Patient Services Representative - Breast Health Network - Edmond
ou medical center
📍 edmond oklahoma united states🕐 2d ago🔗 workday
Job Description
**Position Title:**
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Patient Services Representative (PSR) - Breast Health Network - Edmond
**Department:**
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BHN-Edmond
**Job Description:**
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The Patient Services Representative II coordinates schedules of patients in an out-patient clinic and provides clerical assistance toward the smooth operation of the facility.
**Essential Responsibilities**
_Responsibilities listed in this section are core to the position. Inability to perform these responsibilities with or without an accommodation may result in disqualification from the position._
* Schedules patient appointments, either by telephone or in person.
* Provides information about clinic operations.
* Obtains patient demographics on new patients and updates demographics on established patients.
* Answers telephone calls and distributes to the appropriate people.
* Coordinates schedules as directed to patients requiring multiple services, communicating with nursing and provider teams as necessary.
* Verified insurance eligibility, secures referrals, and follow up with status of referrals when communicating to patients.
* Complete insurance denials and works closely with providers, to obtain needed information to file appeals.
* Reports out abandon call rate in Tiered Huddles.
* Greets patients as they come into the clinic for scheduled appointments.
* Accepts payments and writes receipts.
* Distributes encounter forms and inspects the form for completeness and accuracy.
* Ensures the resident and faculty signatures are on the encounter form and chart.
* Copies insurance cards and uploads into the EMR as appropriate.
* Balances and closes personal Cash Drawer Reconciliation, daily.
* Prepares ancillary forms for other services (i.e. x-rays, vascular services, etc.)
* Promotes the organizations Patient Portal for communication between patient and clinic.
* Pulls patient charts for appointments or to file lab, x-ray, hospital information or other information into the chart.
* Copies medical records for patients and other providers or facilities.
* Makes up new patient charts and/or packets of information
* Validates all handouts are within compliance date.
* Requests medical records from other facilities.
* Talks to patients about financial accounts.
* Obtain insurance prior authorization for prescribed services.
* Secures referrals to other providers for HMO patients.
* Secures referrals from PCPs for HMO patients to be seen in the clinic.
* Collects and verifies proof of income in order to determine what sliding scale discount is appropriate, if any.
* Monitor and act on WQs in EMR for Referrals.
* Transcribes outside referrals into organizations EMR.
* Coordinates referral process for patient access to clinical care.
* Dispenses supplies as needed.
* Participates in Quality Improvement activities.
* Notifies appropriate person when supplies are low and need to be reordered.
* Types notes and letters for physicians as needed, via letter or patient portal.
* Makes immunization cards as needed.
* Sorts and distributes mail.
* Communicates with patients of all ages in a professional manner at all times.
* Communicates with co-workers and employees in a manner which promotes a highly “team oriented” approach.
* Enhances professional growth and development through in-service meetings and education programs.
* Maintains patient confidentiality.
**General Responsibilities**
* Performs other duties as assigned.
**Minimum Qualifications**
**Education Requirements**
* High School Diploma or GED required.
**Experience Requirements**
* 3 or more years of experience in customer service, including at least 6 months in a clinical environment, required.
**License/Certification/Registration Requirements**
* None required.
**Knowledge/Skills/Abilities Requirements**
* Advanced verbal and written communication skills.
* Advanced customer service skills.
* Advanced ability to work effectively with other employees, patients, and external parties.
* Advanced proficiency with the use of Microsoft Office tools.
* Knowledge of hospital policies and procedures.
* Keyboarding skills sufficient to meet the requirements of the position.
**Current OU Health Employees - Please click** [HERE](https://wd5.myworkday.com/oumedicine/login.htmld) **to login.**
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**OU Health is an equal opportunity employer. We offer a comprehensive benefits package, including PTO, 401(k), medical and dental plans, and many more. We know that a total benefits and compensation package, designed to meet your specific needs both inside and outside of the work environment, create peace of mind for you and your family.**
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