Lifespan
Outpatient Services Rep
Lifespan, Providence, Rhode Island, us, 02912
Summary:Under the general supervision of but according to established policies and procedures, the incumbent performs various administrative duties to expedite each patient's visit for clinical care. These duties include preparation of patient records; registration and pre-registration activities; problem resolution; appointment scheduling; and co-payment preparation and collection. In addition, ancillary duties performed provide tracking and status of follow-up care as it pertains to specific diagnostic coding, billing/payment resolution, and generation of system reports which reflect scheduling activities.Responsibilities:Schedules patients using the hospital's scheduling system. This includes establishing the appointment type, specific provider, clinic, and appointment time. Schedules follow-up appointments using the online scheduling system. May schedule appointments for patients who need lab work, diagnostic imaging, or referral to other medical providers. Refers technical/clinical inquiries to appropriate personnel. Utilizes the online billing system to enter diagnosis/service codes from encounter sheets, including accurately entering the appropriate code in the hospital's billing system.
Completes pre-registration and registration processes using the online billing system. Verifies demographic data, insurance authorization information, co-pays, and physician. Collects co-payments and provides patients with receipts. Produces registration cards using the online system and card embosser. Photocopies the front and back of the insurance card. Confirms patient eligibility with insurance carriers and obtains visit authorizations as necessary. Provides mature quality customer service to patients, their families, and/or their representatives.
Mails informational material to new patients in advance of scheduled appointments. As necessary, contacts agencies outside the Hospital to obtain pertinent patient information and to coordinate clinic/treatment programs. Contacts third-party payors to obtain required pre-authorizations in accordance with established policies.
Acts as an outpatient center receptionist. Makes telephone calls to patients as appointment reminders. Answers incoming calls and returns phone calls to patients, physician offices, and other medical providers such as laboratory and radiology facilities. Greets arriving patients and verifies pertinent information and physician using the online billing system. Orients patients to the specific outpatient center as a hospital-based service. Interacts effectively with patients and their family members.
Handles coding/billing within parameters as outlined in the department guideline. Using the online billing system, enters diagnosis codes/service codes from encounter sheets. Verifies the appropriateness of the diagnostic code prior to entering it in the billing system. Interacts with patients and Patient Financial Services to resolve billing issues, including denials. Appropriately refers patients to patient advocates for financial counseling.
Obtains and organizes medical records for use by physicians and nurses. Ensures the patient's file is complete prior to treatment/clinic visit, including appropriate records, lab test results, and x-rays. Evaluates the file prior to the scheduled visit and follows up with other Hospital departments to obtain missing data.
Prints reports using both the online scheduling and billing systems.
Performs all duties in accordance with RIH's mission, the defined role of ambulatory care, and defined administrative/clerical rules, procedures, and policies.
May respond to telephone calls/inquiries by rotating into a centralized setting (i.e., a call room).Other Information:BASIC KNOWLEDGE:High School Diploma or equivalent.
Demonstrated knowledge of PC skills using the Windows operating system environment and accompanying software packages.
Must have knowledge of medical billing routines for physician office practice.
Must also have knowledge of medical terminology, diagnosis codes, and procedure codes.
Must use and have knowledge of courteous telephone technique and good customer service skills.
EXPERIENCE:Six months experience coding and billing using an online billing system.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Walking, sitting, standing throughout the day in a clinic setting.
SUPERVISORY RESPONSIBILITY:
None.Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Lifespan is a VEVRAA Federal Contractor.Location:
Rhode Island Hospital USA:RI:ProvidenceWork Type:
Per DiemShift:
Shift 1Union:
IBT
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Completes pre-registration and registration processes using the online billing system. Verifies demographic data, insurance authorization information, co-pays, and physician. Collects co-payments and provides patients with receipts. Produces registration cards using the online system and card embosser. Photocopies the front and back of the insurance card. Confirms patient eligibility with insurance carriers and obtains visit authorizations as necessary. Provides mature quality customer service to patients, their families, and/or their representatives.
Mails informational material to new patients in advance of scheduled appointments. As necessary, contacts agencies outside the Hospital to obtain pertinent patient information and to coordinate clinic/treatment programs. Contacts third-party payors to obtain required pre-authorizations in accordance with established policies.
Acts as an outpatient center receptionist. Makes telephone calls to patients as appointment reminders. Answers incoming calls and returns phone calls to patients, physician offices, and other medical providers such as laboratory and radiology facilities. Greets arriving patients and verifies pertinent information and physician using the online billing system. Orients patients to the specific outpatient center as a hospital-based service. Interacts effectively with patients and their family members.
Handles coding/billing within parameters as outlined in the department guideline. Using the online billing system, enters diagnosis codes/service codes from encounter sheets. Verifies the appropriateness of the diagnostic code prior to entering it in the billing system. Interacts with patients and Patient Financial Services to resolve billing issues, including denials. Appropriately refers patients to patient advocates for financial counseling.
Obtains and organizes medical records for use by physicians and nurses. Ensures the patient's file is complete prior to treatment/clinic visit, including appropriate records, lab test results, and x-rays. Evaluates the file prior to the scheduled visit and follows up with other Hospital departments to obtain missing data.
Prints reports using both the online scheduling and billing systems.
Performs all duties in accordance with RIH's mission, the defined role of ambulatory care, and defined administrative/clerical rules, procedures, and policies.
May respond to telephone calls/inquiries by rotating into a centralized setting (i.e., a call room).Other Information:BASIC KNOWLEDGE:High School Diploma or equivalent.
Demonstrated knowledge of PC skills using the Windows operating system environment and accompanying software packages.
Must have knowledge of medical billing routines for physician office practice.
Must also have knowledge of medical terminology, diagnosis codes, and procedure codes.
Must use and have knowledge of courteous telephone technique and good customer service skills.
EXPERIENCE:Six months experience coding and billing using an online billing system.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:Walking, sitting, standing throughout the day in a clinic setting.
SUPERVISORY RESPONSIBILITY:
None.Lifespan is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, national origin, age, ethnicity, sexual orientation, ancestry, genetics, gender identity or expression, disability, protected veteran, or marital status. Lifespan is a VEVRAA Federal Contractor.Location:
Rhode Island Hospital USA:RI:ProvidenceWork Type:
Per DiemShift:
Shift 1Union:
IBT
Apply
#J-18808-Ljbffr