Patient Service Representative (Medical or Dental)

Chiricahua Community Health Centers•Benson, AZ

3d•Hybrid

About The Position

Assists Patients, Lead Patient Service Representative, and the Health Center Management (HCM) team in the performance of a broad range of administrative duties. This role involves clinical and dental administrative tasks, patient interaction, scheduling, insurance verification, payment processing, and maintaining a clean and safe environment. Specific duties may vary based on assignment to a health center, mobile medical unit, or quality department.

Requirements

High School Diploma or GED.
Six months of experience in a customer service or office support.
Any combination of experience and/or education that provides the necessary skills.
Ability to comprehend and compose instructions, correspondence, and communications in English in both oral and written format.
Ability to comprehend and understand limited medical terminology.
Ability to occasionally exert enough force to move objects weighing up to 10 pounds.
Ability to continuously remain in a stationary position.
Ability to constantly move about inside the workplace to assist patients, access files, and operate office or medical equipment, etc.
Possesses hand-eye coordination and manual dexterity necessary to constantly operate computer, telephone, and other office machinery.
Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.
Ability to discern the nature of sounds at a normal spoken volume.
Ability to add, subtract, multiply, and divide in all measure, using whole numbers, common fractions, and decimals.
Ability to compute rate, ratio, and percent.
Ability to gather data in an organized fashion from varied sources.
Ability to take direction and perform assignments accordingly.
Ability to deal with challenges involving one or more variables in routine situations.
Knowledge of HIPAA rules and regulations.
Computer literacy required.
Ability to provide excellent customer service by mail, telephone, and in person.

Nice To Haves

Experience in a healthcare setting preferred.
Bilingual in English and Spanish may be required based on current staffing patterns, patient population, and/or duty assignment.
Knowledge of prepaid health plans and community health centers preferred.
Ability to comprehend and understand insurance co-pays.
Knowledge of Electronic Health Records preferred.

Responsibilities

Schedules and confirms patient appointments.
Provides and facilitates the completion of necessary patient forms.
Verifies medical or dental insurance coverage and eligibility.
Assists patients with presumptive applications for Sliding Fee Discount Program.
Verifies patient demographic information.
Informs patients of account balances and takes payments over the counter.
Answers telephone calls, responds to caller questions, and transfers calls to appropriate party.
Takes and documents messages as appropriate.
Deciphers the correct amount to charge self-pay, prompt pay or sliding fee discount program for patients.
Proactively greets, interacts with, and assists patients and staff in a professional manner.
Checks in patients on location.
Travels to any location as needed.
Performs medical records scanning and other lead duties if hired at a center with no lead PSR.
Cleans lobby, restrooms, and other patient areas with proper cleaning supplies while using proper Personal Protective Equipment (PPE).
Screens all patients and visitors and performs Infrared and ear temperature checks.
Uses and educates patients and visitors on the proper Personal Protective Equipment (PPE) as required.
Places all necessary recall plans for patients (Dental).
Proactively calls patients from recall plan reports and schedules patients' appointments according to recall (Dental).
Verifies patient treatment plans, patient instructions, and summary reports (Dental).
Verifies patient dental deductible.
Processes and assists in the completion of dental referrals and tracking.
Follows up on all outside referrals for the patient.
Performs and assists in the completion of prior insurance authorizations and tracking.
Assists with estimates for treatment plans for the patient and reviews with patients.
Runs queries on Cenpatico patients and determines which patients are missing quality measures (if assigned to SEABHS).
Calls patients that are missing quality measures to schedule appointments (if assigned to SEABHS).
Assists patients in overcoming barriers to care by scheduling follow-up appointments, arranging transportation, and following up with patients who missed appointments (if assigned to SEABHS).
Performs other duties and special projects for the quality department as assigned (if assigned to SEABHS).
Ensures accuracy of provider schedules (Mobile Medical Units).
Verifies provider un-submitted encounters, as necessary (Mobile Medical Units).
Verifies chart guard access and prints documents as needed (Mobile Medical Units).
Provides Staff Meeting minutes (Mobile Medical Units).
Prints out new patient letters as requested (Mobile Medical Units).
Posts payments and facilitates bank deposits (Mobile Medical Units).
Runs encounter co-pay report as requested (Mobile Medical Units).
Runs and acts on reports as requested (Mobile Medical Units).
Maintains cleanliness of the mobile medical units, discards trash (Mobile Medical Units).