Patient Service Specialist I

at  Steward Health Care

POSITION SUMMARY

• 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.

SKILLS

• Strong customer service excellence expected.
• Excellent communication and interpersonal skills required
• Experience with EMR strongly preferred. (Athena a plus)
• Experience with Microsoft Office, Word, Excel, and Outlook preferred.

EDUCATION & EXPERIENCE

• High School Diploma or equivalent required.

• Answers 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.