Providence Patient Services Representative - Family Medicine in Polson, Montana
Providence is calling a Patient Service Representative (Family Medicine, Days, 1.0) to Providence St. Joseph Medical Center in Polson, Montana. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all - especially those who are poor and vulnerable.
In this position you will:
Answer all incoming departmental calls promptly and responds according to hospital policy.
Apply patient armband according to hospital policy.
Communicate with the next shift about the status of work in progress.
Consistently ask for and obtains current insurance and subscriber information; accurately interprets and assigns correct insurance and subscriber data, in the correct format.
Consistently ask for patient’s legal name, date of birth and social security number; accurate medical record number and account number retrieval and assignment; consistently enters all data according to Epic standards.
Consistently document and comment on the patient account regarding discussion with the patient, insurance verification and benefits, special information provided to the patient, etc.
Consistently obtain signature on “Agreement to Pay” forms or documents per established procedures.
Consistently perform real-time electronic insurance verification and applies findings accurately to the patient account.
Demonstrate a thorough understanding of patient registration functions, including status changes, transfers and discharges.
Follow registration scripts and protocols for patient interview process, uses scripting and correctly explains the Privacy Notice, Patient Directories and Condition of Admission; obtains signatures as applicable.
Handle all registration forms per procedure (ie general consent, Important Message from Medicare, Champus).
Handle patient walk-ins and responds to their concerns, questions and requests.
Maintain knowledge of federal, state and agency regulations as well as third party payer reimbursement mechanisms to ensure prompt payments.
Obtain 3rd Party Liability forms and information.
Operate hospital telephone, fax, computers, printers and copy machines properly; identifies and reports equipment failures or malfunctions.
Perform the MSP Questionnaire according to hospital policy; interprets patient answers to correctly identify primary insurance.
Provide other hospital-specific forms to the patient according to policy.
Review comments and follows procedures on payment collection and receipting to obtain co-pay /POS cash that is due on the date of service; consistently asks for payment at the time of service; demonstrates ability to successfully handle patient objections on requests for payment at the time of service.
Review comments on pre-registered accounts and obtains missing information.
Understand clinical signs of physical and emotional distress and alerts the RN to any change.
Communicate clearly and appropriately using age specific standards with staff, patients, and families of patients.
Listen to the perspective of the customer and responds appropriately in a respectful manner; acknowledges and responds to requests within and between departments; provides appropriate assistance or service.
NOTICE: St. Joseph Medical Center Family Clinic (Dept 465.70700) PSRs must participate in call rotation.
Required qualifications for this position include:
One (1) year experience in a healthcare related field, specifically patient access, insurance eligibility verification/authorization, billing/electronic claims submission, or collection of accounts receivable.
Computer and/or data entry experience.
Demonstrated application of hospitality skills in any service field.
Preferred qualifications for this position include:
H.S. Diploma or GED
Previous hospital admitting experience.
Any equivalent combination of education and experience that provides the employee with the knowledge, skills, and ability to perform the work will be considered.
About the hospital you will serve.
Providence St. Joseph Medical Center is a 22-bed critical access hospital in beautiful northwest Montana employing nearly 250 employees, including physicians. With expanding services, building renovations and outstanding technology, our community hospital is the heart of medical care in Polson, Montana and the large, sparsely populated surrounding area. We have close ties to Providence St. Patrick Hospital and Health Sciences Center, Providence's tertiary center located 66 miles away in Missoula.
For information on our comprehensive range of benefits, visit:
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Req ID: 290445