Customer Service Representative (Bilingual)

COMPANY OVERVIEW

CentroMed is a 501(c)(3) non-profit organization that provides healthcare for all populations. It is a primary care provider and Federally Qualified Health Center (FQHC) with multiple locations throughout San Antonio and the New Braunfels area.

About the Role

We are searching for our next SUPER STAR! As the Customer Service Representative (CSR) you will serve as the primary source of contact for patients at CentroMed clinic and as such is responsible for welcoming patients into the system and ensuring they have positive experiences.

Responsibilities

• Demonstrate proficiency in establishing and updating accounts in the computer system using name, alias, family members, SSN, and account numbers.
• Demonstrate proficiency in entering charges for self-pay, insurance, and eligibility programs. Reconciles charges at the end of each day.
• Maintains error-free daily balance sheets.
• Determine patient eligibility for participation in special programs (i.e., Methodist Healthcare Ministries, and others).
• Assist patients and visitors who walk into the clinic. Answer telephones identifying self and name of clinic.
• Demonstrate an excellent understanding of insurance (especially Medicaid, Medicare, and CHIP) and eligibility (Methodist Homeless) programs. To include the use of TMHP and Availity to verify current insurance status.
• Schedule patient appointments according to established protocols.
• Maintain 100% productivity rate. Demonstrate proficiency in encounter entries, maintaining logs, knowledge of referrals, and outreach paperwork.
• Review and update household’s financial and demographic information annually.
• Perform intake interview on all new patients using a standard registration form and confirm homelessness. Review and update patient registration form and demographic information periodically.
• Assemble necessary medical/dental record forms for specific patient categories and initiate encounter form as necessary.
• Follow-up on no-shows as directed by Provider.
• Maintain excellent personal attire to include uniform, nametag, and compliance with CentroMed appearance as outlined in the Employee Policy Handbook.
• Demonstrate excellent attendance and punctuality.
• Absorb clinical teams in patient assessment via observation and notifies clinician in the event of an emergency.
• Abside by policies and procedures dictated in the Employee Safety Handbook, to include maintaining agency, OSHA and JCAHO compliance standards.
• Participate in the agency’s Quality Improvement Program.
• Assists with outreach activities and other duties as assigned by the Director or Supervisor.

Requirements

• High School Diploma or equivalent.
• General experience working in a health care setting; and experience with medical data entry preferred.
• Strong clerical skills to include keyboarding and a good understanding of basic math.
• Computer knowledge and use of calculator.
• Must possess mental ability to conduct interviews, reconcile encounter reports and conduct audits with a better-than-average attention to detail.
• Bilingual English/Spanish.

Qualifications

• Education: High School Diploma or equivalent.

Skills

• Excellent customer service skills.
• Proficiency in medical data entry.
• Ability to schedule appointments.
• Attention to detail.
• Knowledge of insurance and eligibility programs.
• Ability to follow protocols and procedures.
• Ability to maintain accurate records.
• Ability to communicate effectively with patients and staff.

Benefits

Comprehensive Benefit Package including:

• Competitive Compensation
• Health, Dental, Vision & Life Insurance
• Retirement Plans 403(B)- Company Match Contributions
• Basic Life Insurance
• Basic Life Insurance for your Spouse & Children
• Short & Long-Term Disability
• Flexible Spending Account (FSA)
• Wellness Employee Assistance (EAP)
• Travel Reimbursement
• Critical Illness insurance, hospital indemnity, accident insurance
• Additional benefits include: 6 paid company holidays, plus (2) extra floating holidays, paid time off/vacation time, career development opportunities and many other benefits in a collaborative culture that focuses on work life balance, innovation, & teamwork.