Patient Services Representative 3

About the role

The Patient Services Representative 3 (MOSC 3) is responsible for sustaining an environment of intrinsic goodwill for the practice while providing optimum services to patients. This position requires the skills and ability to manage the level of responsibility and accountability necessary to provide specialized duties for the Neurodiagnostic Services Departments, including referral and authorization coordination, answering phones, helping patients at the front counter, coordinating for surgical, inpatient, and specialized services, reception & registration duties, telephone coordination and scheduling, and other administrative support.

Responsibilities

• Coordination of Medical Office Services
• Additional Job Functions

Requirements

• High School / GED equivalent or related work experience
• Experience with practices and protocols related to medical office and/or health care scheduling or insurance procedures (i.e., medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
• Ability to accomplish a variety of concurrent assignments effectively and efficiently, demonstrating the ability to organize, prioritize, and complete assignments in a designated time frame
• Problem-solving skills to independently define a problem, identify the resources available to help solve the problem, create viable solutions, and take the necessary action to implement problem resolution and ensure prompt and satisfactory resolution
• Decision-making skills to independently exercise delegated authority to take action and to appropriately seek assistance from others when limits of delegated authority have been reached
• Interpersonal skills to establish and maintain effective working relationships with all co-workers; to consistently interact with patients and other members of the public with patience, courtesy, and professionalism, both in person and on the telephone; and to effectively respond to individuals who may be angry or upset
• Efficient use of computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management (i.e., scheduling, template maintenance, maintenance of demographic and insurance information)
• Typing skills sufficient to use a computer keyboard for timely and accurate input and production
• Writing skills, using proper English grammar, spelling, and punctuation, sufficient to compose messages and/or routine correspondence, which is clear, concise, and easy to understand
• Bookkeeping skills sufficient to maintain accurate records of patient financial transactions, prepare related financial reports, balance cash box, and prepare deposits
• Filing skills to maintain logs and files of information in alphabetical, chronological, and/or numerical order, such that it is current and easily retrievable
• In-depth knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county-funded coverage, and workers’ compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics, and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients
• Knowledge of ICD-10, CPT, and HCPCS coding guidelines sufficient to accurately identify services performed, including diagnoses, procedures, and supplies
• Knowledge and experience of practices and protocols related to medical office procedures (i.e., medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)

Qualifications

• Three (3) years of customer service experience and/or call center experience
• Recent experience with EMR, such as EPIC, including In Basket and Work Queues
• Training or equivalent recent experience in billing, authorizations, referrals, medical terminology, and comprehensive insurance plans and products
• Recent experience in an outpatient medical office
• Experience working in a front office for a clinic, physician or health insurance company processing referrals or authorizations for patient services (Examples could include scheduling, ordering patient records to support diagnosis or medical necessity)
• Previous experience in the specialty of the hiring outpatient clinic
• Experience working in a Neurodiagnostic Services Lab (Sleep, EEG, EMG)
• Demonstrated knowledge of Health System and UCD policies and procedures, or ability to learn
• Comprehension of University requisition systems, including those needed for ordering supplies and medical records

Skills

• Customer/Patient Contact
• Multiple Concurrent Tasks
• Sustained attention and concentration
• Complex problem solving/reasoning
• Ability to organize & prioritize
• Communication skills
• Numerical skills
• Constant Interaction

Benefits

High-quality and low-cost medical plans to choose from to fit your family's needs
UC pays for Dental and Vision insurance premiums for you and your family
Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
Paid Holidays annually as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Paid Time Off/Vacation/Sick Time as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Continuing Education (CE) allowance and Education Reimbursement Program as stipulated in the UC Davis Health Policies or Collective Bargaining Agreement
Access to free professional development courses and learning opportunities for personal and professional growth
WorkLife and Wellness programs and resources
On-site Employee Assistance Program, including access to free mental health services
Supplemental insurance offered, including additional life, short/long term disability, pet insurance, and legal coverage
Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program for qualified roles
Retirement benefit options for eligible roles, including Pension and other Retirement Saving Plans. More information on our retirement benefits can be found here

Pay

$29.46 - $36.63

Schedule

Friday–Monday (10:30 AM to 9:00 PM)