Practice Service Representative (PT)

Summary ##### Performs various clerical duties for office manager, clinical services manager, or physicians including answering telephones, taking messages, scheduling appointments, copying, and creating/filing charts. Responsible for data entry, filing insurance claims, and patient account follow up, as well as monthly reports. ##### Essential Duties and Responsibilities ##### These duties and responsibilities described below represent the general tasks performed on a daily basis by PSR. Any other duties as needed to drive to the vision fulfill the mission and abide by the values of the organization. 1. ##### Answer and screens telephone calls in a courteous manner, and record messages for physician and other personnel. 2. ##### Schedule patient appointments and procedures according to established policies and procedures. 3. ##### Obtain accurate information from patients and ensure all registration forms are complete. 4. ##### Collect patient and insurance payments and reconcile charges on a daily basis. 5. ##### Verify account balances, collect copays and refunds for accuracy. Provide information to patients regarding unpaid balances. 6. ##### File records in appropriate sections of patient charts and keeps patient charts in proper order. 7. ##### Prepare patient charts in advance and file patient charts when complete. 8. ##### Copy patient information and forward to requesting party after receiving appropriate consent to release medical records. 9. ##### Maintain files and records in a confidential manner. 10. ##### Maintain organization and efficiency of front office. 11. ##### Maintain patient confidentiality. 12. ##### Perform other related duties as directed or assigned. ##### Performance Requirements ##### Knowledge 1. ##### Knowledge of clinic policies and procedures. 2. ##### Knowledge of medical terminology and insurance practices. 3. ##### Knowledge of computer programs and applications. 4. ##### Knowledge of grammar, spelling, and punctuation to type from draft copy and review and edit reports and correspondence. 5. ##### Knowledge of basic arithmetic to make calculations, balance and reconcile figures, and make changes accurately. 6. ##### Knowledge of CPT and ICD-10 coding. ##### Skills 1. ##### Skill in operating office equipment. 2. ##### Skill in handling paperwork/filing adequately. 3. ##### Skill in handling incoming phone calls and triaging appropriately. 4. ##### Skill in written and verbal communication. 5. ##### Skill in gathering, interpreting, and reporting insurance information. 6. ##### Skill in trouble-shooting insurance claims issues and resolving appropriately. ##### Abilities 1. ##### Ability to type 60 words per minute using word-processing software. Able to learn/use other computer programs including Microsoft® Excel, e-mail, Internet, and Microsoft® PowerPoint. 2. ##### Ability to work effectively as a team member with physicians and other staff. 3. ##### Ability to sort and file materials correctly by alphabetic or numeric systems. 4. ##### Ability to interpret and understand insurance benefits and reimbursement. 5. ##### Ability to flexibly respond to changing demands. 6. ##### Ability to organize and prioritize tasks effectively. 7. ##### Ability to communicate clearly. 8. ##### Ability to work with little supervision. 9. ##### Ability to establish and maintain effective working relationships with patients, employees, and the public. ##### Supervisory Responsibilities ##### Reports To: Practice Manager ##### Supervises: N/A ##### Responsibilities: Must sign off on all competencies assigned yearly and maintain provide contiguous feedback. ##### Qualifications ##### To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. ##### Education ##### High school diploma or GED or 5 or more years of medical office experience. ##### Experience ##### 1 year experience as an administrative assistant experience in a medical office, customer service or medical billing experience.