Overview
Patient Service Representative_MGBL Jobs in Billings – Montana – USA at Intermountain Healthcare
Job Description:
This position is responsible for billing, follow-up, and resolving issues that delay or prevent payment of the patient’s account within Intermountain’s policies and procedures.
Scope
1.Greets patients. Answer phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).
2. Schedules patient appointments for visits, procedures, diagnostic tests, referrals and/or consultations.
3. Registers patients. Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. Follows procedures when identifying patients.
4. Obtains copies of insurance card(s), forms of , and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required. Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.
5. Informs self-pay patients of liability due and prepayment requirements. Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.
6. Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms. Documents patient account notes for all interactions/transactions.
7. Maintains department and/or individual work queues and reports as required.
8. Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office.
9. Promotes mission, vision, and values of SCL Health, and abides by service behavior standards.
10. Performs other duties as assigned.
Minimum Qualifications
Required
High School diploma or equivalent is required
Preferred
One (1) year customer service experience is preferred One (1) year experience in related/medical field is preferred Understanding of Medical Terminology is preferred
To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements list must be representative of the knowledge, skills, minimum
education
, training, licensure, experience, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
1. Regular attendance to perform work on site during regularly scheduled business hours or scheduled shifts is required
2. Excellent customer service skills, in person and via telephone.
3.
Ability to
work in a
fast-paced environment
.
4.
Ability to
multitask.
5. Strong organizational skills and
attention to detail
.
6.
Ability to
maintain confidential infor…
Title: Patient Service Representative_MGBL
Company: Intermountain Healthcare
Location: Billings – Montana – USA
Category: Healthcare, Administrative/Clerical
