Patient Services Representative II, Family Medicine

Sutter Health•Lincoln, NE

3d•Onsite

About The Position

This is a Limited Term position - 26 weeks. Serves as an advanced patient access resource and first point of contact for patients entering the outpatient facility. Greets and checks in patients, verifies demographic and insurance information, schedules appointments, updates the Electronic Health Record (EHR), and supports registration, consent, financial, healthcare, and insurance documentation. Performs advanced patient access functions including insurance verification, benefit review, referral coordination, prior authorization support, estimate preparation, and collection of patient financial responsibility. Coordinates complex scheduling needs and collaborates with clinical teams, authorization teams, and internal departments to reduce care delays and support timely access to services. Gains confidence and cooperation from patients, families/support persons, and healthcare providers through compassionate communication, competent job performance, and patient-centered service. Serves as a resource to patient services staff by supporting onboarding, answering workflow questions, reinforcing standard work, and assisting with resolution of complex or escalated patient access issues. Adheres to organizational, local, state, and federal regulations, codes, policies, and procedures to ensure privacy, safety, compliance, and optimal patient experience.

Requirements

HS Diploma or equivalent education/experience
1 year of recent relevant experience
Basic knowledge of insurance policies and procedures, as well as patient billing
Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form
Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel
Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines
General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook)
Prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines
Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions
Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options
Ensure the privacy of each patient’s Protected Health Information (PHI)
Build collaborate relationships with peers and other staff members to achieve departmental and corporate objectives

Responsibilities

Greets and checks in patients
Verifies demographic and insurance information
Schedules appointments
Updates the Electronic Health Record (EHR)
Supports registration, consent, financial, healthcare, and insurance documentation
Performs advanced patient access functions including insurance verification, benefit review, referral coordination, prior authorization support, estimate preparation, and collection of patient financial responsibility
Coordinates complex scheduling needs
Collaborates with clinical teams, authorization teams, and internal departments to reduce care delays and support timely access to services
Serves as a resource to patient services staff by supporting onboarding, answering workflow questions, reinforcing standard work, and assisting with resolution of complex or escalated patient access issues
Adheres to organizational, local, state, and federal regulations, codes, policies, and procedures to ensure privacy, safety, compliance, and optimal patient experience