Patient Service Representative

Essential Functions - Prior/Current work in a Dental Office Strongly Preferred

• Informs patient prior to visit about the fee assessment process or co-pays
• Performs patient pre-registration function and runs eligibility reports to determine insurance coverage.
• Verifies third-party insurance coverage via on-line verification or telephone.
• Receives and acknowledges all health center patients and visitors.
• Maintains and verifies patient schedule.
• Reviews sections of the patient information forms.
• Collects all co-payments or initial fees from patients prior to the patient seeing the provider.
• Obtains patient’s signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.).
• Scan patient’s identification and insurance Cards into the EMR System
• Services a minimum of 35 to 40 patients daily.
• Schedules appointments in the EMR System.
• Backfills the Medical Assistant to record messages for providers (for ex: RX refills, pharmacy, calls from other health care providers, etc.)
• Handles and processes a high volume of phone calls (70-80 a day)
• Places calls to patients to remind them of their appointments.
• Contact patients who have missed their appointments, ascertain why, and reschedule if necessary.
• Facilitates scheduling referral appointments for patients if needed.
• Inputs data into computer system on an as needed basis
• Provides printed patient instructions, community resources, clinical visit summary and any lab, diagnostic study, or referral orders.
• Performs batching process and real time check out to include creation of daily batch and end of day batch reconciliation.
• Assist with scheduling activities to support improving patient access including no show reports and care gap report.
• Makes change and issues a receipt to the patient.
• Registers and updates patient, emergency contact, financial and insurance information
• Processes referrals on an as needed basis
• Performs other duties as assigned

Qualifications/Experience:

• General education degree or high school diploma
• Three (3) to five (5) years’ experience in medical setting
• Knowledge of dental/medical and terminology, procedures, and diagnosis
• Knowledge of computer and relevant software applications (Microsoft Suite EMR)
• Knowledge of general administrative and clerical procedures
• Working knowledge of dental/medical insurance