Patient Services Representative (5120)

CITADEL FEDERAL SOLUTIONS LLC•San Diego, CA

151d•$0 - $21•Onsite

About The Position

This is a Patient Services Representative role supporting Veterans Affairs. This is a long-term stable opportunity with the potential to transition to a government employee. FalconTek is a GovCon solutions and services provider that supports federal agencies, state governments, and commercial companies. FalconTek has provided support around the globe on mission critical programs since 2008. We rapidly deploy personnel in support of technical, professional, and medical projects. You MUST currently have a REAL ID.

Requirements

Must possess the ability to communicate effectively and professionally interdisciplinary team members and to provide optimal customer service to both internal and external customers.
Must be proficient in spoken and written English.
Must be a citizen of the United States
Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position
One year above high school
Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable
Must be dependable and use good judgment and effectively and properly analyze and evaluate all situations to ensure that the veteran’s welfare is protected.
Average 40 wpm, as data entry is a main responsibility of this position.
Knowledge of the operation of several types of office equipment and software/databases relative to data extraction and inputting.
Basic knowledge of the functionality of the computerized patient record.
Must be dependable and use good judgment and effectively and properly analyze and evaluate all situations to ensure that the veteran’s welfare is protected.

Nice To Haves

Must currently have a REAL ID

Responsibilities

Interpret and verify provider orders in accordance with VHA National Scheduling Directive guidelines.
Schedule, cancel, and re-schedule patient appointments and/or consults; enter no-show information; prepare for clinic visits; monitor appointments, consults, and request for areas of responsibility.
Enter recall reminders, monitor recall reminder processes and delinquencies, ensure that encounter forms are completed in order to obtain appropriate workload credit; respond to VS GUI, VISTA, and CPRS alerts.
Scans insurance cards, protect secure information and complete all insurance capture buffer encounters required by (ICB).
Works with patients to complete Release of Information (ROI) forms to pass to ROI team for further action, teach patients how to sign up for the secure messaging system in MyHealtheVet, authenticate patient access in the secure messaging system in MyHealtheVet, and receive and relay messages between patient/provider using the secure messaging system, etc.
Review requests for reimbursement of travel costs and reconciles claims/vouchers for payments using electronic systems.
Review ambulance claims for eligibility and payment.
Assists in arranging transportation for eligible patients and works with clinical teams to request appropriate mode of transportation.
Assist Health Information Management (HIM) service to scan and/or upload outside medical records into the Electronic Medical Record (EMR).
Assist VA Community Care Staff in contacting Veterans to obtain preferences (if needed), schedule/reschedule appointments with community providers and enter appointment provider, date, and time information.
Follow-up with the community provider or Veteran to confirm the Veteran was scheduled and/or went to their appointment and request medical records.
Scan (if needed) and index the medical records to the pertinent consult.