Patient Service Representative

Essential Functions - Prior/Current work in a Dental Office Strongly Preferred

• Informs patient prior to visit about the fee assessment process or co-pays


• Performs patient pre-registration function and runs eligibility reports to determine insurance coverage.


• Verifies third-party insurance coverage via on-line verification or telephone.


• Receives and acknowledges all health center patients and visitors.


• Maintains and verifies patient schedule.


• Reviews sections of the patient information forms.


• Collects all co-payments or initial fees from patients prior to the patient seeing the provider.


• Obtains patient’s signature on health care forms (for example, Medicaid and Medicare Authorization Forms, etc.).


• Scan patient’s identification and insurance Cards into the EMR System


• Services a minimum of 35 to 40 patients daily.


• Schedules appointments in the EMR System.


• Backfills the Medical Assistant to record messages for providers (for ex: RX refills, pharmacy, calls from other health care providers, etc.)


• Handles and processes a high volume of phone calls (70-80 a day)


• Places calls to patients to remind them of their appointments.


• Contact patients who have missed their appointments, ascertain why, and reschedule if necessary.


• Facilitates scheduling referral appointments for patients if needed.


• Inputs data into computer system on an as needed basis


• Provides printed patient instructions, community resources, clinical visit summary and any lab, diagnostic study, or referral orders.


• Performs batching process and real time check out to include creation of daily batch and end of day batch reconciliation.


• Assist with scheduling activities to support improving patient access including no show reports and care gap report.


• Makes change and issues a receipt to the patient.


• Registers and updates patient, emergency contact, financial and insurance information


• Processes referrals on an as needed basis


• Performs other duties as assigned

Qualifications/Experience:

• General education degree or high school diploma


• Three (3) to five (5) years’ experience in medical setting


• Knowledge of dental/medical and terminology, procedures, and diagnosis


• Knowledge of computer and relevant software applications (Microsoft Suite EMR)


• Knowledge of general administrative and clerical procedures


• Working knowledge of dental/medical insurance