Patient Service Representative (Medical or Dental)

Reports to: Health Center Administrator or Mobile Medical Program Administrator

About the Role

Assists Patients, Lead Patient Service Representative, and the Health Center Management (HCM) team in the performance of a broad range of administrative duties.

Responsibilities

• Clinical Administrative Duties
  • Schedules and confirms patient appointments.
  • Provides and facilitates the completion of necessary patient forms.
  • Verifies medical or dental insurance coverage and eligibility.
  • Assists patients with presumptive applications for Sliding Fee Discount Program.
  • Verifies patient demographic information.
  • Informs patients of account balances and takes payments over the counter.
  • Answers telephone calls. Responds to caller questions as able and/or transfers calls to appropriate party.
  • Takes and documents messages as appropriate.
  • Deciphers the correct amount to charge self-pay, prompt pay, or sliding fee discount program for patients.
  • Proactively greets, interacts with, and assists patients and staff in a professional manner.
  • Checks in patients on location.
  • Travels to any location as needed.
  • Performs medical records scanning and other lead duties if hired at a center with no lead PSR. Will be designated by HCA.
  • Working assigned weekends is required.
  • Clean lobby, restrooms, and other patient areas with proper cleaning supplies while using proper Personal Protective Equipment (PPE).
  • Screen all patients and visitors and perform Infrared and ear temperature checks.
  • Use and educate patients and visitors on the proper Personal Protective Equipment (PPE) as required.
• Additional Dental Administrative Duties
  • Place all necessary recall plans for patients.
  • Proactively calls patients from recall plan reports and schedules patients' appointments according to recall.
  • Verifies patient treatment plans, patient instructions, and summary reports.
  • Verifies dental deductible.
  • Processes and assists in the completion of dental referrals and tracking.
  • Follows up on all outside referrals for the patient.
  • Performs and assists in the completion of prior insurance authorizations and tracking.
  • Together with the patient, provider and/or other members of the dental care team assists with estimates for treatment plans for the patient and reviews with patients.
• Additional Administrative Duties if Assigned to SEABHS
  • Runs queries on Cenpatico patients and determines which patients are missing quality measures.
  • Calls patients that are missing quality measures to schedule appointments.
  • Assists patients in overcoming barriers to care by scheduling follow-up appointments, arranging transportation, and following up with patients who missed appointments.
  • Performs other duties and special projects for the quality department as assigned.
• Additional Administrative Duties if Assigned to Mobile Medical Units
  • Ensures accuracy of provider schedules.
  • Verifies provider un-submitted encounters, as necessary.
  • Verifies chart guard access and prints documents as needed.
  • Performs medical records scanning.
  • Provides Staff Meeting minutes.
  • Prints out new patient letters as requested.
  • Posts payments and facilitates bank deposits.
  • Runs encounter co-pay report as requested.
  • Runs and acts on reports as requested.
  • Maintains cleanliness of the mobile medical units, discards trash.

Requirements

• High School Diploma or GED.
• Six months of experience in a customer service or office support.
• Any combination of experience and/or education that provides the necessary skills.
• Driver's License and Proof of Insurance may be required if requesting mileage reimbursement. For Float positions, mileage may not be paid.
• Valid Fingerprint Clearance Card may be required.

Preferred Qualifications

• Experience in a healthcare setting preferred.

Skills

• Ability to comprehend and compose instructions, correspondence, and communications in English in both oral and written format.
• Bilingual in English and Spanish may be required based on current staffing patterns, patient population, and/or duty assignment.
• Ability to comprehend and understand limited medical terminology.
• Ability to add, subtract, multiply, and divide in all measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percent.
• Ability to gather data in an organized fashion from varied sources.
• Ability to take direction and perform assignments accordingly.
• Ability to deal with challenges involving one or more variables in routine situations.
• Knowledge of prepaid health plans and community health centers preferred.
• Ability to comprehend and understand insurance co-pays.
• Knowledge of HIPAA rules and regulations.
• Computer literacy required.
• Knowledge of Electronic Health Records preferred.
• Ability to provide excellent customer service by mail, telephone, and in person.

Physical Requirements

• Ability to occasionally exert enough force to move objects weighing up to 10 pounds.
• Ability to continuously remain in a stationary position.
• Ability to constantly move about inside the workplace to assist patients, access files, and operate office or medical equipment, etc.
• Possesses hand-eye coordination and manual dexterity necessary to constantly operate computer, telephone, and other office machinery.
• Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.
• Ability to discern the nature of sounds at a normal spoken volume.

Work Environment & Conditions

• Work environment is typical of a health clinic setting with occasional exposure to communicable diseases, bodily fluids, and hazardous chemicals.
• Work requires reliable transportation as position requires occasional travel and extended hours to include early mornings, evenings, holidays, and weekends.
• If hired for a float position, position requires frequent travel to any health center as needed.