Patient Service Representative

OLV Human Services is a leading provider of behavioral health services dedicated to enhancing the lives of individuals with developmental disabilities, autism spectrum disorders, and other behavioral challenges. We are committed to providing comprehensive, evidence-based interventions that promote independence, inclusion, and overall quality of life for our clients. As we continue to expand our services, we are seeking a Licensed Behavior Analyst to join our dynamic team in the brand new Evaluation and Treatment Center located at 790 Ridge Rd, in Lackawanna!

To learn more about the Evaluation and Treatment Center, click HERE!

Our CEO Cindy Lee was live on Channel 4 (WIVB) on April 16th, to discuss this important topic and to share exciting updates on the new Evaluation and Treatment Center!

Click here to watch the TV interview that aired:

https://www.youtube.com/watch?v=5UogIWUQAZw

Benefits/Perks:

• Paid Holidays
• Generous Additional Paid Time Off (PTO) 
• Health, dental & vision insurance options
• Paid Employer sponsored life insurance
• Supplemental insurance programs for additional life insurance, short-term disability, accident & cancer insurance
• Up to $600 every year for completing biometric health screenings on a single health insurance plan & up to $1,200 if a spouse completes too!
• Free dental insurance (for Full Time employees and their families)

Salary Range: $15.59 - $24.75 per hour. 

Responsible to: Healthcare Administrator

Job Summary: 

The Baker Victory Healthcare Center provides high quality care to our patients.  The Patient Service Representative will perform front desk responsibilities related to the check-in, check-out, insurance verification, scheduling of patients, and preparing the office for next day’s patients.

Essential Job Duties:

- Maintains a neat and orderly work environment, answering phones, scheduling and confirming appointments, collect appropriate demographic and insurance information from patient or representative; demonstrates friendly, courteous attitude in all communications.

-Using the availability provided by Evaluation and Assessment Specialists, schedules staff to conduct evaluations/assessments.

-Performs administrative duties such as copying correspondence, insurance cards, preparing mailings and the collection and distribution of mail and messages.

-Ensures accurate data entry.

-Managing patient insurance verifications utilizing other 3rd party payer portals verification systems.

-Operating computer using practice management software, internet and other vendor related programs.

-Check patients in and out.

-Runs daily reports consistent with the needs of the center

-Verifies and analyzes insurance plans, benefits, coverage and updates insurance master in software.  Communicates appropriate and relevant information to Healthcare Center team.  

-Reviews patient accounts and evaluates balances owed; negotiates payment terms collecting outstanding balances prior to next scheduled visit/treatment

-Requests, verifies, and scans prior authorizations/referrals

-Stays abreast of plan coverage changes educating team members

-Coordinates scheduling efforts with department professionals

-Provides follow up notification to patient on approval or denial of coverage; schedules approved procedures

-Post payments and denials

-Utilizes denial reports to assess root causes of claim denials monitor denials for frequency, eligibility, clinical; takes necessary action to correct denial and allow for resubmission.  and shares findings with all department stakeholders

-Monitors specific frequency denials and keeps practice leadership informed

-Serves as a Liaison between patient, healthcare professional, and financial team

-Maintains accurate and timely review of clinical documentation against posted charges; engages provider to mitigate documentation and coding errors

-Reconciles daily schedules and charges

-Creates electronic claim for submission to 3rd party payors

-Generates daily reports documenting the history of the daily department clinical documentation activities

-Any other duty as assigned by your Supervisor.

Skills:

•              Customer skills

•              Communication skills

•              Computer skills

Minimum Education Required:  

High School Diploma (Associate’s Degree preferred)

Minimum Experience Required:  

1-2 years of administrative experience, medical office experience preferred

License/Registration/ Certifications Required:

NYS Driver’s License

Training Requirements:  

• New Hire Orientation

Physical Requirements:

•Strength:  Sufficient to assist with lifting and transferring a patient, and perform CPR

•Mobility:  Sufficient mobility to bend, stoop, and bend down to the floor; ability to move around rapidly; and to move in small, confined areas.

•Hearing:  Sufficient to hear through the stethoscope to discriminate sounds; to hear cries for help; to hear alarms on equipment and emergency signals; and various overhead pages.

•Vision:  Sufficient to make physical assessments of patients and equipment.