Patient Svc Rep- Family Medicine- Ramona
ESSENTIAL FUNCTIONS:
* With a friendly disposition and tone, greets and checks in patients when they arrive to the office and/or guides patient through self-service kiosks.
* Maintains a high-level of customer service with patients and their family members, staff, and providers.
* Answers heavy volume of calls internally and incoming calls from referring providers; resolves call queries promptly.
* Ensures patient completes required forms, obtains necessary signatures, and accurately enters patient information for registration.
* At time of service, ensures all insurance, personal and health information is verified. Scans insurance card and ID into patient's file.
* Responsible for out-bound calling regarding missed appointments, to follow-up with tasked messages, outreach, Medicare wellness visit scheduling, TransactRx authorizations and Arch-to-Arch. Graybill and SCMG referrals.
* Ensures smooth patient flow by monitoring daily scheduling, scanning lobby for waiting patients, and following-up with Back Office staff as needed. Straightens lobby area to ensure a positive and professional environment for patients.
* Collects patient insurance co-payments, co-insurance, deductibles, and prior balances as well as explains payment policy/billing procedures and patient financial responsibility.
* Prepares and files patient forms while protecting patient personal health information according to HIPAA requirements.
* Balances daily monies and receipts, ensures accuracy of batch summaries, and creates deposits.
* Makes recommendations to improve processes and procedures with a focus on improving patient flow, patient satisfaction, and quality.
* Monitors, manages, and routes patient portal messages.
* Serves as department receptionist for outside vendors and contractors.
* Completes other duties as assigned
REQUIREMENTS: High School diploma or GED, and minimum one year of experience in a customer service position, preferably in a medical practice setting. Working knowledge of contracted insurances, patient benefits, and third party requirements preferred. Experience answering telephones and computer proficiency required.
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Join Palomar Health Medical Group as a Patient Service Representative in Family Medicine! In this engaging role, you will be the friendly face that greets and checks in patients, creating a welcoming atmosphere for everyone who steps through our doors. Your responsibilities will include answering phones, documenting accurate patient information, and ensuring that the patient flow in the office runs smoothly. You'll be scheduling walk-in appointments, verifying insurance information, and handling co-payments with ease. The role demands a customer-focused mindset as you interact with patients and their families, ensuring they feel valued and understood. You'll be guiding them through self-service kiosks and managing a high volume of calls, promptly resolving inquiries from both patients and referring providers. Accurately processing medical records and patient forms while adhering to HIPAA regulations is critical in this position. Additionally, you'll help manage patient flow by monitoring daily schedules and coordinating with the Back Office staff as needed. By identifying areas for improving processes, you will contribute towards enhancing patient satisfaction and overall service quality. If you are passionate about helping others and thrive in a fast-paced environment, this role is a perfect match for you. Let's work together to make a difference at Palomar Health Medical Group and ensure every patient's experience is positive and efficient!
To heal, comfort, and promote health in the communities we serve.
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