Patient Care Representative

Patient Care Representative

Title: Patient Care Representative - Primary Care West Springfield

Schedule: Full-Time

Location: Springfield, VA

The Patient Care Representative greets, schedules, meets, and registers patients in a friendly, courteous, and professional manner. Answers and routes telephone calls and messages. Coordinates insurance verifications and pre-authorizations. Maintains medical records and prepares charts/paperwork.. Accurately registers and effectively places orders. Has working knowledge of Epic. Monitors waiting area and communicates with clinical staff of patient readiness. Provides assistance as needed to physicians, Department Managers, and clinical staff.

• College Diploma or certificate preferred.
• High School Diploma or Equivalent required.
• One years relevant experience required.
• Knowledge of medical office or hospital scheduling systems and electronic medical records preferred.
• Knowledge of medical terminology and medical office billing and operations preferred.
• Qualified candidates must possess excellent interpersonal communication ability, customer service skills, and telephone etiquette. Must be able to perform in a high-pressure environment and have the ability to organize multiple tasks and prioritize responsibilities. Must maintain a high level of confidentiality.
• Must present professionally, have a pleasant personality, and ability to communicate positively with patients and staff.

• Greets all patients in a courteous, professional manner. Smiles and makes eye contact with the patient.
• Obtains and accurately enters patient information into registration system.
• Route patients to the correct modality and assist patients if needed.
• Makes changes as necessary in the registration system.
• Scans or copies insurance and identification according to department procedure.
• Distributes paperwork to patients as applicable. Offers assistance when needed and provides in a private manner so to maintain confidentiality of patient health information.
• Notifies clinical staff of patient readiness according to departmental procedure.
• Patient has been arrived into the computer system (sending an electronic message to the receiving dept.)
• Communicates to physician and designated management in the clinical departments all information as it relates to patients and procedures.
• Assist patients with electronic check in.
• Responsible for registering all walk in outpatients obtaining all information.
• Accurately transcribe or correct orders.
• Ensure correct ordering provider is entered. Accurately enter correct insurance.
• Consistently scan the physicians order, insurance card, photo ID, and waiver (when applicable) into computer in the correct patient chart.
• Consistently scan Patient’s Rights and Responsibilities, Consent for Treatment and Privacy Practice in Epic and or obtain electronic signatures in the correct patient chart
• Understands downtime procedures and collects all the necessary information needed when the system is back up
• Efficiently and correctly schedules patient appointments using the computerized scheduling system according to department procedure.
• Obtains demographic, insurance, and financial information and accurately records in the scheduling system.
• Ensures accuracy of information by asking every patient to spell his or her name and repeating all demographic and insurance information for verification.
• Responsible for correcting any errors in patient demographic information and verifying that all related paperwork is also amended.
• Identifies the reason for patient’s visit and informs the patient of any needed preparation for the visit.
• Responsible for issuing instructions and prescriptions to patients who require preparation before certain examinations can be performed.
• Responsible for reminder calls for each modality and informs the patients of any needed preparation for the visit.
• Answers the phone within three rings.
• Maintains a professional, courteous, and helpful manner throughout every phone call.
• Handles multiple telephone lines with high call volumes. Screens and routes all calls appropriately, identifying the caller and reason for call to recipient prior to transferring.
• Takes messages neatly, completely, and accurately including name of caller, date, time, and nature of the call, and distributes messages in a timely manner.
• Electronically files correspondence promptly in patient charts when returned from clinician or manager.
• Prior to the patient’s visit, obtains orders for all visits, referrals according to insurance from the referring physician, and verifies insurance authorization when applicable, according to department procedure.
• Assembles charts and/or completing paperwork preparation accurately and completely, and ensuring proper forms are on the chart prior to the patient’s appointment according to department procedure.\
• Ensures all forms are complete, including referring physician diagnoses, procedures, and insurance authorization numbers if applicable.
• Ensures that there is a complete chart prepared for every scheduled patient prior to the start of every exam. Prepares charts promptly for add-on patients.
• Informs self-pay patients of the estimated visit cost and departmental self-pay procedure. Maintains security of payments at all times.
• Informs Medicare patients of Advance Beneficiary Notification (ABN) as well as completes and scans the form.
• Keeps waiting room and reception area neat, clean, and free of debris at all times. Does not keep food or drink at workstation.
• Ensures office supplies are readily available at all times. Notifies Department Manager promptly when supplies are needed and well before the supply is exhausted.
• Constantly makes copies of patient history forms for next day.

• Paid Major Holidays
• Generous Paid Time Off / Vacation / Sick Time
• Health Insurance
• Dental Insurance
• Tuition Reimbursement
• Undergraduate Student Loan Repayment
• Career Counseling, Leadership Development and Training
• Annual Merit Review and Merit Increases
• Employee Assistance Program (EAP)
• Flexible Spending Accounts (FSA)
• Health Savings Account (HSA)
• Health Fitness & Education Class Discounts
• Employee Wellness Benefits
• Hospital Discount for Employees and Family
• VHC Health Outpatient Pharmacy
• VHC Retirement Program
• Workforce Enhancement Program
• Work/Life Discounts Program
• Free onsite parking
• Commuter Benefits
• Family Leave
• 401(k) + Match
• and much more!