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Patient Service Representative

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Sacramento, United States Sacramento Native American Health Center Full time

Here at SNAHC, you are joining a team and company at a time of growth and transformation. You will love being surrounded by people who are as passionate as you are about healthcare and giving back to the community. Please note that individual total compensation for this position will be determined at the Company's sole discretion and the wage range for this role considers a wide range of factors including but not limited to skill sets; experience and training; licensure and certifications; and other business and organizational needs. At SNAHC, it is not typical for an individual to be hired at or near the top of the range for their role and compensation decisions are dependent on the facts and circumstances of each case. A reasonable estimate of the current range is $17.00/HR-$23.00/HR.

Position Summary:

The Patient Services Representative - Behavioral Health (PSRBH) reports to the Patient Services Front Desk Manager. They are responsible for greeting patients and visitors that present to the Behavioral Health/Member Services shared lobby and the front desk operations including scheduling and check-in/out duties of patients receiving both Behavioral Health services and Member Services . 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 patient 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 BH 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 when needed and 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 patients with health insurance information such as Medi-Cal, Medicare, and GMC (Geographic Managed Care) programs. Refers to Member Services when necessary.
  • Completes daily corrections as requested by department manager.
  • De-escalate irate patients as needed.
  • Actively participates in internal quality improvement teams. Works with members proactively to support quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards
  • 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.
  • Experience with electronic health records software and database systems, preferably NextGen.
  • Knowledge of collecting and verifying insurance information.
  • Customer Service experience
Preferred Qualifications:
  • Knowledge of all services provided in a behavioral health setting
  • Experience in an FQHC setting
  • Experience in a mental health 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