Clinic Patient Representative - Spohn Primary Academic Med

CHRISTUS Health•Corpus Christi, TX

About The Position

The Clinic Patient Representative greets, instructs, directs, and schedules patients and visitors, and serves as a liaison between patients and medical support staff. The role may include a range of clinic duties, 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 ensures patient account details are accurate. The position also supports appointment scheduling, phone and visitor inquiries, patient forms, payment arrangements, administrative work queues, and claim accuracy. The role requires maintaining confidentiality and following CHRISTUS Health policies, quality and safety standards, infection-control practices, and its mission, Code of Ethics, diversity objectives, 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.
  • Some college.
  • Advanced ICD-9 and CPT coding skills.
  • Experience with charge posting or collections.

Responsibilities

  • Maintain the flow of patient check-in and verify demographic and insurance information in the computer database.
  • Ensure information in patient accounts is accurate and respond promptly to CBO requests for account corrections or maintenance.
  • Answer phones, take messages, and assist with patient and staff inquiries.
  • Schedule appointments in accordance with physician guidelines, clinician templates, and office scheduling policies.
  • Collect time-of-service payments and prior balances, and arrange payment plans as requested.
  • Check in patients, verify and update information in medical records, and help patients complete required forms.
  • Assist the front office lead or supervisor with administrative duties, including front-end duties, denials, work queues, and correcting errors to ensure clean claims.
  • Screen visitors and respond to routine requests for information.
  • Follow HIPAA guidelines and maintain strict confidentiality of Protected Health Information.
  • Communicate ideas clearly and positively in a manner consistent with the CHRISTUS Mission.
  • Maintain CHRISTUS Health policies, procedures, objectives, quality assurance, safety, environmental, and infection-control standards.
  • Perform work consistent with the CHRISTUS Mission and Code of Ethics, support cultural diversity objectives, and adhere to the CHRISTUS Service Guarantee.
  • Perform other related work as assigned by leadership.
  • Assist with referrals, verify insurance benefits, collect payments, and prepare cash for deposits.
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