Patient Services Representative

At SNAHC, you are joining a team and organization at a time of growth and transformation. You will love being surrounded by people who are as passionate as you are about community health. Individual compensation for this position will be determined at the organizations discretion and the wage range for this role considers multiple factors including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. It is not typical for an individual to be hired at or near the top of the salary range and compensation decisions are determined thoughtfully in each case. A reasonable estimate of the current range is $21.00-$23.00/HR.

Position Summary:

The Patient Services Representative Medical (PSRM) reports to the Patient Services Front Desk Manager. They are responsible for greeting patients and visitors to the health center and the front desk operations including scheduling and check-in/out duties for patients receiving medical services at SNAHC. This includes notifying patients of service delays, verifying eligibility, collecting necessary co-payments if needed, and updating patient information to ensure records are current. This position also includes communicating with patients of upcoming appointments within the health center and of outstanding balances due that would require payment prior to the next appointment.

Essential Functions:

• Schedules appointments and verifies insurance and/or payment method for appropriate department.
• Schedules follow up medical appointments as well as any other clinical appointment(s) upon patient request or need. using approved template and guidelines.
• Conducts appointment reminder communication and screens insurance eligibility for same day and/or walk in appointments. Appropriately notifies patients of any eligibility conflicts.
• Utilizes software features to maximize patient access and adheres to patient check-in workflow.
• Collects and records patient payments for services rendered daily.
• Reconciles daily cash drawer and patient payments.
• Ensures information entered into the Electronic Health Record (EHR) is accurate and complete. This includes reviewing the chart and verifying all forms are completed and up to date.
• Assists and enrolls patients to state programs.
• Completes daily corrections as requested by department manager.
• Complies with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, Scope of Practice, OSHA etc.
• Other duties as assigned.

Skills and Abilities:

• Excellent computer skills, preferably with Windows, including Microsoft Office Suite
• Excellent telephone and communication skills
• Must possess excellent organizational, writing, and verbal skills.
• Ability to work independently, set priorities, and work well under pressure.
• Ability to maintain a high degree of confidentiality.
• Ability to demonstrate superior professionalism when dealing with patients, subordinates, colleagues, community members and vendors.

Competencies:

• Communication and Relationships
• Initiative
• Planning and Organizing
• Safety
• Teamwork
• Customer Service
• Data Collection
• Eligibility
• Payment Collection
• Scheduling

Minimum Qualifications:

• General education degree or high school diploma
• 1 year of experience working in a clinical front office setting/ or similar role.
• Customer Service Experience
• Experience with electronic health records software and database systems preferably NextGen
• Knowledge of collecting and verifying insurance information such as Medi-Cal & Medicare.

Preferred Qualifications:

• Knowledge of medical terminology.
• Experience in an FQHC setting.
• Knowledge of traditional, cultural, and spiritual practices of the diverse AI/AN community, as well as ability to work with other racially, culturally, ethnically, and financially diverse populations.
• Bilingual
• Experience working with geographic managed care.
• Experience enrolling patients into state and federal programs such as; Every Woman Counts, Child Health and Disability Prevention, Family Pact and/or Sliding Scale.