Patient Services Representative - Behavioral Health

Chiricahua Community Health Centers, Inc.; Sierra Vista (AZ); Vor Ort; USD 40.000 - 56.000; Vollzeit

Zusammenfassung

Chiricahua Community Health Centers, Inc. in Sierra Vista, AZ, seeks a Patient Services Representative – Behavioral Health to be the welcoming front line for the Behavioral Health Clinic, handling intake, scheduling, and customer service with patients and staff.

The role supports verification of benefits, telehealth invites, and coordination of counseling encounters, while ensuring accurate data, payments, and HIPAA compliance in a fast-paced clinic.

Qualifikationen

• High School Diploma or GED.
• 1 year of customer service or office support experience.
• Healthcare setting experience preferred; Fingerprint Clearance Card may be required.

Aufgaben

• Greets and assists patients as the frontline contact for the Behavioral Health Clinic.
• Schedules appointments and sends telehealth invites.
• Verifies benefits and eligibility with insurance providers.
• Collects payments and posts batch payments daily.
• Assists with intake forms and data verification.
• Maintains patient records and supports HIPAA compliance.

Kenntnisse

Customer service

Bilingual English/Spanish

Front desk

Ausbildung

High School Diploma or GED

Fingerprint Clearance Card

Tools

Electronic Health Records

Microsoft Office

Jobbeschreibung

Job Title: Patient Services Representative - Behavioral Health

Reports To: Program Administrator, Behavioral Health

Job Summary: Provides excellent and high-quality customer and patient engagement services with patients of the Behavioral Health Program team in the performance of a broad range of administrative duties. Monitors and manages the schedules of the team in the behavioral health program.

Qualifications And Requirements:

Essential Job Duties:

• Administrative Duties.
• Provides excellent customer and patient engagement service as frontline greeter for Behavioral Health Clinic.
• Engages proactively with patients and staff through greeting, interacting with, and assisting patients and staff in a professional manner.
• Ensures accurate information is received from prospect patients, insurance providers when it comes to verifying benefits & eligibility, when verifying authorization for mental health services, and when contacting patients to schedule new intakes.
• Schedules and confirms patient appointments and arranges telehealth invites.
• Assists patients in scheduling future follow-up appointments and engage patients who have missed appointments to ensure continuation of care for counseling patients.
• Provides patient service representative duties by opening encounters for in-person and telehealth visits by:
• Providing and facilitating the completion of necessary patient forms.
• Verifying coverage, eligibility, and patient demographic information.
• Deciphering the correct amount to charge self-pay, prompt pay or sliding fee discount program for patients.
• Informs patients of account balances and takes payments.
• Assists patients with presumptive applications for Sliding Fee Discount Program.
• Engages patients by answering telephone calls and responds to caller questions as able and/or transfers calls to appropriate party.
• Verifies provider un-submitted encounters as necessary.
• Print out patient letters as requested.
• Posts batch payments daily.
• Performs and assists in the completion of prior insurance authorizations and tracking.
• Takes and documents messages as appropriate.
• Assist with keeping lobby, restrooms, and other patient areas maintained with proper cleaning supplies while using proper Personal Protective Equipment (PPE).
• Use and educate patients and visitors on CCHCI protocol for safety precautions while in the clinic.
• Assists with coordination, scheduling and preparation for meetings as directed.
• Assists with tracking and updating case load reports of counseling providers.
• Interprets Spanish for counselors and dietitian at Suite 100 or via telehealth services for other team members when/if needed by the behavioral health department team.
• Distributes mail and faxes to appropriate personnel.
• Runs encounter co-pay report as requested.
• Organizes and maintains provider's files, grant folders and BH files in general.
• Performs other duties and special projects for the department as assigned.

Required Education, Experience, Certificates & Licenses:

• High School Diploma or GED.
• One year of experience in customer service or office support.
• Any combination of experience and/or education that provides the necessary skills required may be considered..
• Driver's License and Proof of Insurance may be required if requesting mileage reimbursement.
• Valid Fingerprint Clearance Card.

Required Education, Experience, Certificates & Licenses:

• Experience in a healthcare and behavioral health setting preferred.

Required Language Skills:

• Ability to comprehend and compose instructions, correspondence, and communications in English in both oral and written format.
• Bilingual in English and Spanish preferable.
• Ability to comprehend and understand limited medical terminology.

Physical Requirements:

• Ability to occasionally exert enough force to move objects weighing up to 10 pounds.
• Ability to continuously remain in a stationary position.
• Ability to constantly move about inside the workplace to assist patients, access files, and operate office or medical equipment, etc.
• Possesses hand-eye coordination and manual dexterity necessary to constantly operate computers, telephone, and other office machinery.
• Possesses close visual acuity necessary to accurately record and view information on a computer monitor, handwritten and typed documents.
• Ability to discern the nature of sounds at a normal spoken volume.

Other Required Knowledge, Skills, And Abilities:

• Ability to add, subtract, multiply, and divide in all measure, using whole numbers, common fractions, and decimals.
• Ability to compute rate, ratio, and percentage.
• Ability to gather data in an organized fashion from varied sources.
• Ability to take direction and perform assignments accordingly.
• Ability to deal with challenges involving one or more variables in routine situations.
• Knowledge of prepaid health plans and community health centers preferred.
• Ability to comprehend and understand insurance co-pays.
• Knowledge of HIPAA rules and regulations.
• Computer literacy required.
• Knowledge of Electronic Health Records preferred.
• Ability to provide excellent customer service by mail, telephone, and in-person.

Work Environment & Conditions:

• Work environment is typical of a health clinic setting with occasional exposure to communicable diseases, bodily fluids, and hazardous chemicals.
• Work requires reliable transportation as position requires occasional travel and extended hours to include early mornings, evenings, holidays, and weekends.
• If hired for a float position, the position requires frequent travel to any health center as needed.