ASC Patient Services Representative

Description

JOB SUMMARY

Under the direction of the MedPro ASC Supervisor, the ASC PSR is responsible for pre-certification and patient admissions.

ESSENTIAL DUTIES AND RESPONSIBILITIES

• Identify yourself to internal and external customers by wearing your identification badge at all times.
• Greet patients with courtesy and respect. Answer questions and direct requests appropriately and efficiently.
• Answer telephones promptly and in a professional manner according to MCC customer service standards.
• Operate computer within the guidelines of MCC.
• Comply with MedPro policies as directed, carrier policies, and other protocols associated with MedPro and the MCC Ambulatory Surgical Center.
• ASC Pre-certifications
• Verify insurance eligibility and benefits for all patients scheduled at the ASC.
• Calculate estimated patient prepayments for ASC facility, anesthesia, and Medical Center Clinic physicians due upon check-in for scheduled services
• Contact patients by phone to notify of verified benefits and estimated patient amount due.
• Facilitate patients in making payment arrangements for procedures according to established office protocol.
• Accurately load insurance information into the practice management system.
• Register new patients into the practice management system.
• Complete above steps in timely manner according to documented procedures.
• Notify ASC Business Office Supervisor of scheduled procedures not payable in an ASC setting or procedures that require utilization of a third-party organization for payment of implantable devices.
• Patient Admissions
• Prepare patient charts including clinical and financial documents in advance of appointment according to documented procedures.
• Verify necessary referral and authorization information is in place prior to appointment.
• Verify the patient has been contacted when monies are owed at time of service. 
• Count cash drawers before and after using.
• Greet and check-in patients in a timely manner according to documented procedures.
• Verify and update demographics and insurance in the practice management system at each patient encounter.
• Collect all monies owed at the time of service. Follow established protocol for receipts, cash collections, and deposits.
• Assist in training new employees as directed by the ASC Supervisor. 
• Refresh the Verification worklist in the absence of the ASC Supervisor.
• Review and assist with ensuring specialty lens cataract surgeries are charged and collected. 
• Assist with ensuring the ASC electronic medical record (CDM) reflects the appropriate carrier and is filed/billed correctly.
• Other duties as assigned by management are accepted willingly and completed in a timely manner.

Requirements

CORPORATE CULTURE RESPONSIBILITIES

• Follow established corporate and department-specific policies and procedures.
• Attend all corporate and department-specific required training.
• Uphold MCC’s Purpose, Values, and Vision.
• Abide by MCC’s Corporate Culture Responsibilities. 
• Perform other duties as may be assigned cheerfully and willingly.

EDUCATION/EXPERIENCE REQUIREMENTS

• Minimum education requirement is high school diploma, or equivalent.
• Minimum 1 year of customer service experience. 

KNOWLEDGE, SKILLS AND ABILITIES

• Ability to prioritize and manage multiple tasks.
• Displays customer services skills, strong interpersonal skills, close attention to detail, excellent verbal and written communication skills, and basic math skills.  
• Be a person of integrity and character, willing to embrace change and make a positive impact in the lives of patients and co-workers.
• Ability to work with staff members at all levels of the organization in a cooperative, team-oriented manner.
• Displays computer proficiency (i.e. PC Windows, MS Office) and ability to quickly learn new applications.  
• Acceptable typing speed and accuracy with ten-key by touch skills.   
• Proficient in use of English language both in written and verbal communication. 
• Must be able to communicate with individuals of varying socio-economic backgrounds. 
• Must be committed to the protection of confidential information, records and/or reports.

PHYSICAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

• Strength (Lift/Carry/Push/Pull): Sedentary (exerting up to 10 pounds of force occasionally)
• Standing/Walking: Occasionally; activity exists up to 1/3 of the time
• Keyboarding/Dexterity: Frequently; activity exists from ¾ of the time
• Ability to look at a computer screen for extended periods
• Ability to perform constant repetitive hands and finger motions
• Talking (Must be able to effectively communicate verbally): Yes
• Seeing: Yes
• Hearing: Yes

EMOTIONAL REQUIREMENTS OF THE ESSENTIAL JOB FUNCTIONS

• Must exhibit stable work behaviors daily.
• Must possess adequate individual coping skills.
• Ability to remain calm and professional regardless of workload or time constraints.   
• Must be able to work under stress and remain calm and professional.

WORK ENVIRONMENT

• Office environment.
• Exposed to frequent and constant interruptions in daily functions/schedule.  
• May be required to work extended hours to meet department needs.