Patient Service Representative II

Patient Services Representative

Serves as the first point of contact for patients entering the medical facility. This job is intended for use by positions employed by an outpatient facility. Greets and checks-in patients, verifies information, schedules appointments, and updates Electronic Health record (EHR). Facilitates intake procedures such as completion of healthcare and insurance forms and collecting payments for services. Gains confidence and cooperation from the patient, their family/support group, and other healthcare providers through competent job performance and effective communication. Adheres to all organizational, local/state/federal regulations, codes, policies and procedures to ensure privacy and safety while delivering optimal patient care. May also be responsible for performing specific tasks and/or orient other staff to the department.

Job Description:

These Principal Accountabilities, Requirements and Qualifications are not exhaustive, but are merely the most descriptive of the current job. Management reserves the right to revise the job description or require that other tasks be performed when the circumstances of the job change (for example, emergencies, staff changes, workload, or technical development).

JOB ACCOUNTABILITIES:

PATIENT SERVICES:

• Checks-in patients and assures all necessary authorizations are obtained prior to patient visits.
• Obtains patients medical history and insurance information to complete forms for processing purposes.
• Communicates with patients in a clear and professional manner to alleviate confusion and expedite processes.
• Ensures that routine and priority tasks are completed within established departmental time frames.

CLERICAL:

• Performs general clerical tasks, such as answering phones and greeting customers and patients on a daily basis.
• Prepares and completes accurate, job related documentation, including collecting, updating, and maintaining patient medical and insurance information.

SAFETY:

• Maintains a clean, neat, and safe working environment, including organizing files and keeping desks free of loose papers and clutter.

COMPLIANCE:

• Performs job responsibilities in compliance with department standards, policies, and procedures, as well as local, state and federal regulatory agencies to deliver the highest level of service.
• Maintains strictest confidence of all patient protected health information (PHI) and protects all PHI from accidental, intentional, or inappropriate disclosure.

EDUCATION:

Equivalent experience will be accepted in lieu of the required degree or diploma. HS Diploma or equivalent education/experience

TYPICAL EXPERIENCE:

1 year of recent relevant experience.

SKILLS AND KNOWLEDGE:

Basic knowledge of insurance policies and procedures, as well as patient billing. Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form. Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel. Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines. General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook).

PHYSICAL ACTIVITIES AND REQUIREMENTS: See required physical demands, mental components, visual activities & working conditions at the following link: Job Requirements

Job Shift: Days

Schedule: Full Time

Shift Hours: 8

Days of the Week: Monday - Friday

Weekend Requirements: None

Benefits: Yes

Unions: No

Position Status: Non-Exempt

Weekly Hours: 40

Employee Status: Regular

Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.

Pay Range is $32.16 to $45.02 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate's experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health's comprehensive total rewards program.