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.
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.
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