At Central Maine Healthcare our team members are committed to providing exceptional care and experiences for our community and for each other every day.
Central Maine Healthcare is seeking a Patient Services Representative to join our team at the CT/Vascular Surgery office!
This is a Full Time, benefits eligible position
This position pays $20.50 per hour!
Position Summary:
The Patient Service Representative and Scheduler (PSR/S) for CMHVI is responsible for accurate coordination and implementation of scheduling, registration, insurance verification, co-pay collection, telephone management, patient portal management and patient discharge ( check–out) process for various hospital departments and provider locations within CMHVI and partner organizations. The PSR/S schedules complex visits or procedures coordinating the appropriate resources needed for each patient. The scheduling can include coordination and collaboration with up to five different resources. The job responsibilities requires completing multiple tasks simultaneously. Responsible for accurate and complete patient accounts based on organization standards, policies and procedures, HIPAA , and compliance with regulatory agencies, to include but not limited to pre-registration and registration functions. Provide exceptional customer service to our Patients, Providers, and all Departments, specifically- Cardiothoracic Surgery, Vascular Surgery & Wound Care.
Education and Experience:
1) High school diploma or equivalent required
2) Minimum of one year of work experience in directly communicating and providing service to patients or public; preferably in a healthcare related field required
3) Minimum of two years relevant experience knowledge of scheduling, registration, and medical terminology preferred
4) Understanding of various insurance plan requirements, government agencies, Medicare and Medicaid
5) Demonstrated proficiency with data entry/keyboarding
Essential Duties:
1) Projects a positive image of the department and organization as the first line of contact with patients regarding access to our services
2) Interacts daily with patients regarding appointment scheduling, insurance verification, payment collection, medical necessity, etc., and follows established standards and reference guidelines by demonstrating the ability to assist patients, internal departments, and providers.
3) Schedules complex procedures for all specialty services rotating to CT/Vascular office.
4) Demonstrates the ability to accurately register patients for up to 10 different departments.
5) Interprets scheduling questions and provides clarification by developing and maintaining a working knowledge of services offered.
6) Demonstrates ability to assist patients/families with questions related to the organization and routes calls appropriately when necessary.
7) Listens and responds to scheduling needs with the appropriate level of urgency.
8) Develops and maintains rapport with insurance payers, outside agencies and other departments within the regional healthcare system.
9) Updates patient registration and department schedules based on verified information from the patient/guarantor
10) Communicates with patients, times, required pre-procedure responsibilities. Implements plan for providing appropriate referrals, contacts and follow-up, including completion of necessary paperwork as required by each specialty.
11) Provides information to patient for financial assistance, prior to services being rendered.
12) Interacts with patients/families in a professional manner. Provides explanations regarding appointments, insurance coverage; ensures confidentiality of patient records.
13) As patient discharges, reviews the encounter form for completeness and for provider instructions. Schedules follow up visits as instructed.
14) Records appropriately detailed documentation on the patient account following each call
15) Maintains expert understanding and skill set with Cerner and other scheduling tools as needed.
16) Handles all inquiries regarding billing, scheduling, and referrals per departmental procedures and appropriately refers other inquires for proper intervention.
17) Communicates clearly and accurately with the Supervisor.
18) Follows through, in a timely manner, on all action steps requested by supervisor.
19) Meets stated performance standards for call duration, work time per call and call volume.
20) Provides coverage for other team members when necessary, reorganizes workflow as necessary to accomplish this.
21) Assists with projects and other assignments when necessary, offering assistance when possible.
22) Acts as a resource to the Central Scheduling team, when questions arise regarding referrals and diagnostic testing for all specialties rotating to outreach locations.
Living in Central Maine:
While not at work, our team members enjoy the endless opportunities for entertainment that Maine has to offer. Outdoor enthusiasts can enjoy skiing, boating along the coast and hiking at a state or national park. Centrally located to several popular attractions, residents can embark on day trips to Boston, North Conway, New Hampshire and Boothbay Harbor. Maine is a wonderful place to raise a family, with safe communities and great public and private schools.
About Central Maine Healthcare:
Central Maine Healthcare is an integrated healthcare delivery system serving 400,000 people living in central, western and Midcoast Maine. CMH's hospital facilities include Central Maine Medical Center in Lewiston, Bridgton Hospital and Rumford Hospital. CMH also supports Central Maine Medical Group, a primary and specialty care practice organization. Other system services include the Central Maine Heart and Vascular Institute, a regional trauma program, LifeFlight of Maine's southern Maine base, the Central Maine Comprehensive Cancer Center and other high-quality clinical services.
If you are passionate about making a difference and are looking for your next great career opportunity, we look forward to reviewing your application!
