Patient Services Representative – Call Center, Referrals

This is a fully remote position, open to applicants in Kansas, +3 more states.

📋 Description

• Assist and support the Patient Access team within the call center and handle new patient referrals.

• Provide adaptable daily coverage across essential access functions.

• Schedule patient appointments via telephone or in-person interactions.

• Offer information regarding clinic operations.

• Gather and update patient demographic information.

• Answer incoming calls and route them as necessary.

• Coordinate appointment schedules for patients requiring multiple services.

• Verify insurance eligibility and manage referrals, including follow-ups.

• Address insurance denials and collaborate with providers to file appeals.

• Report on abandoned call rates during Tiered Huddles.

• Welcome patients upon their arrival at the clinic.

• Accept payments and issue receipts.

• Manage and review encounter forms.

• Copy and upload insurance cards into the EMR system.

• Reconcile and balance personal cash drawer on a daily basis.

• Prepare ancillary forms for additional services.

• Promote the use of the Patient Portal.

• Retrieve, copy, create, and request patient medical records and charts.

• Validate patient handouts for compliance dates.

• Discuss financial accounts with patients.

• Obtain prior authorization from insurance providers.

• Secure referrals for HMO patients.

• Collect and verify proof of income for sliding-scale discounts.

• Monitor and manage referral work queues within the EMR.

• Transcribe external referrals into the EMR system.

• Coordinate referrals to facilitate patient access to clinical care.

• Dispense and reorder supplies as needed.

• Engage in Quality Improvement activities.

• Type notes and letters for physicians.

• Create immunization cards.

• Sort and distribute incoming mail.

• Communicate professionally with patients, co-workers, employees, and external parties.

• Maintain patient confidentiality at all times.

• Perform additional duties as assigned.

⛳️ Requirements

• Must reside and work full-time in Arkansas, Kansas, Missouri, Oklahoma, or Texas prior to the first day of employment.

• High School Diploma or GED is required.

• A minimum of 3 years of experience in customer service is required.

• At least 6 months of experience in a clinical environment is mandatory.

• No specific license, certification, or registration is required.

• Advanced verbal and written communication skills are essential.

• Strong customer service skills are necessary.

• Advanced ability to work effectively with employees, patients, and external stakeholders.

• Proficiency in Microsoft Office tools is required.

• Familiarity with hospital policies and procedures is beneficial.

• Adequate keyboarding skills to meet job requirements.

• Ability to uphold patient confidentiality is a must.

🏝️ Benefits

• Comprehensive benefits package available.

• Paid Time Off (PTO) offered.

• 401(k) plan included.

• Medical insurance plans provided.

• Dental insurance plans available.

• Opportunities for in-service meetings and educational programs.

• Reasonable accommodations for qualified individuals with disabilities.