Patient Services Representative I

MedAmerica • Modesto, CA

1d • $17 - $19 • Remote

About The Position

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.

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
• Outstanding Paid Time Off: 3-4 weeks’ vacation, Paid holidays, Sabbatical
• Student Loan Refinancing Discounts
• Professional and Career Development Program
• EAP, travel assistance, and identify theft included
• Wellness program

What This Job Offers

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