Clinic Patient Account Rep I

Description

Professional Requirements

· Adheres to dress code, appearance is neat and clean

· Completes annual organization-required and/or job-required educational requirements

· Maintains regulatory requirements

· Wears identification while on duty

· Attends staff meetings and/or reads all meeting minutes

· Reports to work on time and as scheduled, completes work within the designated time

· Maintains employee/patient confidentiality

· Represents the organization in a positive and professional manner

· Participates in the department’s performance improvement activities

· Demonstrates the mission, ethics, and goals of the organization as well as the departmental Scope of Service

· Communication with patients, guests, family, and staff is courteous, respectful, and helpful

· Maintains a clean, safe, and accident-free environment

Patient Account Representative Duties

· Greet patient and visitors in a courteous, professional and helpful manner.

· Answer multi-line phone calls, respond to inquiries, and direct calls to appropriate staff.

· Schedule and confirm patient appointments

· Perform patient check-in and check-out procedures, ensuring all forms and documentation are complete

· Verify insurance coverage and obtain necessary pre-authorizations or referrals

· Collect co-pays, process payments and balance daily transactions

· Maintain patient records and ensure privacy and confidentiality in compliance with HIPAA

· Manage waiting room and keep the reception area clean and organized

· Assist with clerical duties such as scanning, faxing, filing, and mailing as needed

· Coordinate with clinical staff to ensure smooth patient flow

· Communicate appointment delays or scheduling updates to patients

· Documents and communicates areas of concern to supervisor.

Essential Job Functions

1. The Patient Account Representative has frequent contact with the public and often handles sensitive information and will maintain the confidentiality of all patient-hospital or physician-related information.

2. Coordinates patient care along with his/her team leader throughout the shift. 

3. Handles all requests with a positive attitude at the time the request is made. Cooperates with team members in a constructive and supportive manner. Demonstrates ethical conduct and practices in carrying out delegated duties within the scope of practice.

4. Has a strong knowledge base of the scope of practice, and demonstrates the ability to function within the scope of practice.

5. Participates in safety, disaster, and fire protection programs.

6. Follows normal chain of command.

7. Covers for absentee staff as appropriate. 

8. Performs other relevant duties as assigned.

The above job summary and essential job functions are intended to describe the nature and level of work being performed. It is not an exhaustive list of all responsibilities, duties, and skills required of personnel for this job classification.