Patient Services Representative

sjgov•Stockton, CA

About The Position

The Patient Services Representative works in the Behavioral Health Services department, interviewing patients and their relatives or guardians to collect pre-admission information and completing the forms and procedures needed to admit patients. The position evaluates patients’ financial circumstances and insurance coverage, helps arrange payment or public assistance when appropriate, and monitors coverage for admitted patients. It also ensures that unresolved account arrangements are addressed before discharge and that discharge diagnoses are included in accounts sent for billing. New hires must successfully pass a pre-employment background investigation. The position is covered by a bargaining unit represented by SEIU Local 1021.

Requirements

Meet one of the following qualification pathways: one year of experience as an Eligibility Worker I in San Joaquin County service; or completion of 60 semester units from an accredited college or university with a major in liberal arts, business administration, social science, or a closely related field, plus one year of experience in credit or eligibility interviewing or other comparable interviewing; or four years of office clerical experience involving extensive public contact, including two years equivalent to Clerk II or a higher class in San Joaquin County service.
Knowledge of interviewing and record-keeping principles and techniques, standard office practices, and fundamental aspects of human behavior.
Ability to interview effectively; record and accurately evaluate data; communicate clearly and concisely orally and in writing; understand and follow complex oral and written instructions; maintain accurate and systematic records; establish and maintain effective working relationships; analyze and evaluate statements and other information; and draw logical conclusions and make proper recommendations.
Successfully pass a pre-employment background investigation as a condition of employment.

Responsibilities

Interview patients and their relatives or guardians to obtain pre-admission information.
Admit patients by completing the appropriate forms and procedures.
Conduct financial evaluations to determine patients’ ability to meet financial obligations.
Refer patients to the Department of Public Assistance for Medi-Cal determination when needed and establish extended payment agreements.
Evaluate and verify insurance coverage and complete insurance forms.
Maintain contact with admitted patients to monitor insurance coverage and ensure transfer to appropriate programs when financial need arises.
Ensure discharged patients are interviewed before release when account settlement arrangements have not been completed.
Ensure the discharge diagnosis is included in each patient’s account before it is sent to the Patient Billing Section.

Benefits

Choice of three health plans, with dependent coverage available; employees pay a portion of premiums.
Choice of two dental plans; employee-only coverage is provided at no cost, with dependent coverage available at the employee’s expense.
Vision coverage; employee-only coverage is provided at no cost, with dependent coverage available at the employee’s expense.
Life insurance coverage, with the amount based on continuous service; employees may purchase additional term life insurance at the group rate.
Voluntary Section 125 Flexible Benefits Plan for eligible health-related and dependent-care expenses using pre-tax dollars.
County retirement plan coverage under the County Retirement Law of 1937.
Deferred compensation plan under Section 457 of the IRS code; Roth IRA contributions are also available.
Vacation accrual that increases with years of service.
14 paid holidays annually for civil service status employees.
12 working days of sick leave annually with unlimited accumulation.
Sick leave incentive of eight hours of administrative leave when eligibility conditions are met.
Three days of paid bereavement leave for the death of a qualifying family member, with two additional days of accrued leave for the death of a spouse, domestic partner, parent, or child.
Merit salary increases, subject to service and eligibility conditions.
Educational reimbursement for eligible career-related coursework and approved college or university programs.
Downtown Stockton parking contribution of up to $20 per pay period for eligible employees.
Up to 40 hours per year, limited to eight hours per month, for participation in children’s school activities.