Bilingual Patient Access Specialist – Enrollment & Billing

Primary-Health-Care,-Inc.

Des Moines (IA)

On-site

USD 23,000 - 29,000

Full time

2 days ago
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Benefits offered by this job

PTO
Eight paid holidays
Health insurance
Dental insurance
Vision insurance
401k with company match
Tuition reimbursement

Job summary

PHC Engebretsen Medical Clinic in Des Moines seeks a Patient Services Specialist I to support revenue cycle, insurance enrollment, and patient billing with bilingual English/Spanish communication.

You will collaborate with clinic staff, maintain accurate financial records, and assist with Medicaid, Marketplace, and sliding fee programs while delivering excellent customer service and compliant documentation.

Qualifications

  • High school diploma or equivalent.
  • Two years of experience in healthcare, human services, or social services; or three years in customer service.
  • Effective verbal and written English communication skills.
  • Effective verbal and written Spanish communication skills.
  • Professionalism and excellent customer service skills.
  • Detail oriented with a high degree of accuracy.
  • Problem-solving and critical thinking skills.
  • Takes initiative and is dependable.
  • Team oriented with the ability to work collaboratively.
  • Basic math skills.
  • Ability to understand and follow written instructions.
  • Proficiency using Microsoft Office and Google Suite.
  • Ability to learn and effectively use the electronic health record system.
  • Organization, prioritization, and time management skills.
  • Strong interpersonal skills with ability to establish and maintain effective working relationships with a diverse group of individuals.
  • Completion of Presumptive Eligibility training and training completion award documentation are required within the introductory period of the position and must be maintained throughout employment thereafter.
  • CAC certification required within 12 months of starting in position.

Responsibilities

  • Ensures a consistent revenue cycle process in medical and/or dental clinics by reviewing patient schedules for financial assistance or payment plans.
  • Performs phone outreach to patients with past balances or insured/uninsured status to screen and determine next steps.
  • Meets with patients to help them apply for Medicaid (including Hawk-I), Marketplace coverage, or other insurance programs.
  • Helps patients apply for the sliding fee program.
  • Maintains patient financial assistance files and electronic notes.
  • Completes necessary back-billing when insurance is identified or approved after the visit.
  • Answers billing questions and collaborates with the billing department to resolve issues.
  • Verifies and follows up on patient credits and refunds.
  • Completes monthly laboratory and radiology billing.
  • Communicates anticipated cost of visit and creates good faith estimate letters under No Surprises Act.
  • Monitors payer mix and works with Clinic Director to address unfavourable changes.
  • Provides ongoing support to the Patient Access Representative role.
  • Performs other duties as assigned.

Skills

English language
Spanish language
Customer service
Microsoft Office
Google Suite
Communication skills
Attention to detail
Team player
Problem solving
Billing knowledge

Education

High school diploma
CAC certification within 12 months

Tools

Electronic Health Record system

Job description

PHC Engebretsen Medical Clinic in Des Moines seeks a Patient Services Specialist I to support revenue cycle, insurance enrollment, and patient billing with bilingual English/Spanish communication.

You will collaborate with clinic staff, maintain accurate financial records, and assist with Medicaid, Marketplace, and sliding fee programs while delivering excellent customer service and compliant documentation.

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