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Job Description

Job Title: Patient Services Representative II-Frederickburg Family Practice
Job ID: 200000SK
Status: Full-Time
Regular/Temporary: Regular
Hours:
Shift: Day Job
Facility: Pinnacle Health Medical Group
Department: Primary Care Frederick
Location: 120 S Tan Street, Fredericks PA 17026

Description

Our team is growing and we have a variety of opportunities available for Patient Services Representative II. If you’re passionate about patient care and looking for a career that offers great benefits and plenty of room for growth, we invite you to explore this opportunity today! 

Responsibilities:
  • Mail instruction booklet to all patients as each OR reservation is received.
  • Responsible for ICD-9 coding for correct diagnosis entry and CPT coding for all procedures for maximum reimbursement.
  • Check daily reports for accuracy and follow up on discrepancies. Maintain a filing system for daily reports.
  • Support and contribute to UPMC Service Excellence mission and abides by all UPMC departmental policies, procedures, and goals.
  • Register patients appropriately upon admission to the Center. Assist individuals as needed.
  • Assemble and analyze patient records in a timely manner. Check charts for completeness and accuracy using JCAHO guidelines for documentation and signature entries.
  • Print and distribute a daily OR schedule after all OR times have been verified with the physician's office.
  • Assemble patient charts prior to the day of surgery.
  • Schedule procedures by entering data into SIS computer system, assigning appropriate OR room, time and minutes. Log all scheduled procedures in OR Logbook. Distribute copies of reservations to appropriate individuals and departments.
  • Enter clinical data into SIS system and prints monthly reports and distribute appropriately.
  • Greet all individuals who enter the Surgery Center. This includes patients, visitors, sales representatives and physicians.
  • Answer and appropriately triage all phone calls to the Surgery Center.
  • Maintain and update credentialing files and lists on all staff physicians at the Surgery Center. Mail and forwards all credentialing information to physician offices and Medical Staff Services.
  • Type and update policies, procedures, memos, forms, and any other correspondence as requested by managers or staff.
  • Analyze medical records to identify physician, nursing, and anesthesia documentation deficiencies, completing deficiency slips for all incomplete charts. Monitor the quality and timeliness of medical record documentation and shares finding with Director/Managers.
  • Counsel patients on financial assistance and available services. Contact patients or responsible party regarding co-pays, deductibles and any out of pocket expenses they may incur and advise them on method of payment.
  • Maintain patient census log and prepares monthly financial and statistical reports and forwards to the Director.
  • Maintain both self and work area in a manner consistent with a professional environment.
  • Enter all Surgery Center charges into Clinipac, maintaining a system for filing and retrieval of Supplies Used list.
  • Create, maintain, and retrieve patient records that are housed at the Surgery Center. Ensure the security, safekeeping and timely return of all records, which are retrieved and provided to requestors for review. Account for all records that leave the file area. Perform duties related to the release of medical record information. Ensure that the release of information is handled following the laws of confidentiality.
  • Verify all insurance coverage information on each patient. Notify appropriate individuals of insurance liability. Enter appropriate data into Medipac and documents all insurance information required for billing.
  • Act as a reference for patient questions. Follow up to ensure patient inquiries have been satisfied.
  • Collect cash payments, copays, and deductibles and documents all information in the Cashiering system, posts memos and gives receipts to patients. Keep a record of all receipts and payments.
  • Responsible for registration of Surgery Center patients. Gather and record demographic and insurance information on each patient/family member/guarantor. Enter registration information into the Medipac system. Complete appropriate forms, consistent with insurance requirements. Follow up on any incomplete or inaccessible information to ensure a complete record.

Qualifications

  • High school diploma or equivalent is required. 
  • 1 to 2 years experience in a related medical field, preferably in a fiscal/admissions/patient relation's function.  
  • Medical terminology, experience with ICD - 9 and CPT codes, and knowledge of third party healthcare coverage and medical billing practices required. 
  • Experience with mainframe and personal computer-based applications. 
  • Proven ability to work well in a team environment and consistently maintain a positive and professional attitude. 
  • Excellent organizational and written and oral communications skills required.

Licensure, Certifications, and Clearances:
Act 33 with renewal
Act 34 with renewal
Act 73 FBI Clearance with renewal


UPMC is an Equal Opportunity Employer/Disability/Veteran

Salary Range: $14.46 to $23.38 / hour

Union Position: No

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