Patient Service Specialist I

Position Summary

• â‹This position is to function as a member of the administration team and complete assigned daily front end tasks to ensure smooth day to day operations in the SMG physician practice. The Patient Service Specialist must maintain a professional, positive manner when talking with patients in-person, over the phone, or via email. â‹

â‹â‹Key Responsibilities

• â‹Answers calls and routes telephone calls appropriately; takes messages, follows through with each message, ensuring that the appropriate physician/staff member receives the information. Provides routine information to callers and gives only authorized medical advice from a provider.

• â‹Provides a high level of customer service to all new and existing patients of the practice.

• â‹Creates patient cases and documents telephone calls and messages into Athena or other EMR.

• â‹Schedules patient appointments and appropriate testing for patients as requested.

• â‹Registers patients in EMR and verifies information including demographics and obtains accurate health insurance information. Conduct eligibility checks to ensure insurance is reflected accurately.

• â‹Collects required insurance co-pays from patients including any prior balances.

• â‹Follows scheduling notes and direct schedules patient visits in other SMG practices as advised.

• â‹Performs pre-visit planning daily for all upcoming scheduled appointments to include running insurance eligibility.

• â‹Responsible to obtain prior authorizations and/or insurance referrals as per practice need.

• â‹Performs outreach to select patient groups as directed for patient care and quality measurement/guidelines. Schedules specialty appointments/testing as required.

• â‹Performs work in EMR buckets as directed and per practice need.

• â‹Responsible to inform manager of administrative supply needs or assists with ordering.

• â‹Follows up with providers on missing slips and creates claims in Athena.

• â‹Responsible to work assigned revenue cycle buckets as directed.

• â‹Must be able to work independently with little supervision.

• â‹Adheres to SMG policies.

• â‹Always uses discretion to ensure patient confidentiality.

• â‹Performs other duties as requested. â‹

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â‹Skills

• â‹Strong customer service excellence expected.

• â‹Excellent communication and interpersonal skills required

• â‹Experience with EMR strongly preferred. (Athena a plus)

• â‹Experience with Microsoft Office, Word, Excel, and Outlook preferred.â‹

â‹â‹Education & Experience

• â‹High School Diploma or equivalent required.

• â‹One to three years as a medical secretary preferred.