Outpatient Services Rep

Summary:

Under the general supervision but according to established policies and procedures the incumbent performs various administrative duties to expedite each patient's visit for clinical care. These duties may include preparation of patient records; registration and pre-registration activities; problem resolution; faxing scanning electronic and paper filing appointment scheduling confirmation and rescheduling; and co-payment preparation and collection.

Responsibilities:

Outpatient Service Rep may be assigned to perform the following:

1. Schedules patients using the hospital's scheduling system. This includes establishing the appointment type specific provider clinic and appointment time. Schedules follow-up appointment using the on-line scheduling system. May schedule appointments for patients who need lab work diagnostic imaging or referral to other medical providers. Refers technical/clinical inquiries to appropriate personnel using standard approved Brown University Health format through In-basket messaging and patient in-chart documentation.

2. Completes pre-registration and registration process per hospital policies and procedures. Verifies demographic data insurance authorization information co-pays and care team providers. Collects co-payments and provides patients with receipts. Photocopies front and back of insurance card. Confirms patient eligibility with insurance carriers and obtains visit authorizations as necessary.

3. Mails informational material to new patients in advance of scheduled appointments. As necessary contacts agencies outside the Hospital to obtain pertinent patient information and to coordinate clinic/treatment programs. Contacts third party payors to obtain required pre-authorizations in accordance with established policies

4. Acts as an outpatient center receptionist and checkout desk. Makes telephone calls to patients as appointment reminders. Answers incoming calls. Returns phone calls to patients physician offices and other medical providers such as laboratory and radiology facilities. Greets arriving patients and verifies pertinent information and physician using the electronic medical records system. Provides patients with follow-up care appointments and After Visit Summaries. Orients patients to the specific outpatient center as a hospital-based service. Interacts effectively with patients and their family members and/or representatives

5. Appropriately refers patients to patient advocate for financial counseling.

6. OnBase and *Fax File Renamer* management: sorting naming redirecting and transferring data to the appropriate patient chart and/or provider and Work Queue management as assigned.

7. Assists with pre-visit information gathering and planning.

8. Prints reports using online systems.

9. Performs all duties in accordance with RIH's mission the defined role of ambulatory care and defined administrative/clerical rules procedures and policies.

Other information:

BASIC KNOWLEDGE:

High School Diploma or equivalent. Demonstrated knowledge of PC skills using the
windows operating system environment and accompanying software packages. Must
also have knowledge of medical terminology. Must be able to read write and
speak English. Fluency and proficiency in Spanish preferred. Must use and have knowledge of courteous
telephone technique and good customer service skills.

EXPERIENCE:

Six months related experience In a Medical Office environment and/or outpatient setting preferred.
WORK ENVIRONMENT AND PHYSICAL REQUIREMENTS:

Walking sitting standing throughout the day in clinic setting.

INDEPENDENT ACTION:

Performs independently within department policies and practices. Refers specific complex problems to supervisor where clarification of departmental policies and procedures may be required.

SUPERVISORY RESPONSIBILITY:

None.

Brown University Health is an Equal Opportunity / Affirmative Action employer. All qualified applicants will receive consideration for employment without regard to race color religion sex national origin age ethnicity sexual orientation ancestry genetics gender identity or expression disability protected veteran or marital status. Brown University Health is a VEVRAA Federal Contractor.

Location: Rhode Island Hospital USA:RI:Providence

Work Type: Part Time

Shift: Shift 1

Union: IBT