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Duties of a Patient Service Representative

Duties of a Patient Service Representative – The duties of a patient service representative are for booking patient appointments and calling patients. Find out more.

A Patient Service Representative is responsible for booking patient appointments and calling patients with appointment reminders. In order to guarantee that patients are seen on time, they advise them of any delays or wait periods and update their information at each visit.

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Patient representatives, also known as patient services representatives, are responsible for informing, updating, and assisting patients as needed. This includes evaluating patient needs by interviewing patients, listening to their concerns, and coordinating with patients, family members, and medical professionals to ensure those needs are satisfied. Duties of a Patient Service Representative

A patient services representative is a medical facility-based customer service worker who takes patient information prior to medical appointments and responds to billing-related questions. This position is also referred to as medical secretary, medical assistant, and patient care representative. Patient services representatives work at the front desk of a medical facility and communicate verbally and in writing with patients. Information Guide Nigeria

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A patient service representative’s job is to keep patients informed and help them with any needs that aren’t medical. Their jobs include making appointments for patients, calling or emailing them to remind them, greeting them, and helping them with any questions they might have.

The Patient Services Representative will be the main person who patients and the community can talk to. This job will receive and process patient referrals, and patient registration, verify demographic information, get insurance cards and identification, and accurately and efficiently update medical records. The Patient Services Representative will also have to set up appointments, transcribe orders, talk to patients about their financial options, and update medical records in an accurate and timely way.

Patient service representatives are also known as patient advocates, patient access specialists, or service coordinators. One of their main jobs is to find out what a patient needs by talking to him and listening to his worries. Then, they make sure that his needs are met by coordinating the information that comes from and goes to patients, their families, medical staff, and administrative staff. They must know the rules and procedures at their facilities, as well as the medical and community resources and rules, so they can help patients find their way through the sometimes rough waters of health care. Good Morning My Love Message

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Duties of a Patient Service Representative
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Duties of a Patient service representative

  • Manage the daily release of charges to accounts receivable.
  • Comply with all state and federal standards, including EMTALA and HIPPA, and collect co-payments and deductibles from patients in a timely manner.
  • Provide seniors and patients with developmental disabilities with compassion and care.
  • Respect, care, and secrecy should be shown to patients and their families.
  • Appointment scheduling, check-in, and insurance eligibility verification should be handled with professionalism and accuracy.
  • Provide patients with superior customer service and observe all HIPPA rules to maintain patient confidentiality.
  • Effectively communicate with insurance providers, patients, and medical staff while answering the phone and adhering to all HIPAA requirements.
  • Register all radiology, laboratory, nuclear medicine, physical/occupational/speech therapy, direct admits, urgent care, and surgery patients.
  • Respond in writing to grievances within the CMS-mandated timeframe.
  • Train new ER PSA personnel on all aspects of patient processing.
  • Check in and outpatients with NextGen and arrange physicians’ appointments and operations.
  • Determine the patient’s medical history, drug history, symptoms, and allergies.
  • Changes to processes, staffing, and appointment scheduling should be communicated to the PSAs.
  • For future patients, organize and distribute wheelchairs and stretchers evenly to each area of the emergency department.
  • Transport patients throughout the hospital and help them onto stretchers, beds, and other hospital equipment.
  • Check-in/outpatients upon their arrival and departure from the office, as well as recognizing the correct patient information in IDX.
  • Obtain medical history information and screen patients appropriately prior to diagnostic testing to ensure MRI compatibility.
  • Scan and import consent forms, patient information forms, FMLA documents, and other patient forms into the electronic medical record (EMR).
  • Assist patients without medical coverage in submitting applications for medical assistance and/or arranging payment and cash collections.
  • Work closely with radiology technicians and physicians to translate and explain medical terminology and procedures to patients with a language barrier who are Vietnamese.
  • Handle patient check-in and check-out at the outpatient clinic, as well as insurance verification and patient liability.
  • Verify the accuracy of CPT, ICD-9, and HCPCS codes entered by Doctors and Nurses, adding, deleting, or altering codes as needed to submit proper claims.
  • Send ICD9 and CPT codes asking for authorization numbers for rendered services by fax, phone, and website.

Read Also: Duties of a Care Coordinator

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  • Document and help in documenting all essential patient encounter information in an electronic medical record (EMR) or other acceptable formats.
  • Report building-wide issues (need repairs, equipment shortages, cleanliness issues, etc . ) NYSC Portal
  • Maintain the cleanliness, sanitization, and upkeep of all facilities, examination rooms, and equipment.
  • Comply with hospital requirements according to federal and government regulations like HIPAA/PHI, EMTALA, JCAHO, and OSHA.
  • Participate in a program including pleasant visitors and therapeutic pets.
  • Report all new PSC developments to management.
  • Maintaining patient confidentiality while filing and retrieving medical records and obtaining vision insurance authorizations in accordance with HIPAA requirements.
  • Provides effective communication and superior customer service by greeting patients and the community with courtesy. 10 Best MTN Routers in Nigeria and their prices
  • Process admission papers and perform basic insurance verification to ensure hospital billing systems contain proper patient identification information.
  • Capability to answer internal and external calls with courtesy and assistance.
  • Must be capable of troubleshooting and resolving issues quickly. Romantic Love Message
  • Maintains patient flow and immediately notifies the Supervisor of any department or patient difficulties.
  • Prioritizes and coordinates bed placement needs to ensure fast and appropriate patient placement.
  • Help patients fill out forms about their medical history, permission to treat, and payment contracts.
  • Receive and process payments in cash and by credit card for medical services
  • Review patient accounts, find ones that are behind on payments, and collect them.
  • They answer, look into or send patient questions or complaints to the right member of the medical staff.
  • Greeting patients and showing them where the exam rooms are.
  • Setting up appointments for patients and calling them to remind them.
  • Telling patients about delays and how long they will have to wait.
  • Getting the addresses, phone numbers, insurance information, and medical histories of the patients.

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  • Every time a patient comes in, the information is updated and checked.
  • When needed, help patients fill out forms about their medical history, consent, and payment plans.
  • Getting cash and credit card payments for medical services and processing them.
  • Reviewing patient accounts, finding ones that are behind on payments, and getting those payments.
  • Answering questions or complaints from patients, looking into them, or sending them to the right member of the medical staff. 15 Best Mattresses in Nigeria and their Prices
  • Follow up with patients to make sure their question or complaint has been answered or fixed to their satisfaction.
  • Taking care of administrative and clerical tasks, like filing paperwork, when they are needed.
  • Set up appointments for patients and call them to remind them.
  • Find out the patient’s address, how to reach them, what insurance they have, and their medical history.
  • Greet people and show them where the exam rooms are.
  • Check if the patient has insurance and get any co-payments.
  • Handle payments made with credit cards and keep track of the daily cash deposits.
  • Keep patient information up-to-date and check it each time a patient comes in.
  • Work under the direction of the Supervisor and follow the policies and procedures of the department.
  • Tell the Supervisor about the patient’s strange behavior.
  • Tell patients about delays and how long they will have to wait.
  • Review patient accounts, discover delinquent accounts, and collect due amounts.
  • Go to educational training to improve your career.
  • Respond to patient queries and concerns in a professional manner.
  • Stay up-to-date on information about insurance programs and sources of funding.
  • Help patients fill out forms for patient consent and payment contracts. JAMB Portal 
  • Check to see if a patient needs financial help and help them get the paperwork they need.

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In summary, the duty of a patient service representative is for providing support to patients in a healthcare setting. They handle patients’ inquiries, schedule appointments, assist with insurance and billing inquiries, and process patient information. The representative acts as the main point of contact between patients and healthcare providers, ensuring smooth and efficient operations of the medical facility. Their primary goal is to provide patients with high-quality customer service and support.

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