Logo
Children's Hospital of Philadelphia

Lead Patient Services Rep - Drexel Hill

Children's Hospital of Philadelphia, Drexel Hill, Pennsylvania, United States

Save Job

SHIFT:

Day (United States of America) Seeking Breakthrough Makers Children's Hospital of Philadelphia (CHOP) offers countless ways to change lives. Our diverse community of more than 20,000 Breakthrough Makers will inspire you to pursue passions, develop expertise, and drive innovation. At CHOP, your experience is valued; your voice is heard; and your contributions make a difference for patients and families. Join us as we build on our promise to advance pediatric care—and your career. A Brief Overview

The Lead PSR is responsible for supervisor coverage and leadership for the Patient Service Representatives and other operational staff. The Lead PSR assures staff adherence to all enterprise policies and procedures that have been developed to ensure effective and efficient quality service to patients and families. This role is responsible for supervising and covering all functions related to greeting patients and families, scheduling, registration, collecting, entering and verifying insurance information, answering phones, obtaining/validating insurance referrals and authorizations as needed per insurance guidelines, cash collections and reconciliation, insurance verification and financial counseling. Responsibilities may include working with medical records, following HIPAA guidelines, overseeing appointment confirmation, reviewing/approving time off, performing payroll functions, and processing reimbursements and credentialing packets. Other duties and administrative support and projects are required as needed. Location:

CHOP Pediatric Primary Care, Drexel Hill Address:

4990 State Road, Suite 100, Drexel Hill, PA 19026 Travel:

Some travel to CHOP Pediatric Primary Care, Media location may be required What you will do

Provide welcoming, prompt and respectful customer service which includes scheduling appointments, informing of delays, addressing family complaints, and escalating as necessary. Oversee appointment confirmation and enter diagnosis codes according to pre-established practice guidelines. Perform EPIC functions such as check‑in, check‑out, enter demographic and insurance information while ensuring accuracy, run daily eligibility verifications, enter and edit provider EPIC templates. Answer phones promptly with minimal downtime between calls, accurately verify and document contact information and messages, provide appropriate information to callers as warranted, communicate in a courteous, caring manner to all customers as needed, and check voicemails. Perform administrative tasks such as sorting and delivering mail, faxes, medical records and other correspondence; photocopy and fax documents; oversee/order office supplies. Lead and facilitate team huddles and meetings. Reconcile daily services to include collection and processing of payments received, reimbursements, and create/obtain insurance referrals and authorizations as needed. Maintain daily patient records following HIPAA guidelines. Enter provider templates and make daily edits as needed. Coordinate daily eligibility verifications, reconcile drawers, make cash deposits, order supplies, and other clerical duties as assigned. Supervise staff, maintain PSR staff schedules, supervise day‑to‑day activities, participate in interviews and PSR evaluations, oversee PSR onboarding, provide training and coaching, organize and lead PSR meetings, assist supervisors with productivity, and provide office/departmental coverage. Other responsibilities may include payroll edit functions, answer billing inquiries, work/oversee necessary billing, attend billing meetings, process credentialing packets, attend monthly PL meetings; work various appointment recall, waitlists, value‑based care and other reports; complete After Hours Program Physician on‑call schedule as needed. Respond to all traumas, resuscitations and codes, coordinate with Social Work, Nursing, and Case Managers as needed for newborn coverage, emergency, sitter, and admissions duties. If located in an area where 24/7 coverage is needed, rotate shifts. ED/Admissions specific tasks as assigned include SART paperwork processing, nurse call communications, trauma B‑line and arrivals. Education Qualifications

High School Diploma / GED required Experience Qualifications

At least three (3) years patient services representative experience in a role that consisted of healthcare, registration, physician billing, medical records, medical office work and relatable customer service. Required. Skills and Abilities

Basic knowledge of medical and billing terminology, solid conflict resolution skills. Basic knowledge of HIPAA regulations. Intermediate proficiency with electronic medical record software preferred. Intermediate proficiency with Microsoft Suite. Excellent verbal and written communication skills. Excellent interpersonal skills. Excellent organizational skills. Strong time management skills. Ability to maintain confidentiality and professionalism. Ability to work independently with minimal supervision. Ability to work with and relate to people at all levels. To carry out its mission, CHOP is committed to supporting the health of our patients, families, workforce, and global community. As a condition of employment, CHOP employees who work in patient care buildings or who have patient‑facing responsibilities must receive an annual influenza vaccine. Learn more. EEO / VEVRAA Federal Contractor | Tobacco Statement SALARY RANGE:

$24.87 – $31.09 hourly Salary ranges are shown for full‑time jobs. If you’re working part‑time, your pay will be adjusted accordingly. At CHOP, we are committed to fair and transparent pay practices. Factors such as skills and experience could result in an offer above the salary range noted in this posting. Click here for more information regarding CHOP's Compensation and Benefits.

#J-18808-Ljbffr