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Patient Service Representative Primary Care
Date Posted: 05/06/2024
Job #: 3079872
Location: Lafayette
Job Description:This position is responsible for billing, follow-up, and
resolving issues that delay or prevent payment of the patient's account
within Intermountain's policies and procedures.
Scope
1.Greets patients. Answer phones, takes messages, returns calls and
provides neededinformation, while documenting all phone calls accurately and
completely in the electronic medical record (EMR).
2. Schedules patient appointments for visits, procedures, diagnostic
tests, referrals and/or consultations.
3. Registers patients. Confirms, enters, and/or updates all required
demographic data on patient and guarantor on registration system. Follows
procedures when identifying patients.
4. Obtains copies of insurance card(s), forms of ID, and
signature(s) on all required forms. Verify information on appropriate
accounts to determine insurance coordination of benefits,
pre-certification/prior-authorization. Complete the Medicare Secondary Payer
(MSP) questionnaire when applicable. Verifies insurance to determine
coordination of benefits and obtains authorization and/or referrals as
required. Screens for non-covered services and waiver of liability (ABN)
through automated screening at time of service.
5. Informs self-pay patients of liability due and prepayment requirements.
Prepare estimate of procedures, calculates advance payment requirements on
previous or bad debt and current balances. Refer potentially eligible patients
...
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