Customer Service Representative (Bilingual)

CentroMed•San Antonio, TX

102d•Onsite

About The Position

CentroMed is a non-profit organization providing healthcare for all populations. As a Federally Qualified Health Center (FQHC), CentroMed has been dedicated to its mission and vision for over 50 years, growing from a community-based program to a network of high-quality healthcare clinics. The organization is seeking a Customer Service Representative (CSR) to serve as the primary point of contact for patients, ensuring positive experiences. The CSR will be responsible for patient registration, processing requests for healthcare and social services, coordinating encounter data entry, conducting patient financial reviews, and managing billing and collections. This role is crucial for meeting program deadlines and contributing to the agency's annual UDS report and Quality Improvement activities.

Requirements

High School Diploma or equivalent
General experience working in a health care setting
Experience with medical data entry preferred
Strong clerical skills including keyboarding
Good understanding of basic math
Computer knowledge and use of calculator
Mental ability to conduct interviews, reconcile encounter reports, and conduct audits with a better-than-average attention to detail
Bilingual English/Spanish

Nice To Haves

Experience with medical data entry

Responsibilities

Serve as the primary source of contact for patients, welcoming them into the system and ensuring positive experiences.
Handle registration and processing of all patients/families requesting health care, social services, and counseling.
Coordinate encounter data entry to meet program and agency deadlines.
Conduct and record patient financial reviews, billing, and collections.
Compile data summaries relevant to the agency’s annual UDS report and Compliance & Quality Improvement activities.
Demonstrate proficiency in establishing and updating accounts in the computer system.
Enter charges for self-pay, insurance, and eligibility programs, and reconcile charges daily.
Determine patient eligibility for special programs.
Assist patients and visitors, and answer telephones.
Demonstrate an excellent understanding of insurance (Medicaid, Medicare, CHIP) and eligibility programs, including the use of TMHP and Availity.
Schedule patient appointments according to established protocols.
Maintain a 100% productivity rate in encounter entries, logs, referrals, and outreach paperwork.
Review and update household’s financial and demographic information annually.
Perform intake interviews on all new patients and confirm homelessness.
Assemble necessary medical/dental record forms and initiate encounter forms.
Follow-up on no-shows as directed.
Maintain excellent personal attire and compliance with CentroMed appearance standards.
Demonstrate excellent attendance and punctuality.
Assist clinical teams in patient assessment via observation and notify clinicians in emergencies.
Abide by policies and procedures in the Employee Safety Handbook and maintain compliance standards.
Participate in the agency’s Quality Improvement Program.
Assist with outreach activities and other duties as assigned.