Patient Services Representative

3 weeks ago


Cape Town, Western Cape, South Africa Atrium Health Full time

Overview

JOB SUMMARY:

The Patient Services Representative I puts their heart into their work every day. Our representatives lead with empathy and are passionate about showing compassion, ensuring quality work, and providing patients with a stress-free experience while they are registered for healthcare services. Whether it's making patients more comfortable while they wait, checking in on them with updates or going the extra mile to help someone navigate the hospital/clinic, our colleagues know that registering a patient is not a task-oriented career, it's a people-oriented one.

EDUCATION/EXPERIENCE: High school diploma or GED required. Patient access (scheduling, registration and financial clearance), insurance verification, billing or certified medical assistant experience preferred.

ESSENTIAL FUNCTIONS:

  1. Delights patients with an engaging and personable experience in all encounters.
  2. By providing a superior patient experience, receives high satisfaction survey scores from patients, at or above goal.
  3. Develops and maintains a solid understanding of the revenue cycle and how patient registration affects the billing process.
  4. Takes advantage of all training provided and ensures expertise in hospital/clinic systems including CarePricer, HIPAA confidentiality, healthcare insurance payer portals and protocols, insurance verification and data entry protocols, which hospital/clinic documents are required for medical and financial compliance, navigating the hospital/clinic and understanding and applying age specific competencies, among others.
  5. Completes the registration process while meeting quality and wait time goals.
    1. This includes obtaining all required information for hospital/clinic records and billing systems, obtaining patient and/or responsible party signatures on registration and providing required information to patients/responsible party concerning Advanced Directives if applicable, Privacy, Medicare and required other compliance or consent forms.
    2. This may also include insurance coverage verification, obtaining authorization for services requiring pre-certification or referral, collecting payments, and/or preparing charts/paperwork for patient visits.
  6. Depending on the assigned client location, may screen patients for Medicaid, Affordable care Act or hospital sponsored financial program and provides appropriate documentation and referral. May provide bedside financial counseling and collection support by telephone for patient balances after discharge.
  7. Depending on the assigned client location, may place an identification wristband on the patient and always follows hospital/clinic patient safety procedures for patient identification and medical record management.
  8. Performs clerical functions as needed, including answering phones, taking messages, chart processing, filing, faxing, etc.
  9. Depending on the assigned client location, may cross-train in patient services for other departments and/or work in other departments to cover for staffing gaps.
  10. Continually serves as nThrive's front line ambassador for ensuring each patient is treated with respect and receives the highest quality care and service.
  11. Supports nThrive's Compliance Program by adhering to policies and procedures pertaining to HIPAA, FDCPA, FCRA and other laws applicable to nThrive's business practices.
    1. This includes becoming familiar with nThrive's Code of Ethics, attending training as required, notifying management or nThrive's Helpline when there is a compliance concern or incident.
    2. HIPAA-compliant handling of patient information.
    3. Demonstrable awareness of confidentiality obligations.

SKILLS/QUALIFICATIONS:

  • Experience showing initiative, including anticipating customer needs and going the extra mile to ensure an engaging and positive customer experience.
  • Demonstrated experience communicating effectively with a customer and simplifying complex information.
  • Experience working with customer support including issue resolution management.
  • Ability to multi-task and prioritize departmental functions to meet both timed deadlines and quality expectations with great attention to detail.
  • Demonstrated ability to meet performance objectives.
  • Ability to cross-train in other patient services departments.
  • Demonstrated success working both individually and in a team environment.
  • Demonstrated ability to navigate Internet Explorer and Microsoft Office.
  • Demonstrated ability to learn new technology, hospital/clinic protocols and commercial/government insurance plans, and to be fully trained and operating independently within the 90-day training period.
  • The work schedule may vary. The standard schedule for this position is posted, however, schedules can change over time and this role will also be asked to cover shifts as needed for schedule gaps.
  • Experience working within the registration process in a hospital or physician office setting, including demonstrated success obtaining patient demographic and financial information, handling insurance verification and obtaining authorizations preferred.
  • Knowledge of commercial and government insurance plans, payer networks, government resources, and medical terminology preferred.
  • Basic understanding of patient access services and the overall effect on the revenue cycle. An understanding of commercial and government insurance plans, payer networks, government resources, and medical terminology preferred.

WORK ENVIRONMENT:

  • The noise level in the work environment is usually minimal.
  • Ability to safely and successfully perform the essential job functions consistent with the ADA, FMLA and other federal, state and local standards, including meeting qualitative and/or quantitative productivity standards.
  • Ability to maintain regular, punctual attendance consistent with the ADA, FMLA and other federal, state and local standards.
#J-18808-Ljbffr

  • Cape Town, Western Cape, South Africa Atrium Health Full time

    Dobson, NC, United StatesJob ID: 154122Job Family: Patient Accounting/RegistrationStatus: Full TimeJob Type: RegularDepartment Name: 34511086933173-Family MedicineThe Patient Services Representative I puts their heart into their work every day. Our representatives lead with empathy and are passionate about showing compassion, ensuring quality work, and...


  • Cape Town, Western Cape, South Africa 42 NORTH DENTAL Full time

    OverviewThis ia Full-Time Patient Care Representative role.Salary range is $18-$22 an hour.42 North Dental is committed to helping our supported practices provide quality dental care and exceptional patient care. To achieve this requires a commitment to securing and supporting the best and brightest – employees who share our vision and culture.Become part...


  • Cape Town, Western Cape, South Africa Atrium Health Full time

    Atrium Health is seeking a compassionate and detail-oriented Patient Service Representative to join our team. In this role, you will be the first point of contact for patients, providing exceptional service and support throughout their healthcare journey.As a Patient Service Representative, you will be responsible for greeting patients, checking them in, and...


  • Cape Town, Western Cape, South Africa Clicks Group Limited Full time

    Job DescriptionWe are looking for a highly motivated Patient Service Coordinator to join our pharmacy team at Clicks Group Limited. As a Patient Service Coordinator, you will be responsible for coordinating patient care services and performing administrative tasks.Main ResponsibilitiesCoordinate patient care services and ensure seamless transitions between...


  • Cape Town, Western Cape, South Africa Atrium Health Full time

    Atrium Health is seeking a skilled and experienced Patient Service Representative to join our team. In this role, you will be responsible for providing exceptional customer service to patients, verifying insurance coverage, and preparing charts/paperwork for patient visits.You will work closely with other members of the patient access team to ensure that all...


  • Cape Town, Western Cape, South Africa Stethoscope Sa Full time

    Position OverviewStethoscope Sa is looking for a seasoned Patient Services Manager to lead our patient services team. As a key member of our staff, you will be responsible for ensuring the delivery of exceptional patient care and services.The ideal candidate will have a strong background in patient services, with excellent leadership and communication...


  • Cape Town, Western Cape, South Africa Africa Health Care Full time

    Africa Health Care seeks a highly skilled Medical Case Manager to join our team at Rondebosch Medical Centre. This role involves efficient patient case management and delivery of a professional service to internal and external customers.About the PositionThe ideal candidate will be a goal-oriented individual with strong customer, quality, and performance...


  • Cape Town, Western Cape, South Africa 42 NORTH DENTAL Full time

    We're seeking a skilled Patient Care Representative to join our team at 42 NORTH DENTAL. In this role, you'll be responsible for providing administrative support to ensure seamless patient experiences.Key ResponsibilitiesInteract with patients in a courteous and professional mannerSchedule appointments and confirm details accuratelyEducate patients on...


  • Cape Town, Western Cape, South Africa Dis-Chem Pharmacies Full time

    Role Overview:The Patient Service Coordinator will be responsible for ensuring that all patient interactions are conducted in a professional and courteous manner, while maintaining the highest standards of customer service.Main Tasks:Capture script details accurately, and verify patients' details on the systemMaintain customer profiles on the...


  • Cape Town, Western Cape, South Africa Mediclinic International Full time

    About the RoleWe are seeking an experienced Reception Administrator to join our dynamic team. As a key member of the patient services department, you will provide exceptional administrative support to ensure seamless patient admissions and discharges.ResponsibilitiesCapture and process patient admissions in accordance with established procedures.Identify and...


  • Cape Town, Western Cape, South Africa LIFE Healthcare Group Full time

    At LIFE Healthcare Group, we're committed to delivering exceptional patient care and service excellence. As an Admission Clerk, you'll play a vital role in our mission by ensuring smooth and efficient admissions processes.Key ResponsibilitiesAccurately collect and manage patient demographic data according to established procedures.Ensure timely collection of...


  • Cape Town, Western Cape, South Africa Intercare Group South Africa Full time

    Intercare Group South Africa is looking for a skilled Admissions Coordinator to provide professional reception, admission, and billing services to patients.The ideal candidate will have a strong understanding of the AS400 system and be fully proficient in Microsoft Word and Excel.Responsibilities include capturing and verifying patient admission details,...


  • Cape Town, Western Cape, South Africa MSP Staffing LTD Full time

    Patient Care Services Director RoleWe are seeking an experienced and skilled Patient Care Services Director to join MSP Staffing LTD in Cape Town.Job OverviewTo direct and manage nursing services, focusing on delivering high-quality patient care and improving patient outcomes.Develop and implement nursing strategies, policies, and procedures to enhance...


  • Cape Town, Western Cape, South Africa Intercare Group Full time

    Job SummaryThe Front Desk Administrator will be responsible for ensuring that all patients receive efficient and friendly service. This will include handling telephone inquiries, assisting with administrative tasks, and maintaining accurate records.This is a fantastic opportunity for someone who is passionate about delivering exceptional customer service and...


  • Cape Town, Western Cape, South Africa Talent Shore SA Ltd Full time

    About Our Client: Our client is a fast-growing and dynamic company specialising in cutting-edge therapy products that support the UK's leading physiotherapists in achieving faster patient outcomes. With a strong presence in both the private and NHS sectors, they are committed to providing tailored solutions that enhance patient care. Established seven years...

  • Patient Navigator

    3 weeks ago


    Cape Town, Western Cape, South Africa Talent Shore SA Ltd Full time

    About our client: Our client is a pioneering medical cannabis clinic in the UK, committed to advancing patient care through innovative treatments and cutting-edge research. In partnership with Birmingham University they aim to expand research into cannabis treatments, particularly for conditions like PTSD. Equipped with telemedicine technology and their app....


  • Cape Town, Western Cape, South Africa Elcb Information Services (Pty) Ltd Full time

    Job OverviewWe are seeking a highly skilled Customer Service Representative to join our team at Elcb Information Services (Pty) Ltd.The successful candidate will be responsible for engaging with clients, providing product information, and ensuring excellent customer service.This is an excellent opportunity for someone who enjoys working in a fast-paced...

  • Patient Administrator

    3 weeks ago


    Cape Town, Western Cape, South Africa Stethoscope Sa Full time

    The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences.The administrator will be responsible for all aspects of patient administration - admission, medical aid communication, authorisation, billing, and general administrative tasks. The team member will have an obligation to clearly...


  • Cape Town, Western Cape, South Africa Stethoscope SA Full time

    The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences. The administrator will be responsible for all aspects of patient administration–admission, medical aid communication, authorisation, billing and general administrative tasks.The team member will have an obligation to clearly...

  • Patient Administrator

    3 weeks ago


    Cape Town, Western Cape, South Africa Stethoscope Sa Full time

    The Patient Administrator will improve operational efficiency, optimise financial performance, and enhance patient experiences.The administrator will be responsible for all aspects of patient administration – admission, medical aid communication, authorisation, billing and general administrative tasks.The team member will have an obligation to clearly...