Patient Services Representative (Gardien Services)
MedSynergies - Illinois

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The Patient Service Representative is responsible for patient outreach, insurance verification, billing, and assisting with the scheduling of appointments and paperwork processes.
  • Files and enters billing for patients into a computer system according to established policies and procedures to ensure billing is timely and maintains a high level of accuracy.
  • Resolves billing issues and escalates problems to supervisor as necessary.
  • Coordinates with clinical staff to obtain charge information for all patients.
  • Codes procedures performed and diagnosis on charge.
  • Obtains patient referrals for ancillary services and outside specialist referrals.
  • Verifies insurance coverage and obtains authorizations to support billing to third-party payers.
  • Answer phone calls and directs them appropriately.
  • Schedules appointments according to office guidelines.
  • Greets, interviews patients and completes all paperwork necessary to ensure the admitting process is efficient and all clinic and regulatory policies are in compliance.
  • Conducts all functions associated with patient check-out including pricing services, collecting payment and scheduling follow-up appointments.
  • Prepares charts for patient appointments making sure all necessary information is complete.
  • Performs other duties as assigned.
Required Skills
  • Understands health insurance and medical costs, including coding.
  • Knowledge of clinic procedures and regulatory requirements.
  • Requires good customer service and communication skills.
  • Organizational and time management skills.
  • Proficient computer skills.
  • Possess a strong work ethic and a high level of professionalism.
  • A team player who handles multiple projects simultaneously in a fast paced environment.
Required Experience
  • High school diploma or equivalent.
  • Healthcare experience preferred.

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