Providence Health & Services Patient Services Representative - Pmg Mt Grant Creek Walk In in Missoula, Montana
Providence is calling a Patient Services Representative ( Pmg Mt Grant Creek Walk In , Day Shift, 1 FTE) to Providence Medical Group Montana in Missoula, Montana. We are a community of caregivers delivering every day on our Mission to provide compassionate care that is accessible for all – especially those who are poor and vulnerable.
In this position you will:
Answers all incoming departmental calls promptly and responds according to hospital policy.
Applies patient armband according to hospital policy.
Communicates with the next shift about the status of work in progress.
Consistently asks for and obtains current insurance and subscriber information; accurately interprets and assigns correct insurance and subscriber data, in the correct format.
Consistently asks for patient’s legal name, date of birth and social security number; accurate medical record number and account number retrieval and assignment; consistently enters all data according to Epic standards.
Consistently documents and comments on the patient account regarding discussion with the patient, insurance verification and benefits, special information provided to the patient, etc.
Consistently obtains signature on “Agreement to Pay” forms or documents per established procedures.
Consistently performs real-time electronic insurance verification and applies findings accurately to the patient account.
Demonstrates a thorough understanding of patient registration functions, including status changes, transfers and discharges.
Follows registration scripts and protocols for patient interview process, uses scripting and correctly explains the Privacy Notice, Patient Directories and Condition of Admission; obtains signatures as applicable.
Handles all registration forms per procedure (ie general consent, Important Message from Medicare, Champus).
Handles patient walk-ins and responds to their concerns, questions and requests.
Maintains knowledge of federal, state and agency regulations as well as third party payer reimbursement mechanisms to ensure prompt payments.
Obtains 3rd Party Liability forms and information.
Operates hospital telephone, fax, computers, printers and copy machines properly; identifies and reports equipment failures or malfunctions.
Performs the MSP Questionnaire according to hospital policy; interprets patient answers to correctly identify primary insurance.
Provides other hospital-specific forms to the patient according to policy.
Reviews comments and follows procedures on payment collection and receipting to obtain co-pay /POS cash that is due on the date of service; consistently asks for payment at the time of service; demonstrates ability to successfully handle patient objections on requests for payment at the time of service.
Reviews comments on pre-registered accounts and obtains missing information.
Understands clinical signs of physical and emotional distress and alerts the RN to any change.
Communicates clearly and appropriately using age specific standards with staff, patients, and families of patients.
Listens to the perspective of the customer and responds appropriately in a respectful manner; acknowledges and responds to requests within and between departments; provides appropriate assistance or service.
NOTICE: St. Joseph Medical Center Family Clinic (Dept 465.70700) PSRs must participate in call rotation.
Duties specific to PMG Endocrinology services 462-70720:
Greeting, interviewing and registration of patients. This includes but is not limited to obtaining patient demographics, insurance information and verification, explanation of various forms and polices, obtaining signatures, discussions on financial responsibility, collection of monies and initiation of the proper episode of care as well as downloading insulin pumps, meters and glucose sensors in a timely manner to provide to the patient’s provider for their scheduled appointment. Processes require information on all patients according to departmental and interdepartmental policies and procedures while adhering to the patient focused admissions process.
Booking cases for clinic appointments in Missoula and our outreach/satellite offices through the referral workque in EPIC. Working with Diagnostic Imaging to schedule any special testing including but not limited to MRI, CT, CTA, Ultrasound and Nuclear Medicine. The scheduler will also coordinate schedules for 4 medical providers and 5 CDE’s for outreach visits, call days, vacation time and other events. The scheduler must schedule cases in the most efficient manner possible, with the ability to multi-task in a large volume, high-paced environment with multiple distractions. The scheduler will also make reminder calls to ensure a low no show/cancel rate daily. In addition, the scheduler will assist in administrative duties assigned by the Practice Manager of the department and Front office Coordinator of the Endocrinology Service Line. This is a fast paced, consistent high volume clinic. Critical thinking skills a must.
Gathering and abstracting medical records and labs for each Endocrinology patient that receives services. For those still utilizing paper charts, those will be pulled daily. The Representative must maintain Federal Privacy Rules, must be able to work closely with the hospital medical information staff to help manage their records, must be able to quickly respond to requests for patient information that are received from all Endocrinology staff. Must be able to be proficient with computers.
Must demonstrate job related skills in a safe, appropriate, effective and timely manner. Manages information specific to her/her role by providing timely input; by using and transmitting information in print, verbal and document forms appropriate to job tasks. Performs other duties as assigned. This job is very fast paced and has a consistent high volume of work.
AADE Database entry and maintenance to assure recognition to bill Medicare.
Duties Specific to St. Patrick Hospital Wellness Center:
Verify insurance benefits and any authorizations needed for therapy services.
Ensure all Plans of Care are signed by the provider as required by Medicare and are scanned into Epic if necessary.
Required qualifications for this position includes:
One (1) year experience in a healthcare related field, specifically patient access, insurance eligibility verification/authorization, billing/electronic claims submission, or collection of accounts receivable
Computer and/or data entry experience
Demonstrated application of hospitality skills in any service field
Preferred qualifications for this position includes:
Previous hospital admitting experience
Any equivalent combination of education and experience that provides the employee with the knowledge, skills, and ability to perform the work will be considered
About the clinic you will serve.
Providence Medical Group includes over 30 primary care, specialty clinics and healthcare groups throughout western Montana focused on treating patients at all stages of their lives. Our providers and staff strive to create a distinctive health care experience for each patient – one focused on trust, respect, communication and teamwork.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Req ID: 319857