Patient Service Representative (Medical or Dental)

Chiricahua Community Health Centers, Inc•Willcox, AZ

5d•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 both medical and dental administrative tasks, and may include additional duties if assigned to SEABHS or Mobile Medical Units. The position requires interaction with patients, verification of insurance, scheduling appointments, handling payments, and maintaining a clean and safe environment. Some travel and weekend work may be required.

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 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.
Ability to comprehend and understand insurance co-pays.
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.
Driver's License and Proof of Insurance may be required if requesting mileage reimbursement.
Valid Fingerprint Clearance Card may be required.
Knowledge of prepaid health plans and community health centers preferred.
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 and responds to caller questions or transfers calls.
Takes and documents messages.
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.
Works assigned weekends.
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 dental deductible (Dental).
Processes and assists in the completion of dental referrals and tracking (Dental).
Follows up on all outside referrals for the patient (Dental).
Performs and assists in the completion of prior insurance authorizations and tracking (Dental).
Assists with estimates for treatment plans for the patient and reviews with patients (Dental).
Runs queries on Cenpatico patients and determines which patients are missing quality measures (SEABHS).
Calls patients that are missing quality measures to schedule appointments (SEABHS).
Assists patients in overcoming barriers to care by scheduling follow-up appointments, arranging transportation, and following up with patients who missed appointments (SEABHS).
Performs other duties and special projects for the quality department as assigned (SEABHS).
Ensures accuracy of provider schedules (Mobile Medical).
Verifies provider un-submitted encounters, as necessary (Mobile Medical).
Verifies chart guard access and prints documents as needed (Mobile Medical).
Performs medical records scanning (Mobile Medical).
Provides Staff Meeting minutes (Mobile Medical).
Prints out new patient letters as requested (Mobile Medical).
Posts payments and facilitates bank deposits (Mobile Medical).
Runs encounter co-pay report as requested (Mobile Medical).
Runs and acts on reports as requested (Mobile Medical).
Maintains cleanliness of the mobile medical units, discards trash (Mobile Medical).