Pedi Customer Service Representative- South Park

Duties And 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.
• Demonstrate ability to 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 patient assessment via observation and notifies clinician in the event of an emergency.
• Abide 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.

Qualifications

• Education: High School Diploma or equivalent
• Experience: 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 (preferred).