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Call Center Patient Services Representative

2 months ago


Shelbyville, United States Primary Care and Hope Clinic Full time

Reports To: Office ManagerEmployee Status: Non-Exempt (Regarding Overtime)Position Summary: Under general supervision, but in line with established PC&HC policies and procedures, provide a variety of patient service functions.Essential FunctionsRepresent PC&HC to the patients in a courteous and professional manner. Provide prompt, efficient and accurate patient service.Assist patients in making appointments with assigned provider in accordance with PC&HC's Scheduling Guidelines.Answer telephone, screen calls, provide information to patients and other callers in Call Center as directed.Maintain a strong customer focus while working collaboratively within the teams multiple demands and patient needs.Treat all patient information confidentially and in accordance with established HIPAA regulations.Obtain and enter all necessary demographic and insurance related information needed as record for registration and billing of all patients' visits.Coordinate information from patients to ensure accurate billing and maximum reimbursement.Establish a new electronic patient account/record and accurately enter all patient information into the computer system according to established procedures.Update and correct patient account information in the computer system. Verify insurance coverage eligibility prior to the provision of services according to established procedures.Inform patient of co-pays and deductibles prior to scheduled services.Provide information on account status.Improve the patient experience and health care processes and help assure the provision of high quality health care, as well as an ongoing process of performance improvement.Maintain a work area that reflects a professional environment at all times.Marginal FunctionsFill-in at front office as needed.Assist in the opening and closing security procedures of the building.Fill-in for absenteeism, including at other PC&HC locations.Perform all other duties as required or assigned.Requirements Must be 18 years of age or older.Must have a High School diploma or equivalent.Must have ability to manage a fast paced environment without sacrificing efficiency and accuracy.Must have customer service experience and use proper phone etiquette.Must follow all HIPAA and OSHA requirements.Must be able to operate or have ability to be trained to operate office equipment, including phone system.Must be supportive of our mission in order to provide healthcare to the underinsured and uninsured.Must consent to 10-panel drug screen upon hire