Patient Services Rep - CNPA Bowie

The Patient Service Representative (Children's National Pediatricians & Associates) performs basic medical front office duties. Greets patients and visitors, schedules appointments, provides administrative support, gathers demographics, verifies insurance eligibility, collects copay, deductibles, balances, check credit balances and maintains patient electronic health records (EHR). Processes specialty referrals and assist in training new staff. Performs daily duties under close supervision.

The practice has hours from 9:30 a.m. - 6:00 p.m. Monday to Friday with alternating Saturdays 8 a.m. - 12 noon.

Minimum Education
High School Diploma or GED (Required)

Minimum Work Experience
1 year Medical office/business office setting (Preferred)

Required Skills/Knowledge
Basic math skills.
Basic knowledge of office procedures.
Basic knowledge of medical terminology .
Knowledge of patient financials & accounting.
Knowledge of insurance verification.
Knowledge of scheduling appointments.
Great communication and customer service skills.
Ability to follow precise procedures and is detail-oriented.
Knowledge of Microsoft Office suite.

Functional Accountabilities
Patient Services Account

• Review, verify , update and perform all other patient account information and duties at every visit as defined in the training manual.

• Collect appropriate copays, deductibles, and balances; use credit balances when applicable and document all financial transactions in the EHR; collect and process administrative charges as appropriate.

Patient Services Scheduling

• Ensure complete patient registration by parent/guardian and populate all required registration fields in the EHR.

• Verify patient insurance eligibility and coverage prior to service.

• Ensure the schedule is accurate and up to date (Ex: check-in, check-out, and no shows).

• Schedule patient appointments accordingly based on the scheduling policy.

• Process patient referrals according to the Referral loop and PCMH workflow.

Office Support and Administration

• Answer phones and handle calls promptly and accordingly.

• Give and obtain accurate and pertinent information to and from callers.

• Ensure all patient related communications are as defined by the PCMH workflow.

• Scan appropriate documents into a patient's chart in a timely manner.

• Sort incoming and outgoing mail and documents; maintain office to ensure a clean and organized environment.

Professional Development

• Attend meetings as required, and participate in committees as requested.

• Participate in professional development activities

Organizational Accountabilities
Organizational Accountabilities (Staff)
Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior

• Partner with all team members to achieve goals

• Receptive to others' ideas and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment

• Demonstrate flexibility and willingness to change

• Identify opportunities to improve clinical and administrative processes

• Make appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources efficiently

• Search for less costly ways of doing things

Safety

• Speak up when team members appear to exhibit unsafe behavior or performance

• Continuously validate and verify information needed for decision making or documentation

• Stop in the face of uncertainty and takes time to resolve the situation

• Demonstrate accurate, clear and timely verbal and written communication

• Actively promote safety for patients, families, visitors and co-workers

• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-check behavior and performance