Patient Services Specialist (Medical Receptionist)

Description

Planned Parenthood of Central and Western New York (PPCWNY) protects and provides health care and education that empowers individuals and families. With respect. Without judgment. No matter what.

Diversity and inclusion are core values at Planned Parenthood of Central and Western New York (PPCWNY). PPCWNY recruits exceptional and diverse staff. PPCWNY strives to develop staff into leaders for a diverse and global workplace.

In support of Planned Parenthood of Central and Western New York (PPCWNY)’s mission, the Patient Services Specialist will be responsible for greeting patients, verifying patient demographic information, checking patients in/out of NextGen computer system, verifying insurance, and screening applicants for presumptive eligibility, Medicaid for Pregnant Women, and the Family Planning Benefit Program.

• Greets patients, visitors, and colleagues in a friendly, courteous, and professional manner
• Operates telephones efficiently by promptly answering the telephone, screening telephone calls and referring appropriately, and recording and delivering telephone messages as necessary
• Addresses patient concerns in a prompt, courteous, confidential, and caring manner
• Maintains a clean and organized work area, ensuring patient confidentiality according to HIPAA compliance regulations
• Schedules, confirms and reschedules patient appointments as needed in a timely, efficient manner
• Verifies and/or creates patient demographic and insurance information in the Electronic Practice Management System (EPM) to assure timely and accurate billing
• Verifies and/or generates required consents in EPM such as but limited to: Request for Medical Services and the Payment Arrangement – Insurance form
• Verifies insurance eligibility and coverage prior to services being rendered
• Requests photo identification and insurance information from patients in accordance with our policy
• Interfaces with Phreesia to check in and register patients
• Assesses patients for their placement on a Discount Fee Schedule
• Requests income information from patients by completing the appropriate documentation
• Assesses eligibility and screens patients for grants and other payment sources such as but not limited to: Medicaid Presumptive Eligibility for Pregnant Women and the Family Planning Benefit Program
• Assists patients with completion of insurance forms as necessary; assists in obtaining necessary program eligibility documentation, if necessary
• Collects payment and informs client of any outstanding financial responsibility
• Verifies checks, credit cards, and debit cards, as outlined in procedures; provides patient with a receipt
• Provides emergency contraceptives and birth control to patients/people who walk in for supply sales in accordance to company policy and procedure
• Reviews charges for completeness and accuracy; enters client visit record data into EPM
• Follows appropriate Cash Handling procedures
• Faxes and/or scans medical records requests and paperwork, as directed

Accountability Activities

• Provides excellent customer service to all patients and visitors with the intent of exceeding expectations
• Travels to other sites as needed to fill in when a Patient Service Specialist is absent, as directed by the Health Center Manager
• Participates in and adheres to agency’s Compliance, Quality and Risk Management program
• Attends and participates in staff meetings; may assist with training of new staff or attending training workshops, as requested
• Participates in affiliate initiatives
• Accepts individual and joint responsibility for, participate in, and work to achieve productivity, customer service, and capacity goals as set by PPCWNY
• Performs other duties as assigned
• Shows respect to all internal and external customers for differences in backgrounds, lifestyles, viewpoints and needs in areas such as race, gender, ethnicity, creed, sexual orientation and others

Requirements

Applicants must possess the following qualifications (or equivalent combination of education and experience):

Education—

• High School Diploma or GED preferred

Experience—

• A minimum of 1- 3 years of experience in healthcare and/or medical billing preferred; experience in customer service desirable.

Knowledge, Skills, & Abilities—

• Must be able to handle client informat