Patient Services Representative (CC2608- NIC)

CommuniCare Health Centers (Texas); San Antonio (TX); On-site; USD 21,000 - 28,000; Full time

Job summary

CommuniCare Health Centers (Texas) seeks an Administrative Assistant to handle telephone inquiries, schedule patient appointments, assist with referrals, and verify insurance coverage. You will document communications in the Electronic Medical Record system and maintain appointment efficiency in compliance with professional and legal standards.

The role supports Family Practice, Pediatric and Behavioral Health services and requires a High School degree, customer service experience, and basic

Qualifications

• High School graduate or equivalent.
• Medical background experience preferred
• Minimum of one year of experience in customer service
• Basic computer skills with proficiency in data entry, keyboarding skills
• Scheduled hours and/or work locations are subject to change

Responsibilities

• Provides telephone etiquette and prompt, courteous service on every call.
• Schedules patient appointments per provider template and coordinates with staff to optimize the schedule and ensure accurate demographic data in NextGen EPM.
• Informs patients of required documentation for registration, account updates or release of information and explains Sliding Fee Scale participation.
• Transfers complex calls to Directors/Supervisors/Departments to ensure satisfaction and confidentiality.
• Provides excellent internal/external customer service via telephone to assist patients with their health care needs.
• Performs other related duties as assigned.

Education

High School/GED or better in General Business

Job description

Job Category: Admin

Requisition Number: PATIE005426

• Full-Time

Locations

Showing 1 location

Description

Responsible for answering telephone, making appointments, providing exemplary customer service. Assist with completion of referrals for Family Practice, Pediatric and Behavioral Health providers. Assist with verification of insurance coverage and obtain authorizations if needed. Enters referral and documents communications in Electronic Medical Record system. Maintains appointment system adequate to meet applicable professional, administrative and legal requirements.

DUTIES AND RESPONSIBILITIES:

• Provides appropriate telephone etiquette established by providing prompt and courteous service upon each telephone call received. Seeks and supports changes in call flow processes and communication services. Suggests improvements and participates in organized efforts to improve service excellence levels.
• Schedules patient appointments by abiding by the established provider template ensuring the patient information is current and/or updated. Works cohesively and interdepartmentally with providers and support staff to optimize the provider’s schedule and performs patient schedule changes as needed. Schedules and relays information with company or organization in healthcare field. Ensure accurate demographic information is entered in NextGen EPM.
• Informs patients of required documentation necessary for registration, account update or release of patient information. Ensures ongoing tracking provides appropriate documentation on referrals to promote and ensure patient safety. Provides required information to patients of Sliding Fee Scale availability and the required documentation required for program participation.
• Refers patient telephone calls promptly to the appropriate clinic or clinician nurse if patient voices an immediate need.
• Transfers complex and/or patient complaint telephone calls to the appropriate Director/Supervisor/Department to ensure patient satisfaction and confidentiality.
• Provides excellent internal/external customer service via telephone contact to assist patients with their health care needs.
• Performs other related duties as assigned.

JOB QUALIFICATIONS:

High School graduate or equivalent required

Medical background experience preferred

Minimum of one year of experience in customer service

Basic computer skills with proficiency in data entry, keyboarding skills

Scheduled hours and/or work locations are subject to change

PHYSICAL ACTIVITIES AND REQUIREMENTS:

Finger Dexterity: Using fingers to make small movements such as typing or picking up small objects.

Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quick

Hearing: Able to hear average or normal conversations and receive ordinary information.

Repetitive Motions: Frequently and regularly using the wrists, hands, and fingers.

Visual: Average, ordinary, visual acuity necessary to prepare or inspect documents or other materials.

Physical: Physical work involving bending, stooping, standing most of the time. May have to lift folders, files, papers, equipment, and other such items weighing up to approximately 25 lbs.

Required

High School/GED or better in General Business.

Equal Opportunity Employer
This employer is required to notify all applicants of their rights pursuant to federal employment laws.For further information, please review the Know Your Rights notice from the Department of Labor.