Patient Services Rep I
University HealthCare Alliance
Patient Service Representative I
Under general supervision, operates as part of the care team performing a variety of functions such as greeting patients, patient registration, insurance coverage and eligibility verification, scheduling and telephone management. The PSR I is an entry-level position with limited or no prior experience; under general supervision and performs a variety of clerical and patient care duties to assist practitioners and other members of health care team. For situations where the PSR is designated as a "trainee," the incumbent will work under close supervision, requiring mentor sign-off on certain activities.
Locations Stanford Medicine Partners
What You Will Do
- C-I-CARE
- Executes world class practices of service and patient care in support of C-I-CARE standards.
- Uses C-I-CARE templates and the following components for all communication with patients and staff:
- CONNECT with people by calling them their proper name, or the name they prefer (Mr., Ms., Dr.)
- INTRODUCE yourself and your role
- COMMUNICATE what you are going to do, how long it will take, and how it will impact the patient
- ASK permission before entering a room, examining a patient or undertaking an activity
- RESPOND to patient's questions or requests promptly; anticipate patient needs
- EXIT courteously with an explanation of what will come next
- Job Scope
- Performs routine support work and in a learning capacity, assists in but not limited to the following:
- Greets patients and others entering the department in a courteous and professional manner in accordance with performance standards.
- Registers new patients, schedule appointments and updates existing patient accounts in a courteous and professional manner in accordance with performance standards.
- Identifies accepted insurance plans and those requiring referrals, obtains and updates insurance information if necessary.
- Determines if patient has a co-payment or deposit; accepts and records receipt of payment; provides applicable waiver and obtains appropriate signature; and, when appropriate, scans copy of patient's photo ID, insurance card, and/or waiver.
- Obtains applicable consent from patient.
- Resolves any system red flags as they are encountered.
- Responds to requests from patients, family members, physicians and staff in a courteous and professional manner in accordance with performance standards.
- Facilities communication between the patients and the physicians or clinic.
- Delivers basic knowledge regarding clinic-specific processes.
- Accurately documents and routes calls to the appropriate department(s).
- Manages flow of information received from various sources to appropriate staff member. May handle and deliver requests for approvals requiring signatures or input, lab reports, correspondence, dictations, and medical records.
- Communicates with clinical staff/providers through telephone encounters.
- Resolves registration discrepancies via assigned work queues.
- Balances cash sheet and cash drawer, completes daily deposit summary and prepares monthly deposit summary in accordance with performance standards.
- Delivers consistent high-level of customer service by using CI-Care principles.
- Meets all regulatory and compliance standards.
Education Qualifications
- High school graduate or equivalent required.
Experience Qualifications
- One (1) year of customer service experience in a medical office, insurance, or client services environment required.
- Graduate of a Medical Receptionist training program, healthcare experience, or related preferred.
- EPIC experience preferred.
Required Knowledge, Skills and Abilities
- Strong verbal/written communication and listening skills; including excellent interpersonal skills and telephone communication.
- Ability to maintain composure during challenging interpersonal interactions.
- Legible handwriting.
- Basic math skills necessary to collect payments and balance cash drawer.
- Basic computer skills to include keyboarding, mouse movement and data entry skills to enter information into practice management system and EHR.
- Ability to effectively organize and prioritize tasks in order to complete assignments within the time allotted and maintain standard workflow.
- Ability to work with others in a flexible, cooperative manner.
Physical Demands and Work Conditions Physical Demands
- Constant Sitting.
- Occasional Walking.
- Occasional Standing.
- Frequent Bending.
- Occasional Squatting.
- Seldom Climbing.
- Occasional Kneeling.
- Seldom Crawling.
- Frequent Hand Use.
- Frequent Repetitive Motion Hand Use.
- Occasional Grasping.
- Occasional Fine Manipulation.
- Frequent Pushing and Pulling.
- Occasional Reaching (above shoulder level).
- Frequent Twisting and Turning (Neck and Waist).
- Constant Vision (Color, Peripheral, Distance, Focus).
Lifting
- Frequent lifting of 0 - 10 lbs.
- Frequent lifting of 11 - 20 lbs.
- Occasional lifting of 21 - 30 lbs.
- Occasional lifting of 31 - 40 lbs.
- Seldom lifting of 40+ lbs.
Carrying
- Frequent lifting of 0 - 10 lbs.
- Frequent lifting of 11 - 20 lbs.
- Occasional lifting of 21 - 30 lbs.
- Occasional lifting of 31 - 40 lbs.
- Seldom lifting of 40+ lbs.
Working Environment
- Occasional Driving cars, trucks, forklifts and other equipment.
- Frequent Working around equipment and machinery.
- Seldom Walking on uneven ground.
- Seldom Exposure to excessive noise.
- Seldom Exposure to extremes in temperature, humidity or wetness.
- Seldom Exposure to dust, gas, fumes or chemicals.
- Seldom Working at heights.
- Seldom Operation of foot controls or repetitive foot movement.
- Seldom Use of special visual or auditory protective equipment.
- Seldom Use of respirator.
- Seldom Working with biohazards such as blood borne pathogens, hospital waste, etc..
Blood Borne Pathogens
- Category II - Tasks that involve NO exposure to blood, body fluids or tissues, but employment may require performing unplanned Category I tasks
Travel Requirements
- 20% travel:
These principles apply to ALL employees: Commitment to Providing an Exceptional Patient & Family Experience University HealthCare Alliance dba Stanford Medicine Partners sets a high standard for delivering value and an exceptional experience for our patients and families. Candidates for employment and existing employees must adopt and execute C-I-CARE standards for all of patients, families and towards each other. C-I-CARE is the foundation of Stanford's patient-experience and represents a framework for patient-centered interactions. Simply put, we do what it takes to enable and empower patients and families to focus on health, healing and recovery. You will do this by executing against our three experience pillars, from the patient and family's perspective:
- Know Me: Anticipate my needs and status to deliver effective care
- Show Me the Way: Guide and prompt my actions to arrive at better outcomes and better health
- Coordinate for Me: Own the complexity of my care through coordination
Equal Opportunity Employer Stanford Health Care (SHC) strongly values diversity and is committed to equal opportunity and non-discrimination in all of its policies and practices, including the area of employment. Accordingly, SHC does not discriminate against
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