Patient Services Representative II, Family Medicine

Sutter Health•Lincoln, NE

1d•Onsite

About The Position

This is a Limited Term position for 26 weeks. The Patient Services Representative II serves as an advanced patient access resource and the first point of contact for patients entering the outpatient facility. This role involves greeting and checking in patients, verifying demographic and insurance information, scheduling appointments, and updating the Electronic Health Record (EHR). The representative also supports registration, consent, financial, healthcare, and insurance documentation. Key responsibilities include performing advanced patient access functions such as insurance verification, benefit review, referral coordination, prior authorization support, estimate preparation, and collection of patient financial responsibility. The role also coordinates complex scheduling needs and collaborates with clinical teams, authorization teams, and internal departments to ensure timely access to services. The representative builds confidence and cooperation through compassionate communication, competent job performance, and patient-centered service. Additionally, they serve as a resource to patient services staff by supporting onboarding, answering workflow questions, reinforcing standard work, and assisting with the resolution of complex or escalated patient access issues. Adherence to organizational, local, state, and federal regulations, codes, policies, and procedures is crucial for ensuring privacy, safety, compliance, and an 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.
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).
Ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.
Ability to work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.
Ability to 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.