Patient Services Representative - King of Prussia (SATS)

Children’s Hospital of Philadelphia•Upper Merion Township, PA

3d•$25 - $31•Onsite

About The Position

The Lead PSR is responsible for supervisor coverage and leadership for the Patient Service Representatives and other operational staff. The Lead PSR assures staff adherence to all enterprise policies and procedures that have been developed to ensure effective and efficient quality service to patients and families. This role is responsible for supervising and covering for all functions related to greeting patients and families, scheduling, registration, collecting, entering and verifying insurance information, answering phones, obtaining/validating insurance referrals and authorizations as needed per insurance guidelines, cash collections and reconciliation, insurance verification and financial counseling. Responsibilities may include working with medical records, following HIPAA guidelines, oversee appointment confirmation, review/approve time off and perform payroll functions, and process reimbursements and credentialing packets. Other duties and administrative support and projects as required.

Requirements

High School Diploma / GED - Required
At least three (3) years patient services representative experience in a role that consisted of health care, registration, physician billing, medical records, medical office work and relatable customer service. Required
Basic knowledge of medical and billing terminology. Solid conflict resolution skills.
Basic knowledge HIPAA regulations.
Excellent verbal and written communications skills.
Excellent interpersonal skills.
Excellent organizational skills.
Strong time management skills.
Ability to maintain confidentiality and professionalism.
Ability to work independently with minimal supervision.
Ability to work with and relate to people at all levels.

Nice To Haves

Intermediate proficiency with electronic medical record software preferred.
Intermediate proficiency with Microsoft Suite.

Responsibilities

Provide welcoming, prompt and respectful customer service which includes scheduling appointments, inform of delays, address family complaints and escalate as necessary.
Oversee appointment confirmation and enter diagnosis codes according to pre-established practice guidelines.
Perform EPIC functions such as check in, check out, enter demographic and insurance information while ensuring accuracy, run daily eligibility verifications, enter and make daily edits to provider EPIC templates.
Answer phones promptly with minimal downtime between calls, accurately verifies and documents contact information and messages, provide appropriate information to callers as warranted. Communicate in a courteous, caring manner to all customers as needed. Check voicemails.
Perform administrative tasks such as sort and deliver mail, faxes, medical records and other correspondence; photocopies and faxed documents. Oversee/order office supplies.
Lead and facilitate team huddles and meetings.
Reconciliation of daily services to include collection and processing of payments received, reimbursements, create and/or obtain insurance referrals and authorizations needed.
Daily maintenance of patient records following HIPAA guidelines.
Enter provider templates and make daily edits as needed to provider schedules.
Coordinate daily eligibility verifications, reconcile drawers and make cash deposits, order supplies and other clerical duties as assigned.
Supervise staff, maintain PSR staff schedules, supervise day to day activities and participate in interviews and PSR evaluations, oversee PSR onboarding process, provide ongoing training and coaching, organize and lead PSR meetings, assist Supervisor(s) with productivity, and office/departmental coverage.
Other areas of responsibility may include, payroll edit functions, answer billing inquiries, work/oversee necessary billing ques, attending billing meetings, process credentialing packets, attend and participate in monthly PL meetings. Work various appointment recall, waitlists, value-based care and other reports. Complete After Hours Program Physician on-call schedule as needed.
Additional patient support duties may include: Respond to all traumas, resuscitations and codes, coordinate with Social Work, Nursing, and Case Managers to assist w/ newborn coverage. Emergency, Sitter and Admissions duties as needed.
If located in an area where 24/7 coverage is needed, will need to rotate shifts.
ED/Admissions specific tasks as assigned include: SART paperwork processing, Nurse Call communications, Trauma B-line and arrivals.