Patient Services Representative (Urgent Care)

San Ysidro Health•Chula Vista, CA

1d•$28 - $35

About The Position

The Patient Services Representative answers telephones, greets, assists, and directs visitors, patients, and other clinic callers. The role guides, screens, and registers new patients; helps patients obtain services; provides information about funding eligibility and patient access processes and policies; researches and resolves customer problems; and performs clerical duties supporting the clinic’s daily business activities. The representative assembles registration documents, enters patient information in Epic, verifies insurance and authorizations, assesses and collects patient financial responsibility, and documents funding information. The role uses payer resources and websites to check eligibility, initiates insurance referrals, administers and determines eligibility for the Sliding Fee Discounts Program, and collaborates with other departments to identify and resolve patient inquiries and barriers. Additional duties include maintaining fiscal records, assisting patients and visitors, recognizing the need for urgent services, and supporting department equipment and supplies.

Requirements

One year of customer service experience or successful completion of an internship at San Ysidro Health.
High school diploma or GED equivalent.
Good handwriting and verbal communication skills.
Verbal ability to provide accurate and tactful explanations.
Complete pre-employment requirements, including I-9, physical, positive background and reference check results, completed application, new-hire orientation, and pre-employment PPDs.
Comply with mandated vaccinations and all boosters as a term and condition of employment.

Nice To Haves

One year of experience in a medical setting, preferably front desk or reception.

Responsibilities

Answer telephones and greet, assist, and direct visitors, patients, and clinic callers.
Guide, screen, and register new patients and assemble the data and documents required for complete registration, including insurance verifications and authorizations.
Enter current patient demographic information into the Epic system.
Communicate effectively with internal and external personnel and provide excellent customer service.
Assess patient financial responsibility and collect co-pays and deductibles at check-in.
Obtain and document funding information and provide information about available funding resources.
Use payer resources and websites to explore and access eligibility; initiate referrals for insurance including Medi-Cal, Medicare, managed care, and commercial plans.
Administer and determine patient eligibility for the Sliding Fee Discounts Program.
Collaborate with other areas handling patient inquiries to identify and resolve issues or barriers.
Enter fiscally related information into databases and maintain fiscal records and files.
Respond to inquiries about patient access processes and policies, research customer problems, and resolve them.
Recognize the need for immediate and urgent services.
Provide assistance, guidance, and direction to visitors and patients.
Assist with the care and maintenance of department equipment and supplies.
Maintain departmental policies, procedures, objectives, and quality assurance, safety, environmental, and infection-control standards.
Adapt to organizational changes and functions; participate in educational programs and in-service meetings; and attend meetings as required.
Perform other related duties as assigned or requested by the Patient Services Supervisor.