with standard medical field concepts, practices, and procedures.
• Spanish-speaking ability is highly preferred for effective communication.
• Availability for evening and weekend shifts as required.
• Strong organizational skills and attention to detail in documentation and scheduling.
• Ability to commute to multiple clinic locations as needed.
• Excellent customer service and problem-solving skills to enhance patient satisfaction.