Description:
This position is to function as a member of the administration team and complete assigned daily front end tasks to ensure smooth day-to-day operations in the SMG physician practice. The Patient Service Specialist must maintain a professional, positive manner when talking with patients in-person, over the phone, or via email.
Responsibilities for PSS I:
- Answer calls and route telephone calls appropriately; take messages, follow through with each message, ensuring that the appropriate physician/staff member receives the information. Provide routine information to callers and give only authorized medical advice from a provider.
- Provide a high level of customer service to all new and existing patients of the practice.
- Create patient cases and document telephone calls and messages into Athena or other EMR.
- Schedule patient appointments and appropriate testing for patients as requested.
- Register patients in EMR and verify information including demographics and obtain accurate health insurance information. Conduct eligibility checks to ensure insurance is reflected accurately.
- Collect required insurance co-pays from patients including any prior balances.
- Follow scheduling notes and direct schedules patient visits in other SMG practices as advised.
- Perform pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility.
- Responsible to obtain prior authorizations and/or insurance referrals as per practice need.
- Perform outreach to select patient groups as directed for patient care and quality measurement/guidelines. Schedule specialty appointments/testing as required.
- Perform work in EMR buckets as directed and per practice need.
- Responsible to inform manager of administrative supply needs or assist with ordering.
- Follow up with providers on missing slips and create claims in Athena.
- Responsible to work assigned revenue cycle buckets as directed.
- Must be able to work independently with little supervision.
- Adhere to SMG policies.
- Always use discretion to ensure patient confidentiality.
- Perform other duties as requested.
Qualifications:
- Strong customer service excellence expected.
- Excellent communication and interpersonal skills required.
- High School Diploma or equivalent required.
- One to three years as a medical secretary preferred.
- Experience with EMR strongly preferred. (Athena a plus)
- Experience with Microsoft Office, Word, Excel, and Outlook preferred.
Steward Health Care is proud to be a minority, physician owned organization. Diversity, equity, inclusion and belonging are at the foundation of the care we provide, the community services we support and all our employment practices. We do not discriminate on the grounds of race, color, religion, sex, national origin, age, disability, veteran status, sexual orientation, gender identity, and or expression or any other non-job-related characteristic.
