Patient Services Representative 3

Patient Services Representative 3 (MOSC 3)

The Patient Services Representative 3 (MOSC 3) is responsible for sustaining an environment of intrinsic goodwill for the practice while providing optimum services to patients. This position requires the skills and ability to manage the level of responsibility and accountability necessary to provide specialized duties for the department/clinical team to which it is assigned. This position may also perform front office duties consistent with those of Patient Services Representative 2 (MOSC 2), per operational needs. The PSR 3 is primarily responsible for the processing and scheduling of new patient appointments and referrals but can be assigned any duties within the job description. This posting is a Transfer/Promotional opportunity for UCD/UCDHS Employees (internal candidates). Applications from current UCD/UCDHS employees will be considered first. Applications from the public/external candidates may be considered if an internal candidate is not selected as the most qualified applicant.

Minimum Qualifications:

• High School / GED equivalent or related work experience
• Experience with practices and protocols related to medical office and/or health care scheduling or insurance procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
• Ability to accomplish a variety of concurrent assignments effectively and efficiently, demonstrating ability to organize, prioritize, and complete assignments in a designated time frame
• Ability to adjust to changing workload or assignments and pressures of increased workload or deadlines
• Problem-solving skills to independently define a problem, identify the resources available to help solve the problem, create viable solutions, and take the necessary action to implement problem resolution and ensure prompt and satisfactory resolution
• Decision-making skills to independently exercise delegated authority to take action and to appropriately seek assistance from others when limits of delegated authority have been reached
• Interpersonal skills to establish and maintain effective working relationships with all co-workers; to consistently interact with patients and other members of the public with patience, courtesy and professionalism, both in person and on the telephone; and to effectively respond to individuals who may be angry or upset
• Ability to efficiently use computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management (i.e., scheduling, template maintenance, maintenance of demographic and insurance information)
• Typing skills sufficient to use a computer keyboard for timely and accurate input and production
• Writing skills, using proper English grammar, spelling, and punctuation, sufficient to compose messages and/or routine correspondence, which is clear, concise, and easy to understand
• Bookkeeping skills sufficient to maintain accurate records of patient financial transactions, prepare related financial reports, balance cash box, and prepare deposits
• Organizing skills to establish priorities for own work within stated guidelines; respond flexibly to changes in priorities; and maintain work effectiveness in a setting with a high volume of patient activity and frequent interruptions
• Filing skills to maintain logs and files of information in alphabetical, chronological, and/or numerical order, such that it is current and easily retrievable
• Knowledge of all pertinent laws, regulations, and guidelines governing medical records; confidentiality, privacy, and provision to others, including HIPAA
• In-depth knowledge of health care insurance systems, which may include Medi-Cal, Medicare, HMO, PPO, fee-for-service, county-funded coverage, and workers' compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients
• Knowledge of ICD-10, CPT, and HCPCS coding guidelines sufficient to accurately identify services performed, including diagnoses, procedures, and supplies
• Knowledge and experience of practices and protocols related to medical office procedures (i.e., medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)

Preferred Qualifications:

• Three (3) years of customer service experience and/or call center experience
• Recent experience with EMR, such as EPIC, including In Basket and Work Queues
• Training or equivalent recent experience in billing, authorizations, referrals, medical terminology, and comprehensive insurance plans and products
• Recent experience in an outpatient medical office
• Experience working in a front office for a clinic, physician, or health insurance company processing referrals or authorizations for patient services ( Examples could include scheduling, ordering patient records to support diagnosis or medical necessity )
• Previous experience in the specialty of the hiring outpatient clinic
• Demonstrated knowledge of Health System and UCD policies and procedures, or ability to learn
• Comprehension of University requisition systems, including those needed for ordering supplies and medical records

Key Responsibilities:

• 50% - Coordination of Medical Office Services
• 50% - Additional Job Functions

Department Overview:

The Spine Center is a multidisciplinary center that comprises faculty from Neurosurgery, Orthopaedics, Physical Medicine and Rehabilitation, and Pain Management. The Center sees both adult and pediatric patients with a wide variety of spine conditions.

Position Information:

• Salary or Pay Range: $31.24 - $38.84
• Salary Frequency: Hourly
• Salary Grade: 266
• UC Job Title: MED OFC SVC CRD 3
• UC Job Code: 009214
• Number of Positions: 1
• Appointment Type: Career
• Percentage of Time: 100 % Full-Time
• Shift (Work Schedule): Monday -Friday ( 8 AM -5 PM)
• Location: Cannery Business Park, Sacramento, CA
• Union Representation: EX-Patient Care Technical
• Benefits Eligible: Yes

This position is 100% on-site