PATIENT SERVICES REPRESENTATIVE I (UT Health RGV Internal Medicine)

The University of Texas Rio Grande Valley Job Site; Weslaco (TX); On-site; USD 32,000 - 42,000; Full time

Job summary

The University of Texas Rio Grande Valley is seeking a Patient Services Representative I for UT Health RGV Internal Medicine in Weslaco, TX. You will greet patients, register them with accurate demographics, schedule visits, verify insurance, and collect copays in a patient-friendly, HIPAA-compliant environment.

Ideal candidates will have at least 6 months of medical front-office experience or 2 years of general customer service, with preferred certificates in Medical Office Specialization.

Qualifications

• Six (6) months of medical front-office, and/or receptionist experience in patient registration, scheduling, customer service, and/or insurance verification and eligibility.
• Preferred: completion of Medical Office Specialist certificate program or Medical Administrative Assistant or closely related.

Responsibilities

• Greets and registers patients in a caring, warm manner.
• Handle in-coming patient telephone calls and schedule appointments.
• Collect and verify accurate insurance information and time-of-service payments.
• Verify patient insurance eligibility and benefits.
• Obtain prior authorizations, referrals, and other insurance documentation as required.
• Use EMR and billing workflows to check-in and check-out patients and reconcile charts.

Skills

Customer service

Front desk

Phone etiquette

HIPAA compliance

Education

High School Diploma or equivalent

Medical Office Specialist certificate (preferred)

Tools

EMR system

Microsoft Office

Job description

Office Location The University of Texas Rio Grande Valley 1201 W. University Drive Human Resources MASS Building 2 nd Floor Edinburg, TX 78539

Edinburg: [phone] Brownsville: [phone]

Office hours: Monday-Friday 8:00a.m. - 5:00p.m.

Faculty Recruitment: College of Engineering & Computer Science: [e-mail] Robert C. Vackar College of Business & Entrepreneurship: [e-mail]

PATIENT SERVICES REPRESENTATIVE I (UT Health RGV Internal Medicine)

Position Information

Posting Number

Posting Number SRGV7132

Working Title

Working Title PATIENT SERVICES REPRESENTATIVE I (UT Health RGV Internal Medicine)

Number of Vacancies

Number of Vacancies 1

Location

Location Weslaco, Texas

Department

Department School of Medicine / Clinical Affairs

FTE

FTE 1.0

FLSA

FLSA Non-Exempt

Scope of Job

Responsible for greeting and registering patients in a caring and warm manner, handle in-coming patient telephone calls, scheduling appointments, handling patient queries, collecting and obtaining accurate insurance information, and time of service collections as required.

Description of Duties

• Acts as the first point of contact for patients in the clinical setting and provides high-level customer service consistently to both internal and external customers, while upholding UT Health RGV’s mission, values, and promoting service lines.
• Accurately and completely registers patients by obtaining patient demographic information, while maintaining patient confidentiality in according with HIPAA guidelines.
• Responsible for scheduling, rescheduling, and cancelling all patient appointments as needed and when appropriate to maximize patient flow and clinic efficiency.
• Responsible for answering incoming calls in a professional, timely manner, ensuring caller’s needs are met and accurate information is relayed and obtained.
• Completes reminder calls as needed; greets incoming patients and visitors in person or on the telephone and promotes active listenings responsively to patient concerns or complaints and provides or seeks appropriate remedies while promoting quality care.
• Check’s in and check’s out patients through the appropriate appointment workflows, including verifying patient insurance eligibility, scanning all necessary identification into the EMR system, and ensuring completion and accuracy of patient registration forms.
• Performs all necessary daily check-in and checkout tasks as required for reconciliation purposes, including next day preparation of charts, deposit reconciliation, and charge entry.
• Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax, and mail.
• Verifies patient insurance eligibility and benefits through various payers, including commercial insurances, Medicaid, and Medicare.
• Obtains the necessary prior authorizations, referrals, and other insurance documentation needed for all visits as required by the insurance carrier.
• Performs all Time-of-Service collections including collecting copays, deductibles, and outstanding balances due on the account.
• Educates the patient/responsible parties regarding billing processes, financial responsibilities, third party benefit information and, provides estimates of out-of-pocket costs to patients.
• Establishes payment plans for outstanding balances and prepayment plans for future services; refers patients to Financial Counselors and screens for charity programs when appropriate.
• Answers frequently asked questions regarding clinic services and appointment related information and is seen as a source of knowledge to both internal and external customers and knows when to elevate questions and concerns.
• Demonstrates respectful, courteous, professional, and appropriate behavior that represents the core values of UT Health RGV and supports the image, mission, and goals of the clinical enterprise.
• May be required to provide coverage at various clinical sites as needed.
• Performs other administrative duties as assigned.

Supervision Received

General supervision from assigned supervisor.

Supervision Given

May supervise assigned support staff.

Required Education

High School Diploma or equivalent.

Preferred Education

Licenses/Certifications

Preferred: Completion of Medical Office Specialist certificate program or Medical Administrative Assistant or closely related.

Required Experience

Six (6) months of medical front-office, and/or receptionist experience in patient registration, scheduling, providing customer service, and/or insurance verification and eligibility experience or two (2) years of direct customer service.

Preferred Experience

Previous experience with insurance verification and eligibility with scheduling in a high-volume environment. Experience obtained in healthcare setting.

Equipment

Use of standard office equipment. Exceptional computer experience and skills required. Intermediate level skill in Microsoft Office Suite, and ability to navigate an EMR system.

Working Conditions

Needs to be able to successfully perform all required duties. Office/Clinical Environment; some travel and weekend work may be required. May be exposed to airborne illnesses when encountering patients. Exerting up to 20 pounds of force frequently, and/or a negligible amount of force constantly to move objects. Must be able to sit for long periods of time. UTRGV is a distributed institution, which requires presence at multiple locations throughout the Rio Grande Valley.

Other

Tact, diplomacy, discretion, and confidentiality of medical information required in all matters.

Physical Capabilities

N/A

Employment Category

Employment Category Full-Time

Minimum Salary

Minimum Salary Commensurate with Experience

Posted Salary

Posted Salary Commensurate with Experience

Position Available Date

Position Available Date 11/06/2023

Grant Funded Position

Grant Funded Position No

EEO Statement

It is the policy of The University of Texas Rio Grande Valley to promote and ensure equal employment opportunities for all individuals without regard to race, color, national origin, sex, age, religion, disability, sexual orientation, gender identity or expression, genetic information or protected veteran status. In accordance with the requirements of Title VII of the Civil Rights Act of 1964, the Title IX of the Education Amendments of 1972, Section 504 of the Rehabilitation Act of 1973, and the Americans with Disabilities Act of 1990, as amended, our University is committed to comply with all government requirements and ensures non-discrimination in its education programs and activities, including employment. We encourage women, minorities and differently abled persons to apply for employment positions of interest.

All UTRGV employees are required to have a criminal background check ( CBC ). Incomplete applications will not be considered.

Substitutions to the above requirements must have prior approval from the VP of HR & Talent Development.