Patient Service Representative (Medical or Dental)

Chiricahua Community Health Centers•Sierra Vista, AZ

5d•Onsite

About The Position

The Patient Service Representative assists patients, the Lead Patient Service Representative, and the Health Center Management team with a broad range of administrative duties in a medical or dental health center. The role includes appointment scheduling, patient intake and forms, insurance and payment processing, telephone support, and professional assistance to patients and staff. Depending on assignment, the position may also support dental administration, quality department activities, or mobile medical units. The role may require travel to other locations, and assigned weekend work is required.

Requirements

High school diploma or GED.
Six months of experience in customer service or office support, or a combination of experience and/or education that provides the necessary skills.
Ability to comprehend and compose instructions, correspondence, and communications in English, orally and in writing.
Ability to comprehend and understand limited medical terminology.
Ability to add, subtract, multiply, and divide using whole numbers, common fractions, and decimals, and to compute rates, ratios, and percentages.
Ability to gather data in an organized fashion from varied sources, take direction, and perform assignments accordingly.
Ability to handle routine challenges involving one or more variables.
Knowledge of HIPAA rules and regulations.
Computer literacy.
Ability to provide excellent customer service by mail, telephone, and in person.
Ability to occasionally exert enough force to move objects weighing up to 10 pounds; continuously remain stationary; and constantly move about the workplace to assist patients, access files, and operate office or medical equipment.
Hand-eye coordination and manual dexterity to constantly operate a computer, telephone, and other office machinery; close visual acuity to record and view information; and ability to discern sounds at normal spoken volume.
Reliable transportation for occasional travel and extended hours; float positions require frequent travel to health centers as needed.
A driver's license and proof of insurance may be required when requesting mileage reimbursement.
A valid Fingerprint Clearance Card may be required.
Working assigned weekends is required.

Nice To Haves

Experience in a healthcare setting.
Knowledge of prepaid health plans and community health centers.
Knowledge of electronic health records.
Bilingual English and Spanish may be required depending on staffing patterns, patient population, or duty assignment.

Responsibilities

Schedule and confirm patient appointments; check in patients at the assigned location.
Provide and facilitate completion of patient forms and verify patient demographic information.
Verify medical or dental insurance coverage and eligibility, including dental deductibles.
Assist patients with presumptive applications for the Sliding Fee Discount Program and determine charges for self-pay, prompt-pay, or sliding-fee patients.
Inform patients of account balances and accept payments over the counter.
Answer telephone calls, respond to questions when possible, transfer calls, and document messages as appropriate.
Greet, interact with, and assist patients and staff professionally.
Travel to other locations as needed.
Perform medical-record scanning and other lead duties when designated at a center without a Lead Patient Service Representative.
Work assigned weekends.
Clean lobbies, restrooms, patient areas, and, for mobile-unit assignments, mobile medical units; discard trash and use proper cleaning supplies and PPE.
Screen patients and visitors, perform infrared and ear temperature checks, and use and educate patients and visitors on required PPE.
For dental assignments, place recall plans, contact patients from recall reports, and schedule appointments according to recall needs.
For dental assignments, verify treatment plans, patient instructions, and summary reports; assist with treatment estimates and review them with patients and the care team.
For dental assignments, process and track referrals and prior insurance authorizations, and follow up on outside referrals.
For SEABHS assignments, run queries to identify Cenpatico patients missing quality measures, contact them to schedule appointments, and help overcome barriers to care through follow-up scheduling and transportation arrangements.
For SEABHS assignments, perform other quality-department duties and special projects as assigned.
For mobile medical unit assignments, ensure provider schedules are accurate; verify unsubmitted encounters as needed; check chart-guard access and print documents; prepare staff meeting minutes and new-patient letters; post payments and facilitate bank deposits; run encounter copay reports and other requested reports, and act on those reports.