Customer Service Representative

C andidates must have previous scheduling experience Performs a variety of complex administrative duties for patients in need of routine and/or urgent appointments, medical procedures, tests, and associated ancillary services in an ambulatory in/outpatient setting. Assess patients needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. Alerts providers to emergent patient care needs. -Greets visitors and/or patients for scheduled and/or urgent care appointments and procedures. -Confirms and verifies patient demographic and insurance information. -May collect co-payments from patients upon arrival. -Obtains signatures of consent from patient/Client for treatment authorization and insurance/billing information. -Assess patients needs, including but not limited to, financial counseling, interpreter services, social services and refers to appropriate person or area. -Receives and directs phone calls. -Connects the patient s call to the provider or responds to the patient and takes messages as directed. -Schedules urgent care appointments as needed and directed by clinicians. -Schedules patients for treatment by multiple providers and treatment areas, and arranges a variety of associated tests and procedures according to established guidelines and specific criteria. -Prioritizes appointments in a manner that fosters optimum patient care, efficient utilization of clinical staff, as well as resources. -Ensures tests and procedural prep information is provided to patients verbally, mail, and/or by the patient portal as necessary. -Collaborates with insurers to obtain patients prior-authorizations for procedures and tests as needed. -Follows guidelines established by insurers to ensure that pre-authorization, pre-certification, and clinician referrals for treatment are obtained prior to patient visits. -Complies with referral management regulations. -Verifies eligibility for procedures or tests from various health care institutions. -Follows up to correct discrepancies. -May facilitate patient prescription renewal matters, (via telephone, fax, and email), within scope of authority as directed by clinicians. -Preps the patient s information for clinicians for scheduled patient visits as needed. -Scrubs Patient Encounter information and submits electronically. -Reviews and audits billing discrepancy reports and researches errors for resolution as directed by office or clinical management. -Maintains accurate and timely records, logs, charges, files, and other related information as required. -Performs a variety of related administrative and clerical duties, such as retrieving files distributing mail and other records, faxing, collating, data entry, and relaying messages to clinicians, residents and staff. -May prepare special reports or spreadsheets for clinicians as requested. -Collects co-payments from patients for visits, maintains records or makes daily cash deposits from patient visits. -Calculates daily totals of co-payments received for submission to the second tier for co-payment reconciliation. -Composes, or selects standard form letters for clinician s response to routine inquiries and procedures, such as back-to-school authorizations.

Location: Worcester, MA, US

Posted Date: 5/4/2025