Lead Patient Service Rep - Congress

Job Description

The Lead Patient Service Representative functions as an administrative team lead for the office. This position supports the physician and nursing staff in the delivery of health care by performing a range of administrative related tasks to maintain a smooth and efficient front office workflow. This position also assists with providing a review of Patient Service Representative administrative skills, assessing the workflow of administrative staff and monitoring staff/scheduling coverage.

Duties and Responsibilities:

• Leads huddles to supervise, assess and evaluate department workflow.
• Provides orientation and training for administrative staff.
• Provides assistance in tracking and monitoring policies and other department specific data for safeguarding organization resources and monitoring of patient refunds.
• Manages the patient care flow and assists with overseeing CS-Link message pools.
• Monitors and assesses administrative workflows, performs observations of staff skills and performance abilities using designated evaluation and observation tools, provides suggestions for opportunities to improve and assists the Supervisor with the preparation, documentation and make recommendations related to corrective actions.
• Manages the physicians’ master schedules and coordinates all schedule changes, teaches staff accordingly, and makes recommendations for schedule improvements.
• Provides assistant to patients by explaining policies, procedures, or services using administrative knowledge and direct inquiries or complaints to appropriate medical staff members, administrative staff, insurance plans, and other departments to ensure satisfactory resolution.
• Assists with administrative support activities to address physician and staff concerns such as facilities management, patient billing, utilization management, quality management, risk management, human resources, and payroll.
• Handles patient and provider correspondence.
• Processes and documents referrals and authorizations for patients.
• Provides assistance in administrative quality assurance measures and adheres to all infection prevention standards.
• Assists as a chaperon when needed upon completion of the required Chaperon Training.

Qualifications

Education: High school diploma/GED preferred.

Experience: Five (5) years of Patient Service Representative or Medical Assistant experience in an outpatient medical office setting required.