About The Position

The Clinic Patient Representative Senior greets, instructs, directs, and schedules patients and visitors and serves as a liaison between patients and medical support staff. The role supports clinic operations, including verifying insurance benefits, assisting with referrals, collecting payments, and preparing cash for deposits. The representative maintains patient check-in flow, verifies and updates demographic, insurance, and medical-record information, and enters or corrects information in computer systems. The position also supports phone coverage, appointment scheduling, patient forms, account maintenance, payment plans, and front-office administrative work. It requires adherence to HIPAA and confidentiality requirements, CHRISTUS Health policies and procedures, quality and safety standards, and the CHRISTUS Mission, Code of Ethics, and Service Guarantee.

Requirements

  • High school diploma or equivalent.
  • Three or more years of experience in a health care organization.
  • Ability to operate a 10-key calculator by touch, telephone, computer, copier, and fax machine.
  • Excellent interpersonal and communication skills.
  • Good mathematical knowledge.

Nice To Haves

  • Knowledge of managed care preferred.
  • Some college preferred.
  • Advanced ICD-9 and CPT coding skills preferred.
  • Experience with charge posting or collections preferred.

Responsibilities

  • Maintains the flow of patient check-in and verifies demographic and insurance information for entry into the computer database.
  • Ensures information in patient accounts is accurate.
  • Answers phones, takes messages, and responds to patient and staff inquiries.
  • Responds promptly to CBO requests for patient account corrections or maintenance.
  • Schedules patient appointments according to physician guidelines, clinician templates, and office scheduling policies.
  • Collects time-of-service payments and prior balances, and arranges payment plans as requested.
  • Checks in patients and verifies or updates information in medical records.
  • Assists patients with completing necessary forms.
  • Assists the front office lead or supervisor with administrative duties, including front-end duties, denials, work queues, and correcting errors to ensure clean claims.
  • Screens visitors and responds to routine requests for information.
  • Follows HIPAA guidelines and maintains strict confidentiality of protected health information.
  • Uses clear, positive oral and written communication consistent with the CHRISTUS Mission.
  • Maintains CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental, and infection-control standards.
  • Performs responsibilities consistently with the CHRISTUS Mission and Code of Ethics, supports cultural diversity objectives, and adheres to the CHRISTUS Service Guarantee.
  • Performs other related work as assigned by leadership.
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