Patient Services Representative

4 weeks ago

Oakland, United States Hill Physicians Medical Group Full time

We're delighted you're considering joining usAt Hill Physicians Medical Group, we're shaping the healthcare of the future: actively managed care that prevents disease, supports those with chronic conditions and anticipates the needs of our members.Join Our TeamHill Physicians has much to offer prospective employees. We're regularly recognized as one of the "Best Places to Work in the Bay Area" and have been recognized as one of the "Healthiest Places to Work in the Bay Area." When you join our team, you're making a great choice for your professional career and your personal satisfaction.DE&I Statement:At PriMed, your uniqueness is valued, celebrated, encouraged, supported, and embraced. Whatever your relationship with Hill Physicians, we welcome ALL that you are.We value and respect your race, ethnicity, gender identity, sexual orientation, age, religion, disabilities, experiences, perspectives, and other attributes. Our celebration of diversity and foundation of inclusion allows us to leverage our differences and capitalize on our similarities to better serve our communities. We do it because it's rightJob Description:Experienced, strong, front office staff person focused on providing an outstanding patient experience and the ability to work with the clinical team (including Physicians, Nurse Practitioners) as well as Medical Assistants, the Practice Manager and the Patient Services Supervisor to ensure appropriate quality care for patients of the Hill Health practice. Responsible for general office duties involved in running high quality medical practice.Job ResponsibilitiesPatient Interactions including greeting, scheduling, phone calls, escorting to roomGreet incoming patients and visitorsRegister patients, perform insurance verification, and collect co-pays and feesCall patients to follow up or remind of appointmentsAnswer phones, and schedule patientsObtain and enter accurate demographic information into the EHR and perform eligibility verification Authorization and referral interactions:Obtain insurance authorization from in-network and out-of-network insurance carriersProcess provider referral and authorization orders and track patient complianceMaintain ongoing tracking and documentation for referrals and authorizationsCommunicate with the ordering provider, practice and patient regarding referral and authorization statusVerify patient benefits and eligibility for procedures, diagnostic tests, physical therapy referrals and other orders as appropriate Timely and accurate medical records management:Identify, maintain and protect sensitive patient informationCollaborate with supervisor, providers, and claims to resolve problematic referral and/or authorization issuesProcess medical record requestsProvide information as appropriate to specialists and insurance carriers per referral and authorization guidelinesWork on EHR system to enter data, update patients medical records, pull reports and scan and sort documentsWork flow processes including chart preparation and report follow upFollow work flow processes as designed for chart preparation and proactive working of clinical and efficiency measuresWork patient due reports, using Ascender or Cozeva. This should result in increased compliance on clinical measures and appropriate HCC coding.Review ED utilization reports, reaching out to patients as appropriate with high emergency department utilizationReview HMO assigned reports and conduct patient outreachOther tasks and projects as assignedKnowledge, Skills and AbilitiesRequired Experience -•Minimum 3 years in medical office work experience required •Experience using Electronic Health Record system, preferably Next Gen•Knowledge of medical terminology•Ability to multi-task•Ability to maintain confidentiality•Attention to detail•Excellent interpersonal skills•A passion for patient care•A "can do" attitude, showing initiative and willingness to adapt to change•Ability to participate in strong team environment•General knowledge of HIPAA requirements. •Knowledge of ICD-10 and CPT codes preferredRequired Education:High school diploma or GEDSalary Range:$26.91 - $29.92Additional InformationHill Physicians is an Equal Opportunity Employer

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