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Patient Service Spec

Steward Health Care System LLC • Boston, MA, United States • $200k - $250k / year • 3h ago

Location: Steward Medical Group - North

Posted Date: 9/20/2024

Job Type: Full Time

Department: 1101.68108 CMGE Orthopedic Surg Unal

Description:

This position is to function as a member of the administration team and complete assigned daily front end tasks to ensure smooth day-today 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 routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information. Provides routine information to callers and gives only authorized medical advice from a provider.
Provides a high level of customer service to all new and existing patients of the practice.
Creates patient cases and documents telephone calls and messages into Athena or other EMR.
Schedules patient appointments and appropriate testing for patients as requested.
Registers patients in EMR and verifies information including demographics and obtains accurate health insurance information. Conduct eligibility checks to ensure insurance is reflected accurately.
Collects required insurance co-pays from patients including any prior balances.
Follows scheduling notes and direct schedules patient visits in other SMG practices as advised.
Performs 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.
Performs outreach to select patient groups as directed for patient care and quality measurement/guidelines. Schedules specialty appointments/testing as required.
Performs work in EMR buckets as directed and per practice need.
Responsible to inform manager of administrative supply needs or assists with ordering.
Follows up with providers on missing slips and creates claims in Athena.
Responsible to work assigned revenue cycle buckets as directed.
Must be able to work independently with little supervision.
Adheres to SMG policies.
Always uses discretion to ensure patient confidentiality.
Performs other duties as requested