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Outpatient Service Representative Job
Job Number: RIH15053
Job Title: Per Diem- Outpatient Service Representative - Physical Therapy Adult
Department: Occupational Therapy - 1013043
Facility: Rhode Island Hospital
Location: Providence, RI
High School Diploma or equivalent. Demonstrated knowledge of PC skills using the windows operating system environment and accompanying software packages. Must have knowledge of medical billing routines for physician office practice. Must also have knowledge of medical terminology, diagnosis codes, and procedure codes. Must use and have knowledge of courteous telephone technique and good customer service skills.
EXPERIENCE:Six months experience coding and billing using online billing system. Referral Management. Utilizes two systems simultaneously, Epic is used for scheduling and registration and Cedaron is used for patient documentation. Experience obtaining authorizations and ability to follow and track insurance plan frequency rules and monitor benefit limits accurately and timely. Ability to effectively multitask scheduling appointments while answering the phone and checking in and checking out patients of Rehabilitation Services. Knowledge base of patient diagnosis, to ensure that the patient is triaged and scheduled with the appropriate clinical therapist. Ability to schedule patients with multiple appointments with multiple professions, i.e., Physical Therapy, Occupational Therapy, Speech-Language Pathology and Aquatic Therapy. Scan documents into Epic. Manage work queue for registration errors.
Under the general supervision of, but according to established policies and procedures, the incumbent performs various administrative duties to expedite each patient's visit for clinical care. These duties include preparation of patient records; registration and pre-registration activities; problem resolution; appointment scheduling; and, co-payment preparation and collection. In addition, ancillary duties performed provide tracking and status of follow-up care as it pertains to specific diagnostic coding, billing/payment resolution, and generation of system reports, which reflect scheduling activities.