Patient Service Representative
Job
Southern Orthocare
Maryville, TN (In Person)
Full-Time
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Job Description
Description of Responsibilities The Patient Service Representative serves as front line to all existing and potential patients, referral sources, physician offices and community stakeholders. This individual must deliver exceptional patient service through excellence, kindheartedness and responsiveness to needs of people
- both on phone and in person.
- within scope of our ability
- we will move heaven and earth to help them. Also
- ensuring that they complete all required documentation at either intake or delivery. Phone management. Answering phone (and training team as such) with high degree of professionalism. If cannot help the caller, place them on hold and forward them to the appropriate team member. Also
- check messages in the morning, mid-day, and evening.
This includes:
Checking eligibility for every single patient in Bonaflde for Medicare or on insurer web sites for others Scanning all documentation into OPIE on same day documentation received and maintaining e-charts with complete compliance Submit pre-authorizations when required. Fax CS or SWO forms or request for medical records to prescribers when required and ensure that all documentation passes compliance according to Medicare regulations.Case management:
working the "WIP" (Work In Progress) or open cases to ensure they move along efficiently and contacting appropriate stakeholder If we are late on delivery, call the patient, and if appropriate, the doctor's office. When a case stalls, identify exactly why, and remove the barrier or call the related individual to ensure it moves to the next level in the process immediately. This includes pursuing pre-auths, documentation from a provider, products ordered, practitioner notes, or a patient to schedule appointment. Inside sales. Basic knowledge of our products (i.e. bathroom safety equipment) and helping Patients find the right product that meets-their needs. Minimum Qualifications Ability to lead SORCA staff and inspire them to excellence in serving patients.Patient service attitude:
genuine care of people and display of excellence and responsiveness to the needs of people- both phone and in person.
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