JOB DESCRIPTION

Job Title: Patient Care Representative - Valhalla, New York (Westchester Medical Center)
Job Code: TY05047
Pay Grade: 07Exempt (Y/N): No
Reports To: Patient Care Supervisor
Date Revised:

Hourly Wage: $18.00 an hour

SUMMARY:

Provides courteous assistance to patients, commercial insurance payers, managed care payers, and private payers. Researches and resolves billing inquiries from patients and other facilities.

MAJOR DUTIES AND RESPONSIBILITIES:

SUMMARY:

Collaborates with a team of passionate individuals in a dynamic office environment. Coordinate all transportation needs for both private patient transportation from the community as well as contracted medical facilities.

MAJOR DUTIES AND RESPONSIBILITIES:

• Maintains courteous and cooperative working relationships with all levels of management and employees, physicians, patients/parents, guarantors, third-party representatives and the general public.
• Coordinate ambulance transportation for contracted medical facilities, private patients and insurance companies
• Field all incoming telephonic transport requests in a timely and profession manner, ensuring accurate demographics, billing information and authorizations has been obtained
• Field any incoming complaints on common operations and missing items. Generate an incident report and forward to appropriate supervisor.
• Makes recommendations to solve problems.
• Provides accurate summary of personal productivity to Supervisor on a daily/weekly/monthly basis.
• Demonstrates professional growth through periodic participation in continuing education/development programs.

Performs other duties and projects, as assigned

SUPERVISION:

• None

QUALIFICATIONS / REQUIREMENTS:

Education:

• High School diploma or equivalent required.

Experience:

• One year healthcare experience required or two years general customer service experience in a fast pace environment.

Certification and Licensure:

• None required

Skills:

• Familiarity with health insurance verifications, authorizations and medical terminology preferred.

• Familiarity with automated patient accounting systems and/or electronic billing systems preferred.

• Familiarity with scanning/uploading documentations onto CAD system

• Documentation skills.

Performance Benchmarks:

• Meets established daily customer service productivity goals.
• Resolves accounts requiring research and processes all correspondence as established by department policy.

PHYSICAL REQUIREMENTS:

• High level of sitting/working at desk.
• Light physical effort (lift/carry up to 10 lbs.).

ENVIRONMENTAL CONDITIONS:

• Work is performed under basically normal working conditions, as in a standard office environment.

COMMENTS:

The intent of this job description is to provide a representative summary of the major duties and responsibilities performed by incumbents of this job. Incumbents may be requested to perform job-related tasks other than those specifically presented in this description.