Patient Service Spec

Carteret Health Care • Boston, MA, United States • $200k - $250k / year • 10h ago

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 schedule patient visits in other SMG practices as advised.
Perform pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility.
Responsible for obtaining 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.
Inform manager of administrative supply needs or assist with ordering.
Follow up with providers on missing slips and create claims in Athena.
Responsible for working 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.