Lead Patient Service Representative at SCL Health in Butte, Montana

Job Description:

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You.

You bring your body, mind, heart and spirit to your work as a Patient Service Representative Lead.

You know how to move fast. You know how to stay organized. You know how to have fun.

You're great at what you do, but you want to be part of something even greater. Because you believe that while individuals can be strong, the right team is invincible.

Us.

SCL Health Medical Group is part of SCL Health, a faith-based, nonprofit healthcare organization that focuses on person-centered care. With locations throughout Colorado and Montana, we offer a wide variety of primary and specialty care services. 

Benefits are one of the ways we encourage health for you and your family. Our generous package includes medical, dental and vision coverage. But health is more than a well-working body: it encompasses body, mind and social well-being. To that end, we've launched a Healthy Living program to address your holistic health. Healthy Living includes financial incentives, digital tools, tobacco cessation, classes, counseling and paid time off. We also offer financial wellness tools and retirement planning.

We.

Together we'll align mission and careers, values and workplace. We'll encourage joy and take pride in our integrity.

We'll laugh at each other's jokes (even the bad ones). We'll hello and high five. We'll celebrate milestones and acknowledge the value of spirituality in healing.

We're proud of what we know, which includes how much there is to learn.

Your day.

As a PSR Lead you need to know how to:

• Acts as a team lead to schedule daily work load and ensure timely and accurate scheduling and registration activities. Provide support for cash reconciliation functions (if applicable). Assists PSRs in problem solving more complicated issues.


• Coordinates scheduling with that of the practitioners' schedules to ensure proper coverage of patient appointments and out-of-office calls. Facilitates training of new hires and other training initiatives. Performs quality assurance reviews on PSR Associates, documents findings, and provides information to leadership. Assists in the preparation of periodic reports crucial to the leadership decision making process.


• Coordinates with clinical staff to obtain charge information for all patients. Codes procedures performed and diagnosis on charge. Acts as a resource for Practice Managers and Physicians with denials and coding questions. Coordinates copies of medical documentation with physician charges to support billing to third-party payers. Resolves complex patient billing inquiries and problems.


• Greets patients. Answer phones, takes messages, returns calls and provides needed information, while documenting all phone calls accurately and completely in the electronic medical record (EMR).


• Schedules patient appointments for visits, procedures, diagnostic tests, referrals and/or consultations.


• Registers patients. Confirms, enters, and/or updates all required demographic data on patient and guarantor on registration system. Follows procedures when identifying patients.


• Obtains copies of insurance card(s), forms of ID, and signature(s) on all required forms. Verify information on appropriate accounts to determine insurance coordination of benefits, pre-certification/prior-authorization. Complete the Medicare Secondary Payer (MSP) questionnaire when applicable. Verifies insurance to determine coordination of benefits and obtains authorization and/or referrals as required. Screens for non-covered services and waiver of liability (ABN) through automated screening at time of service.


• Informs self-pay patients of liability due and prepayment requirements. Prepare estimate of procedures, calculates advance payment requirements on previous or bad debt and current balances. Refer potentially eligible patients to financial counseling and/or contract eligibility vendor(s). Refer complex or non-compliant patient financial issues to Clinic Manager or Revenue Service Center.


• Collects patient payments and provides accurate receipt. Posts payments in system. Reconciles receipts with cash collected and complete required balancing forms. Documents patient account notes for all interactions/transactions.


• Maintains department and/or individual work queues and reports as required.


• Prepares medical records for patient appointments by compiling information from various sources to include authorizations and non-Epic documentation. Accurately scans medical records as required for Medical Group or specialty office.

Your experience.

We hire people, not resumes. But we also expect excellence, which is why we require:

• High School Diploma or equivalent, required


• One (1) year front office or revenue cycle experience in a health care organization is required.

Your next move.

Now that you know more about being a PSR Lead on our team we hope you'll join us. At SCL Health you'll reaffirm every day how much you love this work, and why you were called to it in the first place.

Apply Now