Pedi Customer Service Representative- South Park
About The Position
CentroMed is seeking a Customer Service Representative (CSR) to serve as the primary point of contact for patients. The CSR will be responsible for welcoming patients, ensuring positive experiences, and managing the registration and processing of patients seeking healthcare, social services, and counseling. This role also involves coordinating encounter data entry, conducting patient financial reviews, billing, collections, and compiling data summaries for the agency's UDS report and Compliance & Quality Improvement activities. CentroMed is a 501(c)(3) non-profit organization providing comprehensive healthcare services to all populations, regardless of income limitations, with multiple locations throughout San Antonio and the New Braunfels area.
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
Nice To Haves
- Bilingual English/Spanish
Responsibilities
- Serve as the primary source of contact for patients, welcoming them 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.
- Establish and update accounts in the computer system using name, alias, family members, SSN, and account numbers.
- Enter charges for self-pay, insurance, and eligibility programs, and reconcile charges daily.
- Determine patient eligibility for participation in special programs.
- Assist patients and visitors, and answer telephones.
- Demonstrate an excellent understanding of insurance (Medicaid, Medicare, CHIP) and eligibility programs.
- Schedule patient appointments according to established protocols.
- Maintain 100% productivity rate in encounter entries, maintaining logs, knowledge of 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 case of emergencies.
- Abide by policies and procedures in the Employee Safety Handbook, maintaining agency, OSHA, and JCAHO compliance.
- Participate in the agency’s Quality Improvement Program.
- Assist with outreach activities and other duties as assigned by the Director or Supervisor.
Stand Out From the Crowd
Upload your resume and get instant feedback on how well it matches this job.
What This Job Offers
Job Type
Full-time
Career Level
Entry Level
Education Level
High school or GED
