Patient Services Rep - CNPA Laurel

The Patient Service Representative (Children's National Pediatricians & Associates) performs basic medical front office duties. Greets patients and visitors, schedules appointments, provides administrative support, gathers demographics, verifies insurance eligibility, collects copay, deductibles, balances, check credit balances and maintains patient electronic health records (EHR). Processes specialty referrals and assist in training new staff. Performs daily duties under close supervision. Minimum Education

High School Diploma or GED (Required)

Minimum Work Experience

1 year Medical office/business office setting (Preferred)

Required Skills/Knowledge

Basic math skills.

Basic knowledge of office procedures.

Basic knowledge of medical terminology .

Knowledge of patient financials & accounting.

Knowledge of insurance verification.

Knowledge of scheduling appointments.

Great communication and customer service skills.

Ability to follow precise procedures and is detail-oriented.

Knowledge of Microsoft Office suite.

Functional Accountabilities

Patient Services Account

Review, verify, update and perform all other patient account information and duties at every visit as defined in the training manual.

Collect appropriate copays, deductibles, and balances; use credit balances when applicable and document all financial transactions in the EHR; collect and process administrative charges as appropriate. Patient Services Scheduling

Ensure complete patient registration by parent/guardian and populate all required registration fields in the EHR.

Verify patient insurance eligibility and coverage prior to service.

Ensure the schedule is accurate and up to date (Ex: check-in, check-out, and no shows).

Schedule patient appointments accordingly based on the scheduling policy.

Process patient referrals according to the Referral loop and PCMH workflow. Office Support and Administration

Answer phones and handle calls promptly and accordingly.

Give and obtain accurate and pertinent information to and from callers.

Ensure all patient related communications are as defined by the PCMH workflow.

Scan appropriate documents into a patient’s chart in a timely manner.

Sort incoming and outgoing mail and documents; maintain office to ensure a clean and organized environment.Professional Development

Attend meetings as required, and participate in committees as requested.

Participate in professional development activities

Organizational Accountabilities

Organizational Accountabilities (Staff)

Organizational Commitment/Identification

Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

Demonstrate collaborative and respectful behavior

Partner with all team members to achieve goals

Receptive to others’ ideas and opinions

Performance Improvement/Problem-solving

Contribute to a positive work environment

Demonstrate flexibility and willingness to change

Identify opportunities to improve clinical and administrative processes

Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

Use resources efficiently

Search for less costly ways of doing things

Safety

Speak up when team members appear to exhibit unsafe behavior or performance

Continuously validate and verify information needed for decision making or documentation

Stop in the face of uncertainty and takes time to resolve the situation

Demonstrate accurate, clear and timely verbal and written communication

Actively promote safety for patients, families, visitors and co-workers

Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance