Patient Service Specialist II
Orthopaedic Trauma Associates
Dallas, TX
06.2024 - Current
- Verified patient coverage prior to appointment scheduling and processed insurance verifications and authorizations to ensure coverage of services.
- Communicated financial obligations to patients and collected fees at the time of service, while updating reference materials with Medicare, Medicaid, and third-party payer requirements, guidelines, policies, and a list of accepted insurance plans.
- Greeted patients upon arrival and verified patient information.
- Processed patient responsibility estimate determined by insurance at pre-registration and facilitated patient registration, verifying all required documentation is collected and filed properly.
- Collected co-pays at time of visit according to office policy and processed payments from patients, including cash, check, or credit card transactions.
- Reviewed outstanding balances on accounts regularly to ensure accuracy and educated patients regarding payment plans and financial assistance options.
- Verified demographics and insurance information to register patients in the computer system and obtained necessary signatures for privacy laws and consent for treatment.
- Guided patients through the completion of consent and other required medical forms.
- Applied HIPAA privacy and security regulations while handling patient information.
- Addressed patient inquiries and concerns, resolving issues in a timely and empathetic manner.
- Kept patient appointments on schedule by notifying providers of patients' arrival and reviewing service delivery compared to schedule.
- Handled high volume of incoming calls, providing exceptional customer service to patients and families. Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
- Processed insurance verifications and authorizations to ensure coverage of services and maintained knowledge of current insurance requirements for billing purposes.
- Coordinated with clinical staff to manage patient flow, reducing wait times and improving satisfaction.
- Provided assistance with completing paperwork, such as insurance forms and medical history.
- Answered incoming calls and responded to inquiries in a timely manner. Maintained strict confidentiality when dealing with sensitive information.
- Scheduled appointments and managed patient records using electronic health record software.
- Responded to patient inquiries regarding account status.
- Provided general customer service support by answering questions about services provided by the practice.
- Performed administrative tasks such as filing, faxing documents, copying materials, and other clerical duties as needed.
