Practice Support Representative, Hospital Outpatient Clinic Towson, MD at Sheppard Pratt Careers

General Summary:Under general supervision serves as first point of contact to patients their families/representatives outside agencies and referrers to respond to inquiries for outpatient admission or referral. Gathers demographic and insurance data identifies appropriate clinicians and schedules appointments. Works closely with other offices to coordinate efforts and ensure timely quality customer service for all inquiries. Demonstrates knowledge of Sheppard Pratt programs and services in interactions with internal and external groups. Enters required information and charges into on-line system. Verifies insurance coverage and benefits and acquires proper pre-authorization. Provides clerical assistance to front office.Principal Responsibilities and Duties:1. Customer RelationsActively seeks to provide quality services that meet the needs of patients as well as other customers-families referrers payers clinicians and staff.Provides patients and referrers responsive intake/telephone service that reflects knowledge of internal programs and services as well as community providers programs support groups and other resources.Develops and maintains good working relationships with managed care companies and other referrers. Solicits and shares referrer feedback with Director and staff.2. Data Collection/DocumentationGathers required demographic and insurance data ensures that patient has completed all information to provide past psychiatric history. Demonstrates understanding of the needs of client population (age and diagnosis) in interaction with clients.Enters charge data into computer system within 24 to 48 hours matching authorization information to charge ticket to facilitate billing and reimbursement.Enters data and initiates patient registration and other required recordkeeping in computer system(s) to facilitate billing tracking of patient and referral source and other data reporting.Presents explains and obtains signatures on various required forms and documents. Explains the policy patients rights and responsibilities included in the client handbook.Collects co-pays and issues a receipt.3. Insurance Verification-Identifies prioritizes and coordinates insurance requirements needs for pre-certifications and other gatekeeper requirements and communicates critical data to clinician and Financial Office representatives.4. Medical Records and ChartingOpens and assembles charts. Enters demographic and diagnostic information into the computer system.Requests appropriate after care discharge and foster care information.Requests medical information from the primary care physician.5. Office Secretarial/Clerical Support-Provides clerical support to clinical staff. Serves as telephone receptionist. Uses on-line scheduling system to schedule patient appointments. Collects time of service payments. Files photocopies and performs other support functions as needed.Knowledge Skills and Abilities Required:Work requires the ability to read write speak English compose letters maintain bookkeeping records and operate computer software and equipment - acquired through a generalized high school education.Work requires knowledge of community resources in social medical and mental health areas and knowledge of health insurance terminology plan coverage carriers and reimbursement procedures - acquired through one to two years of outpatient office support or related experience.Must be proficient in the use of personal computer with Windows and Word software calculator copier scanner fax machine and other automated office equipment.Work requires interpersonal skills to communicate effectively with patients all levels of internal staff external contacts from the professional community and outside agencies and demonstrate understanding of the needs of patient age and diagnosis group(s) (51-80% of work time).Work requires analytical ability sufficient to gather and interpret data apply knowledge of Sheppard Pratt programs to patient needs investigate and resolve patient concerns and questions maintain outpatient admission and insurance records and handle designated administrative detail.Work requires placing telephone calls and requests for medical records verifying insurance coverage filing data entry setting up records paying close attention to detail and meeting deadlines and very frequently (51-80% of work time) produces a high level of mental/visual fatigue.General sedentary work but requires standing and walking in order to photocopy file and run errands within and between office locations (for up to 10% of work time).What youll get from us.At Sheppard Pratt you will work alongside a multi-disciplined team led by a bold vision to change lives. We offer:A commitment to professional development including a comprehensive tuition reimbursement program to support ongoing education and licensure and/or certification preparationComprehensive medical dental and vision benefits for benefit eligible positions403b retirement matchGenerous paid-time-off for benefit eligible positionsComplimentary Employee Assistance Program (EAP)Generous mileage reimbursement program.Pay for this position is determined on a number of factors including but not limited to years and level of related experience.WHY SHEPPARD PRATTAt Sheppard Pratt we are more than just a workplace. We are a community of healthcare professionals who are dedicated to providing hope and healing to individuals facing lifes challenges. Join us and be a part of a mission that changes lives!#LI-EEDWARDSRequired Experience:Unclear Seniority Key Skills Business Development,Financial Services,Import,Air Pressure Handling,Clinical Employment Type : Full-Time Experience: years Vacancy: 1