Patient Relations Representative (Elk Ridge) - Flagstaff Fourth St - General Den

ViziRecruiter,LLC.; Flagstaff, Northern (AZ, KY); Hybrid; USD 36,000 - 46,000; Full time

Job summary

Elk Ridge Community Health in Flagstaff, AZ is seeking a Patient Relations Representative to greet patients, manage the patient portal, confirm demographics and insurance, and schedule follow-ups.

You will assist with referrals, collect payments, and explain benefits while maintaining HIPAA compliance. You will work with a team to support affordable, accessible healthcare.

Qualifications

• High School Diploma or GED is required.
• 7–11 months in data processing or clerical work.
• Fingerprint Clearance Card in good standing.
• Level I fingerprint clearance or ability to obtain within seven days.
• Bilingual in English and Spanish preferred.

Responsibilities

• Greet patients and check in/out, verify demographics and insurance.
• Enter data into the EHR system and manage referrals.
• Schedule Telehealth and other appointments; respond to patient portal.
• Answer calls, set appointments, and route messages.
• Process mail and maintain proper scanning workflow.
• Support insurance follow ups and documentation as needed.
• Maintain provider schedules and stay updated on programs.
• Ensure compliance with Joint Commission standards.

Skills

Bilingual (English/Spanish)

Communication skills

Data entry

Education

High School Diploma or GED

Certification in data processing/clerical operations

Tools

EHR System (Practice Management)

Job description

Introduction

Love where you work as much as you love where you live by joining Elk Ridge Community Health.

Overview

Greet patients; monitor the patient portal; obtain correct or updated patient demographics; and verify insurance. Secure referral information and any related health records, as needed. Check in and check out patients; schedule patient follow up appointments; keep the patient electronic portal updated. Collect patients' financial obligation for services rendered. Make deposit slips for current business day's activities. Explain pertinent insurance benefits to patients and family-members within HIPAA compliant parameters.

The primary goal of the Elk Ridge Community Health Patient Relations Representative is to support Elk Ridge’s Mission of providing comprehensive, quality health care that is affordable and accessible to all who may have healthcare needs, by successfully performing the primary essential functions.

Responsibilities

• Greets and check-in patients, monitor and respond to the patient portal, verify patient demographics, insurance documents, referrals, and enters data and changes into EHR (Practice Management) System.
• Scans documents daily.
• Schedules Telehealth appointments and other internal specialties as needed.
• Answers phone, makes appointments and follow-up appointments, direct calls to appropriate parties, and takes messages for providers and other clinic staff.
• Sorts and distributes mail on a daily basis.
• Confirms the accuracy of the responsible provider who will receive the documents.
• Follows the most current scanning workflow to ensure quality patient care.
• Verifies accuracy of open tickets by pulling billing charges/holds/unretrieved charges.
• Provides back-up support for other office positions; re: insurance follow-ups and referrals, etc.
• Manages details of multiple provider schedules.
• Maintains updated knowledge of local and organizational programs (example:SFS).
• Completes update forms for clinic staff and patients on an as needed basis.
• Keeps updated on own medical employee health immunizations, annual trainings, as required.
• Follows verbal and written instructions.
• Consistent review, comprehension and reply of company email and related correspondence.

Joint Commission Responsibilities

• Maintains a clean, safe, and hygienic work environment in compliance with all Policies and Procedures including but not limited to work areas, workstations, examination rooms, hand washing, infection prevention and control etc. for this position.
• Demonstrates an understanding of and proficiency with the application of all compliance and reporting requirements respective to Joint Commission Certification (JCC) standards.

Requirements

• High School Diploma Or G.E.D.
• 7 – 11 months in data processing, clerical/administrative, equipment operation
• Fingerprint Clearance Card
• Level I fingerprint clearance card: current valid and in good standing or have applied for it within seven working days after beginning employment

If applicable, equivalent combination of education and experience may be considered, and must be directly related to the functions and responsibilities of the job.

• Certification In data processing, clerical/administrative, equipment operation
• Bilingual (English/Spanish) with the ability to speak, read and write in both languages.

Transportation

• Employees in this position are required to have reliable transportation that can meet any operational reassignments of the organization during the workday. If an employee is driving during work hours, the employee is required to possess a valid driver’s license and must comply with Arizona vehicle insurance requirements.

Core Competencies

• Compassionate Communication
• Cultural Competence
• Honor Patient Privacy
• Service Recovery