Position Summary: The Patient Service Representative is responsible for greeting and registering patients, gathering appropriate demographic, insurance and billing information, assisting patients with billing and insurance needs, telephone and reception duties, managing a busy schedule, entering and placing accurate orders for imaging services to include the diagnosis for the exam(s), prepare patients for exams, and assisting technologists and radiologists in the completion of procedures and the radiologist needs relative to image interpretation and billing.Minimum Qualifications:Required
High School Diploma or Equivalent
American Heart Association BLS required within 60 days of hire
Basic knowledge of principles of CPT and ICD9 coding
Understanding of Medicare billing requirements for diagnostic tests
Preferred
Radiology department/imaging experience
6 months office or billing experience
Essential Job Functions:In addition to the essential functions of the job listed below, employees must have on-time completion of all required education as assigned per DNV requirements, Bozeman Health policy, and other registry requirements.
Provides accurate admitting and registration functions for Imaging patients. Maintains proficiency with multiple billing and registration systems.
Provides pre-billing services including obtaining insurance and billing information, updating systems as appropriate, providing estimates of exam charges, educating patients on medically necessary waivers and other compliance documents and obtaining appropriate signatures, obtains pre-authorization for studies as needed, may review payment arrangements and directs to billing office staff as appropriate. Interfaces with billing office for expedient charge capture, compliance, and customer service for all Imaging patients.
Places orders for Imaging services. Ensures order appropriateness with documentation of signed order, pertinent diagnosis or reason for exam requiring an understanding of valid ICD-9 coding, adequate patient demographics.
Provides telephone reception for busy department and physicians. This includes greeting customers and providing assistance, providing assistance to referring physicians and staff with report retrieval, facilitating scheduling, ordering of exams, locating prior studies. Ensures busy schedule is maintained with on-time appointments, key open appointment slots are filled, confirming appointments, assisting with rescheduling appointments and providing immediate service recovery as needed.
Prepares patients for exam by education, exam specific paperwork, dressing, prep instructions, and communication with technologists. Escorts patient to physician office or further care for immediate referral needs, lab work, hospitalization, etc.
Knowledge, Skills, and Abilities
Demonstrates sound judgement, patience, and maintains a professional demeanor at all times.
Ability to work in a busy and stressful environment.
Strong interpersonal, verbal and written communication skills.
Ability to work varied shifts.
Computer applications, MS Office, EMR, internet applications and standard office equipment.
Ability to analyze, organize and prioritize work while meeting multiple deadlines.
Physical Requirements
Lifting, Pushing, and Pulling: Lift 30 pounds of weight (pick up supplies, move equipment, etc.) Carry equipment/supplies.
Extended Hours: The role may involve working for extended periods, requiring sitting, walking, or standing for eight or more hours daily.
Flexible Schedule: The position may necessitate working beyond a standard 40-hour workweek, including weekends and after-hours shifts
On-Call Availability: On-call work may be required to respond promptly to organizational, patient, or employee needs
Effective Communication: Proficient in effective communication, both in person and through various technologies
Handling Challenging Situations: The role may involve dealing with upset individuals, requiring the ability to de-escalate situations and work effectively with frustrated patients, families, or employees
Repetitive Tasks: Ability to perform repetitive tasks as needed to fulfill job responsibilities
ExposuresTasks Include Potential Exposure: Job tasks may involve exposure to:
Bloodborne pathogens, such as blood, bodily fluids, or tissues.
Radiation in settings where medical imaging procedures are performed
Various chemicals and medications used in healthcare settings. Job tasks may involve handling cleaning products, disinfectants, and other substances.
Infectious diseases due to contact with patients in areas that may have contagious illnesses
The above statements are intended to describe the general nature and level of work being performed by people assigned to the job classification. They are not to be construed as a contract of any type nor an exhaustive list of all job duties performed by individuals so classified.77352635 AMI Deaconess - Admin
