Customer Service Rep - Call Center

Hamilton Health Center, established in 1969, is a Federally Qualified Health Center (FQHC) located in Harrisburg, PA. We are committed to providing high-quality, patient-centered healthcare and related social services that promote access, treatment, education, and prevention for Central Pennsylvania's residents, regardless of their health, economic, or insurance status.

Our Vision : Our vision is a healthy community where every member, regardless of their ability to pay or their insurance status, receives comprehensive and compassionate healthcare. We've remained dedicated to this vision for over 50 years.

What You'll Do :

• Register all patients for Adult Medical, Pediatrics, Women's Health Service, and Behavioral Health, adhering to the approved protocol for each department.
• Register all scheduled appointments and walk-in patients following department / program protocols.
• Verify insurance and primary care provider (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 by conducting a household assessment and 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.

Requirements :

Preferred Qualifications :

Equal Opportunity Employer :

Hamilton Health Clinic is an equal opportunity employer. We are committed to providing an inclusive and diverse work environment where all employees are valued, respected, and have the opportunity to succeed. We do not discriminate on the basis of race, color, religion, sex, national origin, age, disability, marital status, sexual orientation, gender identity, or any other protected status. All employment decisions are based on qualifications, merit, and business needs.