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Fairfield

    Patient Services Representative - Fairfield, United States - Tekwissen

    Tekwissen
    Tekwissen Fairfield, United States

    3 weeks ago

    Default job background
    Description
    Overview:

    Tekwissen Group is a workforce management provider throughout the USA and many other countries in the world. This client is a locally based, nonprofit healthcare organization. Their health system includes two hospitals, a 100-provider primary and specialty care medical group, a cancer center; and a new medical fitness center.

    Job Title: Patient Services Representative

    Location: Fairfield, CA 94533

    Duration: 3 Month

    Job Type: Contract

    Work Type: Onsite

    JOB SUMMARY:
    • The Call Center Patient Services Representative performs general office duties including appointment scheduling, determining and verifying insurance eligibility, and processing of detailed messages to physicians.
    • The Patient Services Representative functions as part of a clerical, clinical, and customer service team in support of primary care practices.
    PRIMARY JOB DUTIES
    • Registration and Charge Entry
    • Gathers, updates and verifies a comprehensive package of registration and insurance/payer information and ensures accurate entry into the practice management system.
    • Provides information to patients regarding the selection process for a primary care physician, assists in determining insurance eligibility, co-payments, share of costs and other financial responsibilities for services rendered.
    • Verifies and documents eligibility for all payers.
    • Reviews benefit plan/s with patient to determine specific allowances and/or restrictions based on services requested.
    • Researches and answers inquiries related to claims, eligibility and referrals.
    • Ensures the accuracy of demographic and insurance information in accordance with the policies, procedures and service expectations of each department.
    • Maintains professional standards by actively participating in committees, inservices and QI activities and standards development.
    • Acts as a resource to new and existing staff in personal areas of subject matter expertise.
    • Presents a professional demeanor in appearance and attitude.
    • Floats to other areas as needed.
    • Performs other duties as assigned.
    JOB SPECIFICATIONS

    Education:
    • High School Graduate or equivalent preferred.
    • Some college business or computer course work essential.
    Licensure/Certification:
    • AHA BLS certification required within 60 days of hire. Course work in medical terminology preferred
    Experience:
    • 1-2 years working in a healthcare environment required.
    • 6 months of direct Client Call Center training/experience can be substituted for healthcare experience.
    • 1-2 years direct experience working in a call center environment preferred.
    • Strong experience in insurance verification preferred.
    • Strong communication skills and dynamic customer service experience preferred.
    Skills:
    • Strong organizational and written and spoken communication skills essential.
    • Demonstrated mastery of practice management systems is required with CPT, ICD9 coding experience beneficial.
    • Experience in the following areas preferred: appointment scheduling, registration process, insurance verification, primary care preventive care.
    • Demonstrated ability to work independently on a variety of complex tasks, managing competing deadlines.
    • Bilingual capability preferred.
    Interpersonal Skills/Customer Service:
    • Demonstrates the Client Way.
    • The Clinet Way is a set of value-based behaviors that are to be consistently demonstrated and role modeled by all employees that work at Client.
    • The Client Way principles consist of Caring, Communication, Collaboration, and Competence.
    Hours:
    • Based on business need.
    Physical Effort:
    • The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.
    • Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
    • Walking, some bending, stooping, and lifting.
    • Position requires extensive use of computer keyboarding throughout the day.
    TekWissen Group is an equal opportunity employer supporting workforce diversity.
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