Patient Service Rep Job Description
Patient service rep
provides medical record documentation as requested by medical record department and/or centralized billing office within 24 hours of request.
Patient Service Rep Duties & Responsibilities
To write an effective patient service rep job description, begin by listing detailed duties, responsibilities and expectations. We have included patient service rep job description templates that you can modify and use.
Sample responsibilities for this position include:
Primary responsibilities include checking in patients for appointments, collecting patient payments, answering telephones, taking accurate messages, scheduling appointments, and checking insurance eligibility
Other responsibilities include checking in patients for appointments, collecting patient payments, answering telephones, taking accurate messages, scheduling appointments, and checking insurance eligibility
Obtains insurance benefit forms and completes as required
Problem-solves charges, registration data (demographic, insurance) relating to patient inquiries
Determines proper financial class and payor codes while establishing the estimated financial responsibility of the patient and insurance company
Primary responsibilities include answering telephones and scheduling appointments
Appointment scheduling, appointment registration, high volume of phone work, review of encounter forms for compliance and accuracy, billing cycle functions, medical records, filing duties and other prescribed projects
Primary responsibilities for all aspects of the referral duties including scheduling appointments with specialists, obtaining pre-authorizations and pre-certifications pre-determinations and appeals for the patient
Notify RN for those that present with new insurance card
Schedule appointments and accurately enters data into scheduling system
Patient Service Rep Qualifications
Qualifications for a job description may include education, certification, and experience.
Licensing or Certifications for Patient Service Rep
List any licenses or certifications required by the position: GOLD, BLS
Education for Patient Service Rep
Typically a job would require a certain level of education.
Employers hiring for the patient service rep job most commonly would prefer for their future employee to have a relevant degree such as Associate and High School Degree in Associates, Education, Graduate, Communication, Medical, General Education, Computer, Patient Care, Health, Business
Skills for Patient Service Rep
Desired skills for patient service rep include:
Medical terminology
Medical office and terminology
Microsoft Windows and Office
Insurance
Medical record management
Scheduling
Computers
Microsoft Office
Accounting
Cadence
Desired experience for patient service rep includes:
Verifies and updates patient demographic and guarantor information ensuring clean claims processing
Identifies whether patient needs authorization or referral
Schedules all follow-up appointments or special testing appointments using correct signature pathways and provides proper patient instructions
Requires frequent data entry, sitting, standing and walking
Collects payment at time of registration or check-out
Reviews Face Sheets, Patient Identification Forms and related system reports for accuracy
Patient Service Rep Examples
1
Patient Service Rep Job Description
Job Description Example
Our company is growing rapidly and is searching for experienced candidates for the position of patient service rep. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient service rep
- Perform scheduling functions according to dept
- Accurately identify, verify, and input patient insurance information and comments into clinic practice management system at all points of patient contact including card scanning
- Explains accounts to patients
- Performs all follow-up that is required (copying of i.d
- One year of patient account experience preferred
- Must be able to type 45-50 wpm, use various office equipment such as CRT, phones, copier, fax machine and printer
- Understanding of UB92's and importance of hospital billing/collections process preferred
- Faxing, photocopying, scanning, filing and mailings
- Greeting visitors, patients, and families in a friendly professional manner and directs them appropriately
- Maintaining an efficient patient flow through the registration process and provides excellent customer service to patients/families
Qualifications for patient service rep
- Preferred bilingual in Spanish or Polish
- Knowledge of payer requirements (co-pays, referrals)
- Typing speed of 25 wpm preferred with good accuracy
- Or when patient is unable to assist with the lift, patient handling equipment is
- 1 year experience in a customer service position Healthcare experience preferred
- The PSR must have excellent interpersonal skills, customer orientation and an outgoing and pleasant demeanor
2
Patient Service Rep Job Description
Job Description Example
Our company is growing rapidly and is looking for a patient service rep. If you are looking for an exciting place to work, please take a look at the list of qualifications below.
Responsibilities for patient service rep
- Obtains chart 1-2 day(s) prior to appointment
- Associates degree in a healthcare related field of study preferred
- Healthcare software computer programs preferred
- Greets patients
- Observes patient waiting room, recognizes patients waiting for extended time periods
- Schedules patient appointments in the EMR per provider protocols and patient preferences
- To provide efficient and quality work, excellent customer service and physician/clinician support through a variety of office duties
- Primary responsibilities include obtaining prior authorizations
- This position will work primarily in the call center to answer incoming calls and schedule appointments
- Responds in a courteous and timely manner to phone, mail and in-person inquires
Qualifications for patient service rep
- 2 years of relevant front-desk and customer related experience in a healthcare facility or 3 years in a front-end customer service position preferred
- High School Diploma or College level course work preferred but not required
- Heartsaver within 30 days of hire
- Previous Patient Service Representative experience preferred
- Previous PSR experience preferred
- Must have the ability to organize and perform multiple tasks in a timely manner
3
Patient Service Rep Job Description
Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of patient service rep. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient service rep
- Maintains positive and open communications regarding problem resolution with patients, peers and other departments
- Other projects and task as needed
- Primary responsibilities include obtaining referrals
- Patient check in and out
- Processing patient paperwork
- Updating and maintaining patient demographic information
- Process patient pre authorizations with certain insurances to get medications approved
- Working within the scanning system with fax batches and tasks the paperwork to the appropriate team member within the system
- Process End Of Day procedures
- Interviews in-house patients and determines eligibility for Medicaid programs
Qualifications for patient service rep
- Experience with EHR, Practice Management System and Departmental/Ancillary Systems preferred
- High School Graduate or GED required
- Notifies nursing staff of apparent seriously ill patient
- Sorts and delivers department mail
- Other duties as assigned specific to department needs
- Maintains work area and lobby in neat and orderly manner
4
Patient Service Rep Job Description
Job Description Example
Our growing company is looking to fill the role of patient service rep. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for patient service rep
- Begins the Medicaid application process when possible
- Reach out to discharged patients to determine eligibility
- Obtains all paperwork from patients that are interviewed
- Partner with patients to ensure patient understanding of process and assist with any questions during the application process
- Introduce Centauri's services, sets expectations for process and communication to ensure patient understanding
- Ensure safety and confidentiality of data and systems by adhering to the organizations information security policies
- Operate telephone to answer to schedule appointments
- Greet office visitors entering establishment, check in and out for appointment and collect payments
- Check benefit and authorizations
- Provides assistance with electronic and in person patient check in located at the applicable Guest and Patient Services desks across campus
Qualifications for patient service rep
- Performs related work as required per department
- Adapts to role changes in a positive manner
- This position requires six months of health care experience, or an equivalent combination of experience and education in an accredited medical training program
- Must be Bilingual in Spanish or Polish
- Ability to work in office environment, including moderate noise levels
- General autonomy with regards to daily duties/tasks in all work stations of assign department
5
Patient Service Rep Job Description
Job Description Example
Our growing company is looking for a patient service rep. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient service rep
- Coordinates daily scheduling of patients
- Accurately identify, verify, and input pertinent demographic information and comments into clinic practice management system at all points of patient contact
- Obtain pertinent signatures as required with 100% accuracy
- Accurately identify, collect and post co-pays while maintaining at least a 90% or better collection rate
- Review and process non-office and office charge tickets maintaining compliance with coding guidelines
- Take accurate and complete messages with required information
- Complete daily reports, collect other pertinent information as requested and complete
- Order and prepare medical charts per department/physician guidelines
- Complete assigned training classes
- Responsible for the clerical duties for the Admitting and Registration of patients
Qualifications for patient service rep
- Basic proficiency in computer use required
- Minimum of two years office experience, including collection activities, preferably in a medical setting
- Demonstrates knowledge and skills necessary to provide care to patients throughout the life span with consideration of aging processes, human development stages and sensitivity to cultural diversity in each step of the care process
- Three to four months of related experience in a physician’s medical office practice on-the-job training to become familiar with the practice and procedures specific to assigned job duties
- Proficient in English language, bi-lingual highly desirable
- Caretracker experience preferred