Patient Service Clerk

Triple-S Management Corp.; Puerto Rico; On-site; USD 26,000 - 34,000; Full time

Job summary

Triple-S Management Corp. seeks an administrative assistant to support patient check-in, guide them through clinic services, and assist with data entry and records management.

The role covers the check-in of patients, demographic data updates, and collaboration with nursing and billing teams to ensure accurate records and billing support.

Qualifications

• Technical course or health/office systems background required.
• High school diploma with clerical experience acceptable.

Responsibilities

• Greeting and assisting patients in person or by phone; guiding through the clinic services.
• Explain billing processes for medical plans and inform about outstanding balances.

Skills

Action Oriented

Manages Ambiguity

Education

Technical Course in Health or Office Systems

High School Diploma

Job description

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.

When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.

JOB SUMMARY

Performs administrative functions and offers service to all patients who visit the clinic, providing assistance and guidance in the registration process. Ensures compliance with both the service and billing standards established by the Clinic, as well as patient expectations. Collects, organizes, and presents data to resolve specific situations and/or problems. Anticipate customer needs and channel them with management so that action and/or anticipatory measures can be taken, according to established standards.

ESSENTIAL FUNCTIONS

• Responsible for receiving and caring for the patient, either in person or by telephone, offering help according to their particular needs.
• Guides the patient about the services provided by the clinic, the billing process for medical plans, and informs them about outstanding balances.
• Responsible for creating the file, registering in the system and updating the demographic data of all patients on each visit to the clinic. Check-in of patients and confirm attendance.
• Assists the team in the efforts to contact outpatients, including, but not limited to follow-up through telephone contact, scheduling and confirming appointments.
• Participate in recruitment or outreach strategies to attract or maintain clients.
• Responsible for processing the eligibility of procedures with insurers in the system, updating the information and carrying out the corresponding changes. Verify the deductible that applies to charge for services provided to the patient. Ensures that patient documents are properly completed and signed for billing purposes for medical services.
• In charge of placing the completed records in the assigned areas to be used by the nursing area or the patient's doctor. Supports the nursing and billing department in relation to medical record management.
• Responsible for performing data entry according to the diagnosis and/or procedure codes identified by the doctor on the super bill sheet.
• Responsible for verifying the petty cash delivered and at the end of the shift, recording the delivery in the petty cash book and then depositing it directly into the safe box. Responsible for daily recording of the transactions carried out, printing the reports detailing charges and payments by posting and the summary of patient payments. Record daily balances in the logbook and deposit the balance envelope directly in the safe box.
• Responsible for filing the documents generated in the medical visit and placing the billed files in the audit file in numerical order.
• Attends and participates in periodic team meetings for the purpose of sharing relevant information regarding patient care and health needs and other information that promotes efficient patient care. Participates in quality improvement activities.
• Responsible for guiding and encouraging the client to complete the health services satisfaction survey during the checkout process.

EDUCATION

• Technical Course in Health or Office Systems
• High School Diploma

EXPERIENCE

Technical Course, preferably in areas related to Health Sciences or Office Services Administration, with 6 months of related experience in clerical functions, preferably in the Health Industry. Or instead, High School Diploma with a minimum of 1 year of experience in clerical roles, preferably in the Healthcare Industry.

LICENSES AND CERTIFICATIONS

• None required

COMPETENCIES

• Action Oriented
• Manages Ambiguity

It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.

Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.

We encourage Veterans and Disabled to Apply.