Patient Care Representative

Office Manager

Sports Medicine - OAK PARK, IL

Full Time

High School / GED

Salary Range : $16.60 - $18.60 Hourly

Local - Location to Location

Day

Health Care

Description

Department : Clinic Administration

Manager Title : Office Manager

FLSA Status : Non-Exempt

Job Summary : Responsible for the operations of the reception area, registering and scheduling of patients, collecting co-pays and money charged for services rendered and handling all patient inquiries.

Essential Duties and Responsibilities :

• Greets all patients, staff, visitors, and vendors in a professional and welcoming manner
• Schedules appointments in order to track billing slips to ensure charge capture occurs
• Prepares for day, reviews Eligibility and Phone report, prepares any new patient charts and / or paperwork at patient presentation
• Performs registration in clinic setting and via telephone to ensure demographic and insurance information is accurate and complete
• Obtains copies of insurance cards, drivers license, authorizations, and referrals and scan or enter them into electronic health record
• Ensures all requirements and fields noted on the Check-In and Check-Out page are satisfied and complete
• Collects co-payments and outstanding balances at Check-In, and time of service balances and estimated balances at Check-Out according to policy
• Reviews and complies with Patient Account Notes and Appointment Notes in electronic health record
• Refers patients to Financial Counselors regarding past due balances, questions and / or resolution that PCRs are unable to answer
• Processes claim creations in electronic health record at Check-Out
• Submits appropriate claims for Real Time Adjudication
• Works Day End Review report and designated Tier-based HOLD Claim Worklist(s) on a daily basis
• Accepts accountability for all Worklists on the dashboard or elsewhere based on assignment
• Answers the telephone directing calls to appropriate areas or takes messages and relays them to the appropriate staff member as necessary
• Informs patient of privacy policies and procedures
• Informs patients of delays in physician schedules, assists with patient comfort while delayed
• Schedules follow-up appointments, creates appointment ticklers in electronic health record, and works associated Worklists relative to both based on assignment
• Creates a Time of Service batch and links it to a deposit batch daily
• Reconciles, balances, and closes each batch / drawer at end of day
• Turns over batches to the designated resource daily
• Covers for other staff in reception, including other office locations
• Processes all releases for medical information ensuring appropriate consents are completed, adhering to PCCs HIPAA and privacy guidelines
• Drives continual quality improvement through participation in organizational quality improvement efforts that may include but are not limited to patient satisfaction, clinical and operational quality improvement initiatives
• Maintains a neat and orderly work area
• Performs other duties as assigned

Qualifications

Experience / Training :

Certifications / Licenses :

Physical Demands :

Other Skills :