Patient Access Rep I (California Residents Only)

LE0050 University HealthCare Alliance; Newark (CA); On-site; USD 34,000 - 44,000; Full time

Job summary

Stanford Medicine Partners is hiring a Patient Access Representative (PAR) to handle a high volume of inbound and outbound calls, faxes, and referrals. You will coordinate care, verify insurance, and assist patients with appointments in a fast-paced clinic environment.

Under general supervision, you will learn and apply C-I-CARE standards, document encounters in the EHR, and support practitioners and staff while maintaining HIPAA compliance and excellent customer service.

Qualifications

• One (1) year or more of customer service in medical office, insurance, or client services environment.
• One (1) year or more of call center, and/or patient access experience preferred.
• EPIC experience preferred.

Responsibilities

• Registers new patients, schedule appointments and updates existing patient accounts in a courteous and professional manner.
• Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information.
• Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals to coordinate care.
• Delivers basic knowledge regarding clinic‑specific processes.
• Accesses EHR to communicate with clinical staff and physicians.

Skills

Customer service

Call center

Verbal communication

Education

High school diploma

Tools

EPIC

Job description

A Brief Overview

Under general supervision, the PAR handles a high-volume of inbound calls, outbound calls, faxes and other communication with patients, providers, clinic staff, and others needing to access health care services at one or multiple SMP departments/clinics. The PAR staff within SMP contact centers are responsible for providing an excellent patient and customer experience by efficiently coordinating services and accurately answering or properly referring inquires. The PAR I is an entry-level position with limited or no prior experience; under general supervision and performs a variety of clerical and patient care duties to assist practitioners and other members of health care team. For situations where the PAR is designated as a "trainee," the incumbent will work under close supervision, requiring mentor sign-off on certain activities.

Locations

Stanford Medicine Partners

What you will do

C-I-CARE Executes world class practices of service and patient care in support of C-I-CARE standards. Uses C-I-CARE templates and the following components for all communication with patients and staff:

• CONNECT with people by calling them their proper name, or the name they prefer (Mr., Ms., Dr.)
• INTRODUCE yourself and your role
• COMMUNICATE what you are going to do, how long it will take, and how it will impact the patient
• ASK permission before entering a room, examining a patient or undertaking an activity
• RESPOND to patient’s questions or requests promptly; anticipate patient needs
• EXIT courteously with an explanation of what will come next

Job Scope

Performs routine support work and in a learning capacity, assists in but not limited to the following:

• Registers new patients, schedule appointments and updates existing patient accounts in a courteous and professional manner in accordance with performance standards.
• Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information if necessary.
• Resolves any system red flags as they are encountered.
• Responds to a high-volume of incoming and outgoing telephone calls and faxed referrals to coordinate care.
• Assists patients with general questions.
• Facilities communication between the patients and the physician or clinic.
• Delivers basic knowledge regarding clinic‑specific processes.
• Accurately documents and routes calls to the appropriate department(s).
• Follows documented protocols and guidelines while utilizing reference documents and resources.
• Accesses EHR to communicate to clinical staff members and/or physicians through telephone encounters using SBAR format and/or appropriate smart phrases in accordance with performance standards.
• Manages EHR in‑basket(s), work queues, CRM, telephone encounters and referrals.
• Delivers consistent high‑level of customer service by using CI‑Care principles.
• Meets all regulatory and compliance standards.

Knowledge

Learns to apply general knowledge through work assignments.

Level of Supervision

Works under general supervision and performs a variety of clerical and patient care duties to assist practitioners and other members of health care team. For situations where the PAR is designated as a “trainee,” the incumbent will work under close supervision, requiring mentor sign-off on certain activities. All other duties as assigned including department‑specific functions and responsibilities: Performs other duties as assigned and participates in organization projects as assigned. Adheres to safety, P4P’s (if applicable), HIPAA and compliance policies.

Education Qualifications

• High school graduate or equivalent required.

Experience Qualifications

• One (1) year or more of customer service experience in medical office, insurance, or client services environment required.
• One (1) year or more of call center, and/or patient access experience preferred.
• EPIC experience preferred.

Required Knowledge, Skills and Abilities

• Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication.
• Ability to maintain composure during challenging interpersonal interactions.
• Legible handwriting.
• Basic math skills.
• Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR.
• Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow.
• Ability to work with others in a flexible, cooperative manner.

Physical Demands and Work Conditions

• Physical Demands: Constant Sitting. Frequent Walking. Occasional Standing. Occasional Bending. Occasional Squatting. Occasional Climbing. Occasional Kneeling. Seldom Crawling. Constant Hand Use. Constant Repetitive Motion Hand Use. Frequent Grasping. Occasional Fine Manipulation. Frequent Pushing and Pulling. Occasional Reaching (above shoulder level). Frequent Twisting and Turning (Neck and Waist). Constant Vision (Color, Peripheral, Distance, Focus).
• Lifting: Frequent lifting of 0 - 10 lbs. Occasional lifting of 11 - 20 lbs. Seldom lifting of 21 - 30 lbs. Seldom lifting of 31 - 40 lbs. Seldom lifting of 40+ lbs.
• Carrying: Frequent lifting of 0 - 10 lbs. Occasional lifting of 11 - 20 lbs. Seldom lifting of 21 - 30 lbs. Seldom lifting of 31 - 40 lbs. Seldom lifting of 40+ lbs.

Working Environment

• Occasional Driving cars, trucks, forklifts and other equipment.
• May be required to drive personal vehicle to sites.
• Constant Working around equipment and machinery.
• Office equipment (computers, phones, fax, copy machines, printers, 10-key, etc.)
• Seldom Walking on uneven ground.
• Seldom Exposure to excessive noise.
• Seldom Exposure to extremes in temperature, humidity or wetness.
• Seldom Exposure to dust, gas, fumes or chemicals.
• Seldom Working at heights.
• Seldom Operation of foot controls or repetitive foot movement.
• Seldom Use of special visual or auditory protective equipment.
• Seldom Use of respirator.
• Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc..

Blood Borne Pathogens

Category III - Tasks that involve NO exposure to blood, body fluids or tissues, and Category I tasks that are not a condition of employment.

Travel Requirements

10% travel:

All Employees Commitment

These principles apply to ALL employees: Commitment to Providing an Exceptional Patient & Family Experience

Company Overview

University HealthCare Alliance dba Stanford Medicine Partners sets a high standard for delivering value and an exceptional experience for our patients and families.

Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other.

C-I-CARE is the foundation of Stanford’s patient‑experience and represents a framework for patient‑centered interactions.

Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery.

You will do this by executing against our three experience pillars, from the patient and family’s perspective:

Know Me: Anticipate my needs and status to deliver effective care

Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health

Coordinate for Me: Own the complexity of my care through coordination

Equal Opportunity Employer

Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against any person on the basis of race, color, sex, sexual orientation or gender identity and/or expression, religion, age, national or ethnic origin, political beliefs, marital status, medical condition, genetic information, veteran status, or disability, or the perception of any of the above. People of all genders, members of all racial and ethnic groups, people with disabilities, and veterans are encouraged to apply. Qualified applicants with criminal convictions will be considered after an individualized assessment of the conviction and the job requirements.

Base Pay Scale

Generally starting at $25.28 - $32.24 per hour

UHA Overview

University HealthCare Alliance (UHA) is a physician network and medical foundation partnered with Stanford Health Care and Stanford Medicine. UHA was formed with a mission to provide excellent medical care through exceptional access and service in communities around the Bay Area and a vision to heal humanity through science and compassion, one patient at a time.

UHA is comprised of three medical groups with over 70 clinic locations and over 350 board-certified care and specialty care providers.

We are dedicated to providing the highest standards of clinical excellence in order to ensure access for patients to leading providers, while contributing to Stanford University’s well‑trusted Stanford Hospital and Clinics’ transformation into a broader and more integrated regional health system. Together, UHA and Stanford are pioneering new ways to practice medicine across multiple locations, using Stanford’s advanced resources to create seamless continuity of care for every patient.