Patient Services Representative
4 weeks ago
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.
- 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.
Education:
- High School Graduate or equivalent preferred.
- Some college business or computer course work essential.
- AHA BLS certification required within 60 days of hire. Course work in medical terminology preferred
- 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.
- 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.
- 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.
- Based on business need.
- 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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