Patient Service Specialist Job Description

Patient Service Specialist Job Description

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Patient service specialist provides education to clinical departments regarding coding, including CPT, HCPCS, ICD10, DSM, revenue codes and modifiers, and their compliant use.

Patient Service Specialist Duties & Responsibilities

To write an effective patient service specialist job description, begin by listing detailed duties, responsibilities and expectations. We have included patient service specialist job description templates that you can modify and use.

Sample responsibilities for this position include:

Register patients, schedule patient appointments, verify insurance, enter demographic data, collect copayments
Informs patient of benefit information
Schedule appointments, process insurance registration, direct callers to appropriate scheduling area, Epic registration, coordinates services and provides special instructions
Provides outstanding service to patients
Manage incoming and outgoing communication, answer incoming calls in ACD system (ASPECT), make outgoing calls in Aspect, retrieve voicemails, contact internal and external physician offices, correspond with patients and caregivers via email and staff message
Resolves scheduling difficulties between patient and CC providers
Liaison for outside referring physicians and facilities
Participate in ongoing training, daily huddles, stay current on processes and procedures
Captures referrals and cancellation reasons
Verifies and captures physician data

Patient Service Specialist Qualifications

Qualifications for a job description may include education, certification, and experience.

Licensing or Certifications for Patient Service Specialist

List any licenses or certifications required by the position: CPR, NATA, CEU, UNMATCHED

Education for Patient Service Specialist

Typically a job would require a certain level of education.

Employers hiring for the patient service specialist job most commonly would prefer for their future employee to have a relevant degree such as Bachelor's and Associate Degree in Associates, Education, Communication, Healthcare, Medical, Human Relations, Business/Administration, Marketing, Medical Terminology, Medical Education

Skills for Patient Service Specialist

Desired skills for patient service specialist include:

Medical terminology
PC window applications sufficient to input and retrieve data
Commercial and government health insurance and billing guidelines
ACA requirements
Understanding of DRG's
Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers
Medical ICD9/ICD10 codes and CPT/HCPCS Codes and Modifiers
Excel
Outlook
Fax

Desired experience for patient service specialist includes:

Effectively collaborates and communicates with clinical staff, providers, nurses and other support staff
May participate on committees and have a role in other Institute initiatives
May participate in patient outreach activities such as proactive patient calls to assist with health maintenance and care compliance
Requires extended periods of standing, walking or sitting
Must be able to navigate various locations and function in a fast-paced, hectic environment
2 Years Preferred Technical Experience

Patient Service Specialist Examples

1

Patient Service Specialist Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of patient service specialist. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient service specialist
  • Creates a welcoming and professional environment for our patients and visitors by demonstrating exceptional customer service based upon the expected service behaviors included in Cleveland Clinicâ��s START with Heart model
  • Interacting with patients, payers and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, referral/authorization, point of service payment collection, document collection and arrival/check-in functions
  • Receiving and routing messages received in the department appropriately managing customer billing and payment inquires as needed
  • Effectively managing the patient check-in and check-out process from start to finish, which includes identification verification
  • Assisting patients with HPE eligibility, discussing payment arrangement options including financial assistance information, providing price estimates
  • Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership in order to resolve concerns
  • Acting as a member of the patient care team by supporting the clinical care staff in the care of the patient
  • Handle a large volume of inbound and outbound calls
  • Knowledge of medical ebb's, patient deductibles and co-pays
  • Work pre-collection calls, take patient payments and refiling claims after updates
Qualifications for patient service specialist
  • Patient Registrars must have prior experience registering patients for hospital and physician clinic services in a healthcare setting
  • Patient Registrars must have prior experience scheduling patient examination, procedure, surgery appointments for hospitals and physician clinics
  • Patient Registrars must have prior experience verifying patient insurance benefit coverage via phone and online insurance payer portals
  • Patient Registrars must have prior experience updating patient accounts with registration, insurance, demographic, scheduling, and billing data
  • Patient Registrars must have prior high volume in person and phone patient customer service experience
  • Patient Registrars must demonstrate ability to type 40+WPM required (alphanumeric & 10-key typing)
2

Patient Service Specialist Job Description

Job Description Example
Our growing company is looking to fill the role of patient service specialist. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient service specialist
  • Allscripts experience is a plus
  • Receiving and routing messages received in the department appropriately manages customer billing and payment inquires as needed
  • Wheel chair assistance – take a wheelchair down to them and bring them up to the clinic
  • Check on patients in the waiting room
  • Assist patients with any concerns or needs throughout appointment or wait period
  • Assist front office when needed
  • The Patient Services Specialist will be responsible for the timely enrollment of the patient into the Patient Support Program
  • Liaise with the patient, insurer and client regarding the documentation required for maximum reimbursement coverage, including the exploration of all public and private insurers and providing escalations as required
Qualifications for patient service specialist
  • 2 -3 years of experience in the revenue cycle
  • Detail oriented, experienced, administrative professional
  • Able to work independently for periods of time while maintaining a high level of communication with other members of the team
  • Strong written and verbal communication with a customer service disposition
  • Must have a strong knowledge of all health insurance contracts and billing guidelines
  • Completion of CC Epic scheduling, registration and appointment center training preferred
3

Patient Service Specialist Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of patient service specialist. Thank you in advance for taking a look at the list of responsibilities and qualifications. We look forward to reviewing your resume.
Responsibilities for patient service specialist
  • Ability to use all necessary office equipment (faxes, copiers, computers, telephones)
  • Warmly greet every patient with eye contact and a smile
  • Register new patients and let them know what to expect during their visit
  • Verify insurance and present information to patients clearly and concisely
  • Obtain insurance authorizations when required
  • Communicate with our corporate central business office
Qualifications for patient service specialist
  • Experience processing referrals and authorizations
  • Experience with Registering and Scheduling in Epic medical record
  • 1 year experience in a medical front office and/or business medical office position
  • Medical Office/Call Center experience preferred
  • Customer service and Healthcare exp
  • 1 year of related health care, customer service, call center, or insurance experience preferred
4

Patient Service Specialist Job Description

Job Description Example
Our innovative and growing company is searching for experienced candidates for the position of patient service specialist. Please review the list of responsibilities and qualifications. While this is our ideal list, we will consider candidates that do not necessarily have all of the qualifications, but have sufficient experience and talent.
Responsibilities for patient service specialist
  • Medical secretary, medical office, medical scheduling experience preferred
  • 1+ years experience working in healthcare customer service or office setting
  • May be required to pick up shifts at other Emergency Departments
  • Experience working in medical and/or healthcare environment strongly preferred
  • Typing test will be administered to finalist
  • Ability to carry office supplies up to 10lbs
Qualifications for patient service specialist
  • Conform to all HIPAA guidelines
  • Experience in a clinical office environment preferred, but not required
  • Location/Facility - Baylor Scott & White
  • Specialty/Department/Practice - Round Rock
  • EXPERIENCE - Minimum/no experience required
  • EPIC experience/knowledge preferred
5

Patient Service Specialist Job Description

Job Description Example
Our company is growing rapidly and is looking to fill the role of patient service specialist. We appreciate you taking the time to review the list of qualifications and to apply for the position. If you don’t fill all of the qualifications, you may still be considered depending on your level of experience.
Responsibilities for patient service specialist
  • 1 Year Scheduling Experience
  • 1 Year of Front Desk Experience preferred
  • 1 Year of Medical Office Experience preferred
  • 1 Year of Scheduling Experience preferred
Qualifications for patient service specialist
  • 1 Year of Scheduling Experience
  • Previous Therapy Experience
  • 1 Year Front Office Experience
  • Needs to be flexible with schedule or occasional coverage at another Cape location
  • 1 Year of Front Desk Experience 1 Year of Scheduling Experience preferred
  • Friendly PT office looking for front desk/office management experience in the health care setting

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