PSR II Triage

Description

Job Title: Patient Service Representative II 

Type: This is a full-time position, normal days and hours of work are Monday-Friday 8 a.m.-5p.m.

Classification: Non-exempt 

Summary/Objective: Responsible for clinical support of the medical office 

Supervision Received: Reports to Office Manager and/or Team leader.

Supervision Exercised: None.

Essential Functions:

Assigned as Runner:

• Maintains a consistent flow of patients to exam room, takes vitals, documents information for providers.
• Transmits medical information to requesting parties via secure email or fax. 
• Cleans and stocks exam rooms, including dictation areas.
• Prepares exams rooms for procedures.
• Maintains pharmaceutical closet by keeping it organized and disposing of expired medication.
• Uses computer system to generate information necessary for billing purposes and enters referral information.
• Collects Co-pays and previous balances on account.
• Maintains clean, orderly waiting area, including reading materials.
• Supplements office staff as reception tasks permit by assisting with photocopying, computer input, typing, and scheduling appointments as needed.
• Prints and distributes schedules for the following day to appropriate employees and physicians.
• Provides continuity of care.
• Perform other duties, as assigned.

Assigned as Triage:

• Triage and return patient calls with information provided by and at the direction of the physician.
• Reviews patients chart and collects all pertinent information for physician.
• Educates patients and families as appropriate.
• Documents patient information and care provided in patient record.
• Transmits medical information to requesting parties via secure email, fax, or portal
• Medication prior authorization
• Reviews each chart for accuracy and completion before releasing the chart for a patient visit.

Test Scheduling:

• Schedules all outpatient tests/procedures.
• Completes MRI logs and sends paperwork to appropriate person.
• Obtains all pre-certification required for appointments and testing                                           
• Documents patient information and authorization in HER

Other duties, if assigned to Botox program (internal only):

• Precertification of Botox procedure including medication, EMG Guidance, and injection.
• Schedules specialty pharmacy deliveries to office.
• Maintains Botox inventory and transfer logs.
• Maintains month end inventory log.
• Collects outstanding Botox balances.
• Prepares Botox vial, fee tickets and schedules for delivery to other offices.
• Schedules Botox appointments for all providers
• Communicates effectively with patients, providers and staff members.
• Travels (10%) to office locations to deliver Botox.

The jobholder must demonstrate current competencies applicable to job position. Must complete an accredited medical terminology course

Education: Highl school diploma or GED; CMA, RMA, ABR-OE, CNA or QMA REQUIRED.

Experience: Minimum of 6 months experience in a clinical (public heath) setting and clerical experience.

Knowledge:

• Knowledge of reception tasks, clinic policies/procedures, paperwork processing.
• Knowledge of office equipment, including phone and computer.
• Knowledge of patient service concepts and techniques.
• Knowledge of HIPAA regulations.
• Knowledge of medical terminology.

Skills:

• Skill in using office equipment satisfactorily and handling paperwork/filing adequately.
• Skills in using EMR’s/EHR’s.
• Skill in patient service principles by creating a pleasant office environment.

Abilities:

• Ability to communicate clearly and professionally in person, on the phone and email.
• Ability to establish/maintain cooperative relationships with the patients, physicians and staff.
• Ability to organize and prioritize tasks effectively.
• Ability to read, listen, understand and follow oral/written instructions. Can file correctly by alphabet or numeric filing system.
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Travel: Minimal travel between JWM offices by personal vehicle. Must have valid driver's license and current auto insurance.

Work Environment:

This job operates in a clinical office setting within a confined cub