Pedi Customer Service Representative- South Park

Centro Med Clinic; South Dakota; On-site; USD 32,000 - 42,000; Full time

Job summary

CentroMed seeks a Customer Service Representative to greet patients, register them in the system, and guide them through health care processes. You will handle scheduling, insurance verification, and data entry for encounters and billing.

The role requires strong clerical skills, basic math, and the ability to work in a healthcare setting. Bilingual English/Spanish is preferred; EOE.

Qualifications

• Strong clerical skills including keyboarding and basic math.
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Responsibilities

• Register and process patients and families needing health care, social services and counseling.
• Enter charges for self-pay, insurance, and eligibility programs; reconcile charges daily.
• Determine patient eligibility for special programs.
• Assist patients and visitors who walk into the clinic and answer phones.
• Verify current insurance status and understand Medicaid/Medicare/CHIP programs.
• Schedule patient appointments according to established protocols.
• Maintain productivity; manage encounter entries and referrals; update household information annually.
• Perform intake interviews and assemble medical/dental records as needed.
• Follow up on no-shows and maintain professional appearance.

Skills

Clerical skills

Keyboarding

Basic math

Computer literacy

Education

High School Diploma or equivalent

Job description

Job Type

Full-time

Company Overview

CentroMed is 501(c) (3) non-profit organization that provides healthcare for all populations is a primary care provider and Federally Qualified Health Center (FQHC) with multiple locations throughout San Antonio and the New Braunfels area. Over the past 50 years, CentroMed has changed lives while remaining dedicated to the mission and vision of being a premier healthcare provider in the community. Join our team of dedicated professionals in providing comprehensive care and quality customer service to our community.

Founded in 1971 by CEO and President Ernesto Gomez, PHD, CentroMed has grown from a community-based program focused on providing culturally competent care for underserved populations, to a network of high-quality healthcare clinics across San Antonio and New Braunfels providing full- service health and dental care to all populations, regardless of income limitations.

We are a mission focused organization that wants to be the heart of our communities. We invite you to visit CentroMed and discover how we can be your medical home.

MISSION

We improve lives through improving the well-being of families through high quality, compassionate health care.

CORE VALUES

RESPECT We treat all persons with dignity and compassion

INTEGRITY We build trust through honesty, word and deed

EXCELLENCE We use best practices to deliver exceptional quality care

AFFORDABILITY We manage resources to provide affordable health care

TEAMWORK We work together as a team in the interest of patient care

Job Summary

We are searching for our next SUPER STAR ! As the Customer Service Representative (CSR) you will serve as the primary source of contact for patients at CentroMed clinic and as such is responsible for welcoming patients into the system and ensuring they have positive experiences. The CSR is responsible for registration and processing of all patients/families requesting health care, social services and counseling. The CSR is responsible for coordinating encounter data entry to meet program and agency deadlines. The CSR also conducts and records patient financial reviews, billing, collections and data summaries relevant to the agency’s annual UDS report and Compliance & Quality Improvement activities.

Duties and Responsibilities

• Demonstrate proficiency in establishing and updating accounts in the computer system using name, alias, family members, SSN, and account numbers.
• Demonstrate proficiency in entering charges for self-pay, insurance, and eligibility programs. Reconciles charges at the end of each day. Maintains error‑free daily balance sheets.
• Determine patient eligibility for participation in special programs (i.e., Methodist Healthcare Ministries, and others).
• Assist patients and visitors who walk into the clinic. Answer telephones identifying self and name of clinic.
• Demonstrate an excellent understanding of insurance (especially Medicaid, Medicare, and CHIP) and eligibility (Methodist Homeless) programs. To include the use of TMHP and Availity to verify current insurance status.
• Demonstrate ability to schedule patient appointments according to established protocols.
• Maintain 100% productivity rate. Demonstrate proficiency in encounter entries, maintaining logs, knowledge of referrals, and outreach paperwork. Review and update household’s financial and demographic information annually.
• Perform intake interview on all new patients using a standard registration form and confirm homelessness. Review and update patient registration form and demographic information periodically.
• Assemble necessary medical/dental record forms for specific patient categories and initiate encounter form as necessary.
• Follow‑up on no‑shows as directed by Provider.
• Maintain excellent personal attire to include uniform, nametag, and compliance with CentroMed appearance as outlined in the Employee Policy Handbook.
• Demonstrate excellent attendance and punctuality.
• Assist clinical teams in patient assessment via observation and notifies clinician in the event of an emergency.
• Abide by policies and procedures dictated in the Employee Safety Handbook, to include maintaining agency, OSHA and JCAHO compliance standards.
• Participate in the agency’s Quality Improvement Program.
• Assists with outreach activities and other duties as assigned by the Director or Supervisor.

The above description is a general statement of required major duties and responsibilities performed on a regular and continuous bases. It does not exclude other duties as assigned

Requirements

Qualifications

Education: High School Diploma or equivalent

Experience: General experience working in a health care setting; and experience with medical data entry preferred.

Strong clerical skills to include keyboarding and a good understanding of basic math. Computer knowledge and use of calculator.

Must possess mental ability to conduct interviews, reconcile encounter reports and conduct audits with a better-than-average attention to detail.

Bilingual English/Spanish (preferred).

CentroMed is an equal opportunity employer committed to a diverse and inclusive workforce. Applicants will receive consideration for employment without regard to race, color, religion, sex (including pregnancy), age, sexual orientation, national origin, marital status, parental status, ancestry, disability, gender identity, veteran status, genetic information, other distinguishing characteristics of diversity and inclusion, or any other protected status.

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