Patient Services Representative
DUTIES AND RESPONSIBILITIES
- Coordinate patient care within and across departments, including collaboration with external partners as needed.
- Serve as a primary communication liaison between patients, providers, nursing staff, and care teams.
- Perform patient check-in and registration activities, including insurance verification, collection of co-pays or payments, administration of the sliding scale program, and arrival of patients in the EHR.
- Educate patients on appointment expectations, required forms, payment responsibilities, and clinic policies.
- Accurately enter, update, and maintain patient demographics, encounters, referrals, forms, and prescription requests in the EHR.
- Assist with appointment scheduling, including same-day, follow-up, specialty, internal referral, and recall appointments.
- Perform patient check-out functions, including scheduling follow-up appointments and reviewing After Visit Summaries.
- Conduct patient pre-registration prior to scheduled visits and monitor timely completion.
- Manage appointment reminders, no-shows, cancellations, recall lists, and end-of-day reconciliation activities.
- Conducts reminder calls
- Follow up with patients after emergency department visits, hospital admissions, or discharges to coordinate timely follow-up care.
- Support referral coordination and prior authorization processes in collaboration with providers and nursing staff.
- Promote and assist patients with enrollment and navigation of the patient portal, including MyChart.
- Manage assigned work queues and In-Basket messages related to registration, scheduling, prescriptions, and discharge communications in a timely manner.
- Process clinical and administrative documentation, including lab results, durable medical equipment requests, pharmacy authorizations, and related forms.
- Track and manage patient forms, letters, PT-1 forms, and transportation requests, including The Ride.
- Support patient outreach and re-engagement efforts through phone calls, electronic communications, and registry-based reports.
- Send and manage Artera messages and assist with outreach and recall campaigns.
- Coordinate patient transfers between clinics and Urgent Care as needed.
- Support provider onboarding and offboarding activities, including equipment, supplies, and access coordination.
- Perform general administrative duties, including ordering supplies, picking up the mail daily and maintaining clean, organized work and patient areas.
- Exercise sound judgment to appropriately escalate issues to supervisors or leadership to ensure timely resolution.
- Maintain compliance with HIPAA and protect the confidentiality and privacy of patient information.
- Meet established service level expectations, productivity goals, and key performance indicators.
- Attend required staff meetings, trainings, and educational sessions.
- Provide coverage for check-in, check-out, registration, managed care, or call center functions as assigned.
- Other duties and/or locations as assigned.