Patient Services Representative I

MedAmerica • Modesto, CA

4d • Remote

About The Position

At Vituity, you are part of a larger team that is driven by our purpose to improve lives. We are dedicated to transforming healthcare through our culture by working together to tackle healthcare’s most pressing challenges from the inside. Vituity has cultivated an environment where passion thrives, and success comes through shared purpose. We were founded in a culture that values team accomplishments more than individual achievements, an approach we call “culture of brilliance.” Together, we leverage our strengths and experiences to make a positive impact in our local communities. We foster this through shared goals and helping our colleagues succeed, and we also understand the importance of recognition, taking the time to show appreciation and gratitude for a job well done. Vituity has opportunities at 890 practices across the country, serving 14.5 million patients a year. With Vituity, if you ever need to move, you can take your job with you.

Requirements

• Must be able to type a minimum speed of 40 words per minute or 7,000 data entry key strokes per hour.
• Must have a high school diploma or equivalent.
• Experience in a health care setting or insurance related field providing patient registration and/or insurance authorization as typically obtained in approximately two (2) years is required.
• Strong written and verbal communications skills required.
• Knowledge of medical group practice management systems and PC skills.
• Knowledge and understanding of insurance and managed care requirements.
• Understanding of health insurance concepts and requirements, including HMO, PPO, Medicare, Medi-Cal, and other federal and state agency programs.
• Requires knowledge of medical and billing terminology.
• Ability to demonstrate effective customer service skills with internal and external customers.
• Ability to make phone calls seeking account resolution.
• Ability to promote teamwork.
• Flexible and adaptable to an ever-changing environment.
• Ability to read and comprehend simple instructions, short correspondence, and memos.
• Ability to write simple correspondence.
• Ability to effectively present information in one-on-one and small group situations to customers, clients, and other employees of the organization.
• Ability to correctly add, subtract, multiply, and divide in all units of measure, using whole numbers, common fractions, and decimals.
• Perform 10-key by touch.
• Work independently with minimal supervision.
• Ability to apply common sense understanding to carry out instructions furnished in written, verbal, or diagram form.
• Ability to deal with problems involving several concrete variables in standardized situations.
• Ability to work overtime during peak periods.

Nice To Haves

• Related experience in a medical setting preferred.
• Previous call center experience is highly desirable.
• Customer service experience is preferable.
• Fluent in Spanish language, both oral and written is a plus.
• Strong customer service experience preferred.
• Working knowledge of medical terminology preferred.
• Experience with Microsoft Office and Windows software preferred.

Responsibilities

• Receives patient/client calls and resolves them in a professional manner leaving the caller with a positive impression of RCM Vituity.
• Reviews accounts to determine and take appropriate action, i.e., obtain insurance information, offer appropriate financial assistance, process credit card payment, refer account to a collection agency or refer to the appropriate billing team for further research.
• Update patient account and notes appropriately based upon action/request.
• Performs pre-verifications to determine where eligibility and when to send claims by running on-line eligibility.
• Identify and communicate Patient Services issues.
• Handles incoming and outgoing calls.
• Performs other duties as assigned by management.

Benefits

• Superior health plan options
• Dental, Vision, HSA/FSA, Life and AD&D coverage, and more
• Top Tier 401(k) retirement savings plans that offers a $1.20 match for every dollar up to 6%25 plus discretionary profit-sharing contributions (eligible January following 18 months of service)
• Generous paid time off starting 3-4 weeks’ annually
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP and travel assistance included
• Wellness program
• Purpose-driven culture focused on improving the lives of our patients, communities, and employees

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: High school or GED