Interventional Spine Customer Service Representative

2 weeks ago

محافظة دمياط, Egypt San Juan Regional Medical Center Full time

Creating Life Better Here starts with you. At San Juan Regional Medical Center, we're more than a healthcare provider—we're a values-driven organization dedicated to delivering exceptional care. As a team member, you help fulfill our mission to make life better here for our community.

The Customer Service Representative is entrusted to provide excellent service and set a positive tone for every customer while serving as the liaison between patients and clinic staff, and demonstrating self-confidence, adaptability and personal initiative. The CSR coordinates the customer encounters and serves as the communication hub for the clinic, in an attentive, courteous and competent manner.
- Required_ Behaviors:

- As you go about fulfilling this mission, your work habits and work relationships should embody SJRMC's values. These values are our culture, our identity as an organization: Sacred Trust, Personal Reverence, Thoughtful Anticipation, Team Accountability and Creative Vitality ask more of us than merely completing some list of tasks. Our values ask for a deeper level of commitment, and what is asked of us we freely give because we believe in our mission.
- Required_ Qualifications:

- High school diploma or GED
- Articulate; good communication skills; good grammar and spelling
- Good problem solving skills
- Knowledge of computer keyboard operation
- Medical Terminology course required within 90 days of employment
- Preferred_ Qualifications:

- Previous medical background
- Previous receptionist, clerical and or secretarial experience

Duties and Responsibilities:
Each Clinic serves a unique purpose. Individual CSR positions include all or some of the following:
Customer Service:

- Establishes and maintains effective relationships with all internal and external customers, who may include patients, physicians, other healthcare providers, co-workers, vendors, and visitors
- Communicates, face to face and by telephone, with internal and external customers in a professional and courteous manner
- Maintains a positive attitude and remains calm under pressure, while working in a fast-paced environment
- Focuses on continuous improvement to meet customer needs; supports new programs, ideas and processes
- Maintains sensitivity to others and adjusts behavior accordingly
- Recognizes the importance of teamwork and effectively participates in teamwork processes
- Presents a professional appearance and acts as a positive representative of the clinic

Patient Check In and Check Out:

- Enters data correctly and efficiently, including demographics and patient insurances
- Maintains medical records, reports and files as required
- Answers multiple phone lines with courtesy and efficiency; takes and distributes messages; properly refers calls to providers and other staff members
- Collects balances due from patients, including co-pays, co-insurances and outstanding balances
- Performs accurate accounting of daily deposits and verification of cash on hand
- Generates daily reports and verifies the accuracy of the data reported
- Discusses financial responsibility with patient and/or guarantor and sets up payment arrangements in accordance with SJRMC policies
- Follows protocol for opening and closing clinic

Appointment Scheduling:

- Demonstrates competency in the Scheduling Module and performs scheduling as per physician-specific protocol

Insurance Verification:

- Verifies patient insurance coverage in accordance with clinic protocol and demonstrates competencies in both manual and electronic verification methods

Billing Rejections:

- Processes billing rejections in a timely and accurate manner

Mail Processing:

- Processes mail each day in an accurate and timely manner

Charge Entry:

- Posts charges and/or payments timely and accurately
- Works collaboratively with clinical staff to ensure appropriate CPT and ICD-9 coding for all patient encounters
- Resolves coding issues with the clinical staff promptly

Referral and Authorization Management:

- Obtains referrals, pre-certifications and authorizations in a timely and accurate manner, following payer specific requirements; maintains accurate documentation

Medical Records:

- Demonstrates ability to properly prepare process and file Medical Records
- Maintains filing system
- Provides correspondence and Medical Records to appropriate parties in a timely manner; processes all requests for Medical Records in a timely manner and in accordance with clinic protocol

Scanning:

- Performs scanning duties in a timely and accurate manner

Additional Responsibilities:

- Complies with and is knowledgeable of organizational and departmental policies and procedures, including safety procedures and policies
- Contributes to the care of the environment by maintaining work areas and assisting with housekeeping tasks as needed
- Utilizes computer system as needed for information, data analysis, and to complete tasks
- Maintains customer’s rights (confidentiality, privacy, sa

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