independent judgment when addressing clinic-related matters and operational needs.
The applicant must be able to communicate effectively with
patients, clients, families, clinicians, insurance companies, and
other individuals in the community using a variety of communication
styles. The Patient Service Representative greets and responds to
patients, assists with documentation, gathers and maintains
personal information and compliance. Duties include collecting
payments, processing and verifying insurance details, obtaining
medical history, and keeping patients informed and updated
throughout various aspects of their care and clinic experience.
The Patient Service Representative will be required to
demonstrate schedule flexibility to support operational needs. The
position requires the ability and willingness to travel between UD
Health clinic locations based on business needs and to provide
coverage and operational support at the various clinics. This may
include adjusting work locations and schedules to support patient
volume, staffing needs, and continuity of clinic operations.
Preferred applicants will possess knowledge of medical billing,
insurance verification, and/or financial processes, as well as the
ability to work independently, prioritize competing
responsibilities, and adapt effectively to changing clinic
needs.
Major Responsibilities:
Responsible for obtaining or verifying information of clinic
management data and resolving problems relating to medical and
financial procedures and deadlines, while maintaining excellent
client service and patient experiences.
- Research and respond to routine and non-routine inquiries from
patients, medical facilities, billing companies/organizations, and
insurance companies.
- Review, verify and process financial and non-financial
documents and payments. Review patient accounts, identify
delinquent accounts, and collect due amounts.
- Verify patient’s insurance coverage and collect
co-payments.
- Process credit card payments and balance daily cash
deposits.
- Investigate and direct patient inquiries or complaints to
appropriate medical staff members for resolution.
- Help maintain schedule utilization and conduct appropriate
scheduling.
- Check out patients upon appointment completion, schedule for
future appointments, follow–up on self-pay balances and
questions.
- Assist with achievement of new patient goals by discussing
positive qualities of the Practice during check-out. Demonstrate
care, enthusiasm, and empathy. Understand practice goals and new
patient processes.
- Perform general office duties, such as document preparation,
scanning, and indexing.
- Enter and update insurance information.
- Maintain confidentiality of Patient PHI and any other related
information according to HIPAA Privacy Practices. Maintain clean,
neat work areas.
- Applies intermediate-advanced skills appropriate for the
position or specialization, including, but not limited to,
insurance authorizations and verifications.
- Utilizes word processing, spreadsheet, and database computer
applications, including electronic medical billing software.
- Works under limited supervision with clearly defined
procedures.
- Welcomes patients, visitors, faculty, and guests to the
Clinic.
- Other related duties as assigned.
Qualifications:
- High school diploma or GED and two to three years of
experience. Experience in a health or educational setting
preferred, or an equivalent combination of education and
experience.
- Experience in office operations or customer service.
- Experience in data collection, which includes collecting,
compiling, and maintaining data from multiple sources such as
files, records, databases, customers, staff, or others.
- Sensitivity to confidential matters and patient needs is
vitally important. General knowledge of HIPAA guidelines is
required.
- Experience with effective time management skills and
prioritizing.
Special Requirements:
- Must be flexible with work schedules and clinic locations based
on patient and staffing needs.
- Must be willing to travel between UD Health clinic locations as
needed.
- May need to adjust schedules or work locations to ensure smooth
clinic operations.
Notice of Non-Discrimination and Equal Opportunity
The University of Delaware does not discriminate against any person
on the basis of race, color, national origin, sex, gender identity
or expression, sexual orientation, genetic information, marital
status, disability, religion, age, veteran status or any other
characteristic protected by applicable law in its employment,
educational programs and activities, admissions policies, and
scholarship and loan programs as required by Title IX of the
Educational Amendments of 1972, the Americans with Disabilities Act
of 1990, Section 504 of the Rehabilitation Act of 1973, Title VI
and VII of the Civil Rights Act of 1964, and other applicable
statutes and University policies. The University of Delaware also
prohibits unlawful harassment including sexual harassment and
sexual violence.
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