Health Care Representative

Health Care Representative

Performs administrative functions for a clinic or medical office. Serves patients by greeting and assisting with scheduling appointments, maintaining records and accounts and obtaining and verifying patient insurance eligibility to ensure timely and accurate payment of service. Processes patient arrivals to adhere to scheduling timeframes and support office operations.

Job duties include:

• Registers new patients and updates existing patient demographics by collecting detailed patient information including personal and financial information.
• Performs patient insurance eligibility at initial visit and ongoing as determined by Health Care policy. Corrects and updates existing information for established patients.
• Facilitates patient flow by notifying the provider of patients' arrival, being aware of delays, and communicating with patients and clinical staff.
• Prepares patient materials and educates the patient or patient representative about materials.
• Documents in the patient electronic medical record and explains policies and procedures to patients/patient representative.
• Completes patient registration to collect and enters health insurance information.
• Obtains and scans patient information.
• Processes medical record requests and insurance authorizations.
• Processes referrals.
• Explains financial requirements to patients and/or patient representatives.
• Collects office visit payments from patients or patient representatives' records and maintains patient financial transactions.
• Collects and participates in patient quality initiatives related to patient encounters, reimbursement, accuracy in first-time entry.
• Schedules and tracks patient appointments.
• Answers clinic phone calls: answer any questions that do not violate federal or state compliance and field all questions to appropriate areas of expertise.
• Receives and disseminates clinical office mail.
• Performs clinical office filing for record keeping purposes.
• Other duties, as assigned.

Minimum requirements include knowledge normally acquired through a high school education; a minimum of one year of related and progressively more responsible or expansive work experience in a medical office, medical clinic, or in mental health office; or an equivalent combination of education and experience.

Desired qualifications include familiarity with medical terminology; experience in scheduling, screening, and confirming medical appointments using a computerized information system; current or prior experience obtaining/checking authorizations; experience scanning documents and handling a multi-line phone system. One year of work-related experience in a medical office clinical setting with medical terminology preferred. Must have a strong desire and/or experience to work with a patient population that is diverse socially, financially, and ethnically. Must have the ability to work independently and collaboratively with minimal supervision completing assignments accurately.

Equal Employment Opportunity Statement: All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, citizenship, age, disability or protected veteran status.

Required application materials include resume and cover letter.

Work hours are typically 8:00 AM - 5:00 PM but may vary as necessary to accommodate clinic operations.

Website:

Summary of physical demands includes carrying charts and medical equipment, assisting in ambulating and lifting patients.

Summary of health risks includes exposure to human blood, serum, and other body fluids; and materials covered under Universal Precautions; TB risk or work within three (3) feet of patients in a health care setting; wear a respirator.