Patient Services Representative 3

Medical Office Service Coordinator 3The incumbent is responsible for sustaining an environment of intrinsic good will for the practice while providing optimum services to patients. This position performs a variety of duties, providing front office support for the department/clinical team for which it is assigned. Percentages of time allocated to functions in this position description are a guideline only. Individual assignments and time actually worked in each functional area may vary based on the department's operational needs.Minimum Qualifications:High School / GED equivalent or related work experienceExperience 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 in an effective and efficient manner, 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 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 transaction, 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 worker's 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 experienceRecent 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 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 Services50% - Additional Job FunctionsDepartment Overview:The UC Davis Health, Rocklin Clinic located at the Placer Center for Health is a multi-specialty clinic servicing patients in Northern California and Nevada. We serve patients of all ages. We provide both primary care and specialty care services. Our specialty care services include otolaryngology (ear, nose & throat), hematology, oncology, general & colorectal surgery, orthopedics, pulmonary medicine, vascular, pain management, gastroenterology (consults and procedures), urology, audiology and behavioral health. In addition to this, we have a full radiology suite, lab, and infusion center.Position Information:Salary or Pay Range: $ 31.24 - $38.84Salary Frequency: HourlySalary Grade: 266UC Job Title: MED OFC SVC CRD 3UC Job Code: 009214Number of Positions: 1Appointment Type: Staff: CareerPercentage of Time: 100 %Shift (Work Schedule): Monday -Friday, 7:30am-4:30pmLocation: Placer Center for Health (PCN147)Union Representation: EX-Patient Care TechnicalBenefits Eligible: YesThis position is 100% on-site