Patient Services Specialist (FT)

Patient Services SpecialistRochester, NY

Planned Parenthood of Central and Western New York (PPCWNY) protects and provides health care and education that empowers individuals and families. With respect. Without judgment. No matter what.

In support of PPCWNY’s mission, the Patient Services Specialist is responsible for greeting patients, verifying patient demographic information, checking patients in/out of EHR system, verifying insurance, and screening applicants for presumptive eligibility, Medicaid for Pregnant Women, and the Family Planning Benefit Program.

Essential Functions

• Greets patients, visitors, and colleagues in a friendly, courteous, and professional manner
• Operates telephones efficiently by promptly answering the telephone, screening telephone calls and referring appropriately, and recording and delivering telephone messages as necessary
• Addresses patient concerns in a prompt, courteous, confidential, and caring manner
• Maintains a clean and organized work area, ensuring patient confidentiality according to HIPAA compliance regulations
• Schedules, confirms and reschedules patient appointments as needed in a timely, efficient manner
• Verifies and/or creates patient demographic and insurance information in the Electronic Practice Management System (EPM) to assure timely and accurate billing
• Verifies and/or generates required consents in EPM such as but limited to: Request for Medical Services and the Payment Arrangement – Insurance form
• Verifies insurance eligibility and coverage prior to services being rendered
• Requests photo identification and insurance information from patients in accordance with our policy
• Interfaces with EPIC to check in and register patients
• Assesses patients for their placement on a Discount Fee Schedule
• Requests income information from patients by completing the appropriate documentation
• Assesses eligibility and screens patients for grants and other payment sources such as but not limited to: Medicaid Presumptive Eligibility for Pregnant Women and the Family Planning Benefit Program
• Assists patients with completion of insurance forms as necessary; assists in obtaining necessary program eligibility documentation, if necessary
• Collects payment and informs client of any outstanding financial responsibility
• Verifies checks, credit cards, and debit cards, as outlined in procedures; provides patient with a receipt
• Provides emergency contraceptives and birth control to patients/people who walk in for supply sales in accordance to company policy and procedure
• Reviews charges for completeness and accuracy; enters client visit record (CVR) data into EPM
• Follows appropriate Cash Handling procedures
• Faxes and/or scans medical records requests and paperwork, as directed

Other Accountability Activities

• Provides excellent customer service to all patients and visitors with the intent of exceeding expectations
• Travels to other sites as needed to fill in when a Patient Service Specialist is absent, as directed by the Health Center Manager
• Participates in and adheres to agency’s Compliance, Quality, and Risk Management program
• Attends and participates in staff meetings; may assist with training of new staff or attending training workshops, as requested
• Participates in affiliate initiatives
• Accepts individual and joint responsibility for, participates in, and works to achieve productivity, customer service, and capacity goals as set by PPCWNY
• Performs other duties as assigned
• Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints, and needs.