Patient Services Representative

5 days ago

Fairfield, United States Tekwissen Full time
Overview:

Tekwissen Group is a workforce management provider throughout the USA and many other countries in the world. This client is a locally based, nonprofit healthcare organization. Their health system includes two hospitals, a 100-provider primary and specialty care medical group, a cancer center; and a new medical fitness center.

Job Title: Patient Services Representative

Location: Fairfield, CA 94533

Duration: 3 Month

Job Type: Contract

Work Type: Onsite

JOB SUMMARY:

  • The Call Center Patient Services Representative performs general office duties including appointment scheduling, determining and verifying insurance eligibility, and processing of detailed messages to physicians.
  • The Patient Services Representative functions as part of a clerical, clinical, and customer service team in support of primary care practices.
PRIMARY JOB DUTIES
  • Registration and Charge Entry
  • Gathers, updates and verifies a comprehensive package of registration and insurance/payer information and ensures accurate entry into the practice management system.
  • Provides information to patients regarding the selection process for a primary care physician, assists in determining insurance eligibility, co-payments, share of costs and other financial responsibilities for services rendered.
  • Verifies and documents eligibility for all payers.
  • Reviews benefit plan/s with patient to determine specific allowances and/or restrictions based on services requested.
  • Researches and answers inquiries related to claims, eligibility and referrals.
  • Ensures the accuracy of demographic and insurance information in accordance with the policies, procedures and service expectations of each department.
  • Maintains professional standards by actively participating in committees, inservices and QI activities and standards development.
  • Acts as a resource to new and existing staff in personal areas of subject matter expertise.
  • Presents a professional demeanor in appearance and attitude.
  • Floats to other areas as needed.
  • Performs other duties as assigned.
JOB SPECIFICATIONS

Education:
  • High School Graduate or equivalent preferred.
  • Some college business or computer course work essential.
Licensure/Certification:
  • AHA BLS certification required within 60 days of hire. Course work in medical terminology preferred
Experience:
  • 1-2 years working in a healthcare environment required.
  • 6 months of direct Client Call Center training/experience can be substituted for healthcare experience.
  • 1-2 years direct experience working in a call center environment preferred.
  • Strong experience in insurance verification preferred.
  • Strong communication skills and dynamic customer service experience preferred.
Skills:
  • Strong organizational and written and spoken communication skills essential.
  • Demonstrated mastery of practice management systems is required with CPT, ICD9 coding experience beneficial.
  • Experience in the following areas preferred: appointment scheduling, registration process, insurance verification, primary care preventive care.
  • Demonstrated ability to work independently on a variety of complex tasks, managing competing deadlines.
  • Bilingual capability preferred.
Interpersonal Skills/Customer Service:
  • Demonstrates the Client Way.
  • The Clinet Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at Client.
  • The Client Way principles consist of Caring, Communication, Collaboration, and Competence.
Hours:
  • Based on business need.
Physical Effort:
  • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
  • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
  • Walking, some bending, stooping, and lifting.
  • Position requires extensive use of computer keyboarding throughout the day.

TekWissen Group is an equal opportunity employer supporting workforce diversity.

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