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    Clinical Services Representative II - Gainesville, United States - University of Florida

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    Description

    Classification Title:
    Clinical Svc Representative II


    Job Description:


    The Student Health Care Center (SHCC) at The University of Florida within the Department of Community Health and Family Medicine (CHFM) is seeking a highly dedicated and customer-oriented individual to join our team as a Clinical Services Representative II.

    Your main responsibility will be to deliver excellent patient-centered service by facilitating established financial processes that enable and expedite the billing and collection of professional services.

    This includes entering charges, applying coding/billing rules, maximizing collections, verifying insurance, obtaining authorizations for services, reviewing patient account details, and providing financial counseling.

    Additionally, you will answer phones, disseminate agency information, and direct calls to appropriate individuals, while working with a diverse population of students, medical providers, and other individuals to help them access healthcare services.

    You will also utilize current financial processes to assist patients with account questions, ensure correct insurance coverage and billing, maintain accreditation standards, protect patient confidentiality, interface with multiple University of Florida (UF) departments for student clearance, and collaborate with secretarial and nursing staff in clinic functions.


    EHR Support:

    • Review and update patient account detail
    • Enter and verify insurance information
    • Obtain consent forms and necessary documentation
    • Verify student status and select the appropriate guarantor for appointments
    • Ensure proper scanning and organization of paper documents in patient EHR

    Financial Support:

    • Facilitate established financial processes for billing and collection
    • Enter charges and apply coding/billing rules
    • Maximize collections and verify insurance coverage
    • Obtain authorizations for services
    • Review patient account details and provide financial counseling

    Administrative Support:

    • Process incoming mail
    • Coordinate office supply orders
    • Maintain inventory levels in the clinic
    • Manage in-basket pools and resolve front-end edits, rejections, and information requests
    • Troubleshoot patient care issues
    • Assist with scheduling patients with medical specialists

    Other:

    • Perform additional duties as required to support the department's mission


    If you excel in dynamic and fast-paced environments, thrive on collaborating with diverse individuals, and possess a genuine passion for providing exceptional patient-centered service, then this opportunity is tailor-made for you.

    Come join our team, and together, let's make a positive impact on the lives of our patients.

    Typical schedule:
    Monday through Friday, 08:00 AM to 05:00 PM. 40 hours per week. Hours and days may vary due to the needs of the SHCC. Overtime may be needed based on workload requirements.


    About Gainesville, Florida:
    Gainesville ) is home to Florida's largest and oldest university and is one of the state's centers of education, medicine, cultural events, and athletics. Gainesville is also the largest city in Alachua County and is the county seat, with approximately 269,000 residents county-wide.

    The city provides a full range of municipal services, including cultural and nature services and necessary administrative services to support these activities.

    Additionally, the city owns a regional transit system, a regional airport, and a 72-par championship golf course.

    Known for preserving historic buildings and the beauty of its natural surroundings, Gainesville's numerous parks, museums, and lakes provide entertainment to thousands of visitors.

    Because of its beautiful landscape and urban "forest," Gainesville is one of the most attractive cities in Florida.

    It is a hidden gem in North Central Florida that is within a couple of hours of major cities such as Orlando, Jacksonville, and Tampa.

    We are in a central location to the Gulf of Mexico and the Atlantic Ocean, providing easy access within a day's drive to beaches, nature preserves, and water-based activities.

    We have warm weather much of the year, allowing for outdoor activities almost year-round.

    Due to the diverse atmosphere generated by The University of Florida and UF Health Shands, the leading employers in Gainesville, Gainesville is also a wonderful place to raise a family.

    For more information about Gainesville, FL, please go to:
    The Guide to Greater Gainesville Explore Gainesville in 60 seconds.

    At Community Health and Family Medicine and its divisions, everyone belongs, grows, and thrives

    The University of Florida is an Equal Opportunity Employer.

    The University is committed to nondiscrimination with respect to race, creed, color, religion, age, disability, sex, sexual orientation, gender identity and expression, marital status, national origin, political opinions or affiliations, genetic information, and veteran status in all aspects of employment including recruitment, hiring, promotion, transfers, discipline, terminations, wage and salary administration, benefits, and training.


    Expected Salary:
    The salary range is between $18.50 to $19.35 per hour and is commensurate with skills and experience.


    Minimum Requirements:
    High school diploma or equivalent and two years of relevant office experience. Appropriate college coursework or vocational/technical training may substitute an equivalent rate for the required experience.


    Preferred Qualifications:

    • Ability to adhere to high customer service standards as the position involves extensively telephone and face-to-face interaction with patients, health care providers, and staff from various SHCC offices.
    • Possess excellent communication, organization, and problem-solving skills.
    • Must be comfortable discussing personal health information in a confidential, professional manner.
    • Business or healthcare-related practice experience.
    • The ability to multi-task, prioritize responsibilities, problem-solve and function in a team environment.
    • EPIC system knowledge
    • Knowledge of CPT, HCPCS, and ICD-10
    • Working knowledge of WayStar and Availity
    • Ability to adhere to UF and UF Health policy. Completion of required annual training including but not limited to HIPAA, FERPA, Red Flags, Handling SSN, Billing Compliance

    Special Instructions to Applicants:

    • In order for your application for this position to be considered complete, you must upload a resume, cover letter, or letter of interest.
    • Position consists predominantly of computer work, and the ability to sit for extended periods of time.
    • Able to transport himself/herself to various training activities and meetings.
    • If you are a Florida resident claiming veteran's preference, please upload a copy of your DD-214 with your application for consideration.
    • Overtime compensation as needed based on workload requirements. this can be modified or removed as needed

    Post offer requirements:

    • Health Clearance for patient contact
    • Criminal background check
    • Education and experience check
    This position is eligible for veteran's preference.

    If you are claiming veteran's preference, please upload a copy of your DD 214 Member Copy 4 with your application for consideration.

    See our Veteran's Preference Page for more specific information.

    Application must be submitted by 11:55 p.m. (ET) of the posting end date.


    Health Assessment Required:
    Yes


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