Customer Service Representative - Pedi

El Centro Del Barrio•San ANtonio, TX

9d•Onsite

About The Position

CentroMed is a 501(c)(3) non-profit organization providing healthcare for all populations. As a Federally Qualified Health Center (FQHC), we offer comprehensive primary care and dental services across San Antonio and New Braunfels. Founded in 1971, CentroMed has a long-standing commitment to providing culturally competent care to underserved populations and has grown into a network of high-quality healthcare clinics serving all individuals, regardless of income. Our mission is to improve lives by enhancing family well-being through high-quality, compassionate healthcare. We are seeking a "SUPER STAR" Customer Service Representative (CSR) to be the primary point of contact for patients, ensuring a positive experience from registration to service completion. The CSR is 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 also contributes to data summaries for the agency's 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 a 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 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 using name, alias, family members, SSN, and account numbers.
Demonstrate proficiency in entering charges for self-pay, insurance, and eligibility programs.
Reconcile charges at the end of each day and maintain error-free daily balance sheets.
Determine patient eligibility for participation in special programs (e.g., Methodist Healthcare Ministries).
Assist patients and visitors who walk into the clinic.
Answer telephones, identifying self and the name of the clinic.
Demonstrate an excellent understanding of insurance (Medicaid, Medicare, CHIP) and eligibility programs (Methodist Homeless), including the use of TMHP and Availity to verify 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 the Provider.
Maintain excellent personal attire, including uniform and nametag, in compliance with CentroMed appearance standards.
Demonstrate excellent attendance and punctuality.
Assist clinical teams in patient assessment via observation and notify clinicians in the event of an emergency.
Abide by policies and procedures in the Employee Safety Handbook, maintaining agency, OSHA, and JCAHO compliance standards.
Participate in the agency’s Quality Improvement Program.
Assist with outreach activities and other duties as assigned by the Director or Supervisor.