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Providence Health & Services Patient Services Representative in Missoula, Montana

Description:

Providence is calling a Patient Services Representative (Day Shift, 1.0 FTE) to Providence Medical Group Missoula, Montana. This clinic position supports both Pulmonology and Sleep.

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:

  • Answer all incoming departmental calls promptly and responds according to hospital policy

  • Apply patient armband according to hospital policy

  • Communicate with the next shift about the status of work in progress

  • Consistently ask for and obtain current insurance and subscriber information; accurately interpret and assign correct insurance and subscriber data, in the correct format

  • Consistently ask for patient’s legal name, date of birth and social security number; accurate medical record number and account number retrieval and assignment; consistently enter all data according to Epic standards

  • Consistently document and comment on the patient account regarding discussion with the patient, insurance verification and benefits, special information provided to the patient, etc.

  • Consistently obtain signature on “Agreement to Pay” forms or documents per established procedures

  • Consistently perform real-time electronic insurance verification and applies findings accurately to the patient account

  • Demonstrate a thorough understanding of patient registration functions, including status changes, transfers and discharges

  • Follow registration scripts and protocols for patient interview process, use scripting and correctly explain the Privacy Notice, Patient Directories and Condition of Admission; obtains signatures as applicable

  • Handle all registration forms per procedure (ie general consent, Important Message from Medicare, Champus)

  • Handle patient walk-ins and respond to their concerns, questions and requests

  • Maintain knowledge of federal, state and agency regulations as well as third party payer reimbursement mechanisms to ensure prompt payments

  • Obtain 3rd Party Liability forms and information

  • Operate hospital telephone, fax, computers, printers and copy machines properly; identifies and reports equipment failures or malfunctions

  • Perform the MSP Questionnaire according to hospital policy; interpret patient answers to correctly identify primary insurance

  • Provide other hospital-specific forms to the patient according to policy

  • Review comments and follow procedures on payment collection and receipting to obtain co-pay /POS cash that is due on the date of service; consistently ask for payment at the time of service; demonstrate ability to successfully handle patient objections on requests for payment at the time of service

  • Review comments on pre-registered accounts and obtains missing information

  • Understand clinical signs of physical and emotional distress and alerts the RN to any change

  • Communicate clearly and appropriately using age specific standards with staff, patients, and families of patients

  • Listen to the perspective of the customer and responds appropriately in a respectful manner; acknowledge and respond to requests within and between departments; provides appropriate assistance or service

Qualifications:

Required qualifications for this position include:

  • Experience with Microsoft Office applications including Word, Excel, and Outlook

  • Computer and/or data entry experience

  • Keyboarding skills at 45 wpm

  • Knowledge of medical terminology

Preferred qualifications for this position include:

  • High School Diploma or GED

  • 1 year experience in a healthcare related field, specifically patient access, insurance eligibility verification/authorization, billing/electronic claims submission, or collection of accounts receivable

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

http://www.providenceiscalling.jobs/rewards-benefits/

Our Mission

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.

About Us

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.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: Montana-Missoula

Req ID: 258621

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