Patient Service Representative

Job Description

Job Description

At Wellpoint Care Network, our mission is to facilitate equity, learning, healing, and wellness by restoring the connections that help children and families thrive.

Every person deserves the opportunity to reach their fullest potential. It’s part of human nature, and the promise of our country, that everyone be given a fair chance to be and do their best. Yet, many in our community live with unresolved childhood and generational trauma.

That’s where we come in. We believe we can create a world where children and families have a clearer path to their fullest potential. Wellpoint Care Network has championed the restoration of families for nearly 175 years.

Job Purpose:

Our next Patient Service Representative will be responsible for serves as the first point of contact for clients, families, referral sources, and community partners. This position supports the daily operations of the behavioral health clinic by managing patient registration, scheduling, insurance verification, communication, and administrative tasks while providing exceptional customer service and maintaining confidentiality.

• Clinic front desk is staffed Monday through Thursday from 8:00 am to 7:00 pm. Friday, 8:00am to 4:00pm. Staff will work overlapping 8 hour shifts to ensure continuous coverage and to meet peak demands.

Qualifications:

• HS diploma or equivalent required; bachelor’s degree preferred.
• Requires 6 to 12 months of related experience within a busy customer service environment, preferably in a healthcare setting.
• Healthcare and insurance verification experience preferred.
• Epic experience and medical terminology skills are preferred.
• Proficient in the usage of computer software; demonstrate an understanding of computer file systems and computer software packages, e.g., Microsoft Office, Excel, Outlook, Teams, ADP, etc.
• Physical exam, drug screen, motor vehicle report, and background checks are required for this position.
• A valid Wisconsin Driver’s License required or reliable transportation to conduct on-site learning throughout the state.

Duties:

Patient Access & Customer Service

• Greet patients, families, visitors in a professional and compassionate manner and direct them to the appropriate person or destination. Assist clients with special needs as required.
• Answer telephone calls and either respond to inquiries, direct callers to appropriate personnel, or take messages.
• Provide registration and financial forms to patients and update required demographic information at the front desk.
• Ensure new patient information is completed.
• Ensure required demographic information is updated according to protocols.
• Register patients according to protocols and ensure patient information is accurate.
• Collect payments from patients and reconcile cash receipts daily.
• Enter confidential health information, demographics, and financial information into a computerized system accurately, including correct spelling.
• Verify, update, and enter insurance information into the billing system, including adjusting the effective date/term date of the patient’s insurance policy.
• Schedule follow up appointments according to scheduling protocols and ensure patients receive reminder calls.
• Receive incoming mail, sort, and distribute it to the appropriate person or destination.
• Notify Clinic staff upon patient arrival.
• Assist doctors with clerical tasks and obtaining vitals.

Agency Engagement

• All employees will be evaluated on their demonstration of a consistent commitment to the Agency’s Seven Essential Ingredients and engagement in the strategic initiatives of the organization. This will be measured by their active participation in committees and workgroups, and by their communication and practice within their daily work and in the community.
• Participates in assigned meetings, events and learning as required.
• Other duties as assigned including serving in a coverage role for other department members.

Position Details & Extras:

• Full time.
• Moderate exposure to noise.
• May require travel to attend meetings and events.
• Subject to frequent interruptions with ability to handle multiple tasks simultaneously.

Organizational Information:

At Wellpoint Care Network, we have seen exactly how trauma, poverty, systemic racism, social injustices, and other barriers create instability in all areas of life. The people in our care face education and health disparities, high unemployment rates, and unaffordable housing. What’s worse, many have lost connections to resources, family, friends, and other support systems. We have seen the toll it has on a person’s physical, emotional, and financial well-being to try and successfully navigate complex systems that may have failed them in the past.

We believe there is a better way. So, we have anchored ourselves in our 170 years of caring for our neighbors through modernized human services.

Wellpoint Care Network provides a rich continuum of services, including:

• Child Welfare and Foster Care

• Support for youth who have aged out of care

• Care Coordination and Wraparound services

• Mental health therapy and supports such as our Clinic, Family Preservation, Caregiver Support, and Integrated Community Treatment

• Professional education and clinical consultation (for organizations, schools, and individual/family)

Wellpoint Care also works to promote a diverse and caregiving environment to ensure that those we serve and employ are valued, accepted, respected, and treated equitably.

• Equity means we work tirelessly toward fair and just treatment, systems, and policies. At Wellpoint Care Network, we believe that we are accountable – individually and collectively – when inequity or injustice replaces equity and inclusion.

• Inclusivity means that we consciously build groups that welcome and celebrate differences in age, race, ethnicity, class, gender, sexual orientation, religion, gender expression, education, socio-economic background, personal history, geographical location, marital status, parental status, and work experiences.

Interested parties please apply online. We are committed to enhancing diversity, equity and inclusion and strongly encourage minority candidates to apply. For more information, visit our website

Equal Opportunity Employer