Patient Service Representative, Spanish Speaking Preferred (Total Health - Antioch TN) at Meharry Medical College

Posted in Other 8 days ago.

Location: Nashville, Tennessee





Job Description:

Responsible for performing all aspects of the patient encounter from scheduling appointments, registering new patients, screening by phone or in person all patients through the check-out process.



Daily Operations



  • Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to assure smooth activity; monitors waiting room activity; maintains clean waiting areas.

  • Accurately schedules all patient appointments and return appointments based on physician/dentist or student doctor and medical/dental specialty; obtains, verifies and records patient demographic information including all insurance information required by the appointment system; Verifies financial eligibility of all patients scheduled;

  • Obtains necessary authorizations based on patient's insurance requirements; confirms all appointments within 48 hours of scheduled time; reconciles no show patients; schedules revisit appointments as needed; Conducts patient callbacks as directed by providers.

  • Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances; assembles, updates, copies and releases records according to medical/dental record protocol.

  • Performs other duties as assigned.




Required Skills



  • Bilingual (Spanish) preferred but not required.

  • Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.

  • Ability to work under pressure; skilled at managing multiple priorities.

  • Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.

  • Knowledge of CPT and ICD9 coding.

  • Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.

  • Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.




Required Education and Experience



  • Bilingual (Spanish) preferred but not required.

  • Excellent oral and written communications skills and ability to communicate clearly by telephone or in person.

  • Ability to work under pressure; skilled at managing multiple priorities.

  • Medical/dental terminology sufficient to identify and explain medical/dental procedure to patients, third party payers and medical facility personnel.

  • Knowledge of CPT and ICD9 coding.

  • Sufficient knowledge of insurance plans to correctly weigh need for prior authorization of procedures and referrals and to interpret patient financial information.

  • Typing speed and accuracy in order to correctly enter needed volume of data on computer and query accounts while talking with patient on the telephone.


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