Providence Health & Services Patient Service Representative in Missoula, Montana
Providence is calling a Patient Services Representative (Neurology Services, Day Shift, 1 FTE) to Providence Medical Group in Missoula, Montana. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all – especially those who are poor and vulnerable.
In this position you will:
Answers all incoming departmental calls promptly and responds according to hospital policy.
Applies patient armband according to hospital policy.
Communicates with the next shift about the status of work in progress.
Consistently asks for and obtains current insurance and subscriber information; accurately interprets and assigns correct insurance and subscriber data, in the correct format.
Consistently asks for patient’s legal name, date of birth and social security number; accurate medical record number and account number retrieval and assignment; consistently enters all data according to Epic standards.
Consistently documents and comments on the patient account regarding discussion with the patient, insurance verification and benefits, special information provided to the patient, etc.
Consistently obtains signature on “Agreement to Pay” forms or documents per established procedures.
Consistently performs real-time electronic insurance verification and applies findings accurately to the patient account.
Demonstrates a thorough understanding of patient registration functions, including status changes, transfers and discharges.
Follows registration scripts and protocols for patient interview process, uses scripting and correctly explains the Privacy Notice, Patient Directories and Condition of Admission; obtains signatures as applicable.
Handles all registration forms per procedure (ie general consent, Important Message from Medicare, Champus).
Handles patient walk-ins and responds to their concerns, questions and requests.
Maintains knowledge of federal, state and agency regulations as well as third party payer reimbursement mechanisms to ensure prompt payments.
Obtains 3rd Party Liability forms and information.
Operates hospital telephone, fax, computers, printers and copy machines properly; identifies and reports equipment failures or malfunctions.
Performs the MSP Questionnaire according to hospital policy; interprets patient answers to correctly identify primary insurance.
Provides other hospital-specific forms to the patient according to policy.
Reviews comments and follows procedures on payment collection and receipting to obtain co-pay /POS cash that is due on the date of service; consistently asks for payment at the time of service; demonstrates ability to successfully handle patient objections on requests for payment at the time of service.
Reviews comments on pre-registered accounts and obtains missing information.
Understands clinical signs of physical and emotional distress and alerts the RN to any change.
Communicates clearly and appropriately using age specific standards with staff, patients, and families of patients.
Listens to the perspective of the customer and responds appropriately in a respectful manner; acknowledges and responds to requests within and between departments; provides appropriate assistance or service.
Required qualifications for this position include:
1 year prior experience in a healthcare related field, specifically patient access, insurance eligibility verification/authorization, billing/electronic claims submission, or collection of accounts receivable
Demonstrated application of hospitality skills in any service field
Computer and/or data entry experience 45 wpm
Experience with Microsoft Office applications including Word, Excel, and Outlook
Knowledge of medical terminology
Knowledgeable and have demonstrated proficiency in computer operations, keyboarding, multi-line telephone systems, and fax machines
Ability to cope with multiple demands and stress
Preferred qualifications for this position include:
High School diploma or General Equivalency Degree (GED) or equivalent
Previous hospital admitting experience
Any equivalent combination of education and experience that provides the employee with the knowledge, skills, and ability to perform the work will be considered.
About the clinic you will serve.
Providence Medical Group includes over 30 primary care, specialty clinics and healthcare groups throughout western Montana focused on treating patients at all stages of their lives. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.
We offer a full comprehensive range of benefits - see our website for details
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Req ID: 243913