Patient Services Representative II

SCRI Oncology Partners, located in Nashville, Tenn., is a dedicated cancer treatment center led by globally recognized oncologists with disease expertise in cancer care and clinical research. This center offers patients state-of-the art personalized cancer care and opportunities to participate in clinical trials with innovative treatments. The practice conducts clinical trials through their affiliation with Sarah Cannon Research Institute (SCRI), a global leader in oncology research that has been offering and managing clinical trials in the community for over 30 years. Since its inception, SCRI has contributed to pivotal research that has helped advance the majority of new cancer therapies approved by the FDA today.

SCOPE:

Under general supervision, the Patient Services Representative is responsible for scheduling and pre-registering new patients for exams and procedures. This role maintains patient records, prepares necessary forms, verifies information, and resolves both routine and non-routine issues. The Patient Services Representative follows standard procedures and established guidelines to complete tasks, while supporting and adhering to the US Oncology Compliance Program, including the Code of Ethics, Business Standards, and US Oncology's Shared Values. The essential duties and responsibilities, as well as the minimum qualifications, are outlined below.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Answers incoming calls and asks appropriate questions to assess patients needs
• Schedules new patient appointments with appropriate provider
• Provides patients with appointment details such as time, location, directions, and instructions to patients. Records call statistics in New Patient Log. Maintains and updates physician schedules ensuring that patients are scheduled properly. Works in conjunction with the triage nurses to accommodate scheduling requests.
• Obtains patient demographic, insurance and other pre-visit required information. Enters patient information into computer systems. Verifies patient*s insurance eligibility and benefit coverage/co-pays with payer; verifies pre-authorizations are completed prior to patient visit.
• May mail or email patient appropriate medical forms for completion prior to first visit. Proactively follows-up with patients on missing or outdated insurance information as well as copies of medical records and test results from other providers.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.
• Other duties as requested or assigned.

MINIMUM QUALIFICATIONS:

• High School diploma or equivalent required.
• Associates degree in Finance, Business or four years revenue cycle experience preferred.
• Minimum 2-3 years of medical receptionist experience with insurance forms and scheduling software required.
• Proficiency with computer systems and MicroSoft (Outlook, Office Word, and Excel) required.
• Demonstrates Adaptability: Handles day to day work challenges confidently; is willing and able to adjust to multiple demands, shifting priorities; demonstrates flexibility.
• Shows Work Commitment: Sets high standards of performance and works efficiently to achieve them.
• Commits to Quality: Emphasizes the need to deliver quality products and/or services

PHYSICAL DEMANDS:

The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is required to be present at the employee site during regularly scheduled business hours and regularly required to sit or stand and talk or hear. Requires full range of body motion including handling and lifting patients, manual and finger dexterity, and eye-hand coordination. Requires standing and walking for extensive periods of time. Occasionally lifts and carries items weighing up to 40 lbs. Requires corrected vision and hearing to normal range.

WORK ENVIRONMENT:

The work environment may include exposure to communicable diseases, toxic substances, ionizing radiation, medical preparations and other conditions common to an oncology/hematology clinic environment. Work will involve in-person interaction with co-workers and management and/or clients. Work may require minimal travel by automobile to office sites.