Scheduled Hours

40

Position Summary

The Patient Service Representative II (PSRII) is responsible for capturing, updating and verifying patient demographic and current insurance information to ensure maximum reimbursement for the Otolaryngology department. PSRs also schedule patient follow-up visits for providers. The PSR will serve as a liaison between consumers (staff, patients, healthcare professionals and general public) and advocates the patients’ needs.

Job Description

Primary Duties & Responsibilities:

• Responsible for working on pre-arrival alerts. (i.e., insurance, referrals, etc.).
• Updates and verifies patient insurance, billing and demographic information in EPIC for reimbursement for the patient visit. Checks eligibility either electronically or manually as needed.
• Collects fee for service (copay, deductible, self-pay, cosmetic services, consults and surgery pre-pays and past balances etc.) and records in EPIC.
• Checks patient in through EPIC and updates, demographics, insurance, patient portal access and verifies pharmacy information; verifies referrals received, scanned and linked to appointment.
• Schedules return patient appointments, patient testing and procedures.
• Maintains familiarity with insurance companies and their reimbursement policies.
• Balances cash drawer daily.
• Answer incoming department telephone line.
• Checks patient out and prints After Visit Summaries (AVS) for patient.

Working Conditions:

Job Location/Working Conditions

• Normal office environment.

• Patient care setting.

Locations will be Barnes Jewish West County Hospital, Ballas Ambulatory Surgery Center, and South County Center for Advanced Medicine.

Physical Effort

• Typically sitting at desk or table.

• Repetitive wrist, hand or finger movement.

OTHER FUNCTIONS:

• May float to other locations to cover as needed. Serves as back-up for other job functions within the team during peak times, vacations, and illnesses.
• Scan all documents from outside WU or clinical documents into medical record through EPIC.
• Upload imaging disks to PowerShare.
• Other duties as assigned.

Equipment

• Office equipment.

The above statements are intended to describe the general nature and level of work performed by people assigned to this classification. They are not intended to be construed as an exhaustive list of all job duties performed by the personnel so classified. Management reserves the right to revise or amend duties at any time.

Required Qualifications

Education:

High school diploma or equivalent high school certification or combination of education and/or experience.

Certifications:

The list below may include all acceptable certifications and issuers. More than one credential or certification may be required depending on the role.

Basic Life Support - American Heart Association, Basic Life Support - American Red Cross

Work Experience:

Billing Systems And Third-Party Claims And/Or Medical Office Setting, Related Customer Service (3 Years)

Skills:

Not Applicable

Driver's License:

A driver's license is not required for this position.

More About This Job

Required Qualifications:

• Basic Life Support certification must be obtained within one month of hire date.
• Basic Life Support certification (Online BLS certifications, those without a skills assessment component, are not sufficient to meet the BLS requirements).

Preferred Qualifications

Education:

No additional education beyond what is stated in the Required Qualifications section.

Certifications:

No additional certification beyond what is stated in the Required Qualifications section.

Work Experience:

No additional work experience beyond what is stated in the Required Qualifications section.

Skills:

Customer Service, Effective Written Communication, Epic EHR, Financial Information, Insurance, Interpersonal Communication, Interpersonal Relationships, Medical Billing and Coding, Medical Insurance Claims, Office Organization, Organizing, Professional Etiquette, Scheduling, Team Collaboration

Grade

C06-H

Salary Range

$17.34 - $25.40 / Hourly

The salary range reflects base salaries paid for positions in a given job grade across the University.