Customer Service Rep

All About Hamilton Health Center

Hamilton Health Center (Hamilton), established in 1969, is the only Federally Qualified Health Center (FQHC) within a 30-mile radius of Harrisburg, PA and continues to grow using a holistic and comprehensive approach to being patient centered. The mission of Hamilton is to improve the health of Central Pennsylvania’s residents by delivering high quality, respectful and patient-centered health and related social services that promote access, treatment, education, and prevention regardless of health, economic, or insurance status. Our vision is that every member of our community, regardless of their ability to pay or their insurance status, receives holistic, quality health care needed to create a healthy community. For over 50 years we have been true to these words. As part of our team, you will work alongside a dedicated team that cares and values those we serve.

Benefits offered: In addition to your base pay, you are also eligible to receive:

• Paid time off, Catastrophic (CAT)/Sick time, Birthday holiday, and 7 paid holidays.
• Medical, Dental & Vision,
• Company paid life insurance.
• Retirement Plan
• Employee Assistance Program

Job Summary:

The Customer Service Rep position provides support to Adult Medical, Pediatrics, Women’s Health Service, and Behavioral Health Services. This position is responsible for the daily registration of patients for these departments. The role of Customer Service Rep includes, however is not limited to; registering all scheduled and walk in patients per protocol, verifying insurance and primary care providers (PCP), and conducting household assessments for the sliding fee scale.

Essential Duties and Responsibilities:

• Verify insurance and primary care providers (PCP) using the Promise system for all medical assistance patients and the appropriate verification method for private insurance through websites or telephone inquiries.
• Place eligible patients on the sliding fee scale
• Scanning/copying proof of income documentation, in accordance with the sliding fee protocol.
• Screen and enroll patients in the Family Planning Program.
• Scan copies of insurance cards, identification, and all necessary documentation for patient files.
• Provide guidance to patients, streamline patient/workflow professionally, and courteously, assist with questions and concerns, and direct them to other departments and programs.
• Refer/Schedule uninsured patients for patient services to address insurance screening/enrollment, PCP changes, presumption of eligibility forms, and sliding fee waivers for ultrasound.
• Schedule follow-up appointments for patients checking out.
• Verify insurance for all patients scheduled two days prior, including MCO and private plans.
• Check out encounters for patients seen daily.
• Run patient check-in and not check-out the following day to finalize the encounter.
• Generate clinical summary reports, ensuring that a clinical summary sheet is printed for each patient checking out and provided to the patient.
• Collect any additional fees.
• Perform miscellaneous job-related duties as assigned.

Minimum Education/Certifications: High School Graduate or GED Required

Minimum Work Experience: Minimum of one (1) year experience in customer service-based atmosphere, receptionist, or related fields. Proficiency in basic data entry computer skills.

Preferred Qualifications: One (1) year of working experience in medical or physician office setting. Knowledge of The Joint Commission Regulations. Bi-lingual in Spanish, Nepali, or French

This job description is a general outline of duties performed and is not to be misconstrued as encompassing all duties performed within the position. All individuals (including current employees) selected for a position will undergo a background check appropriate for the position's responsibilities.

EOE