Position Summary:

The Summit Community Care Clinic (SCCC) Patient Services Representative (PSR) is the first point of contact with our patients, from checking in to checking out and/or rescheduling appointments. The PSR is the liaison between the Revenue Cycle partners: the patient, front desk, billing, and our clinical teams. They will ensure that appointments, patient demographics, accounts, and insurance verification are accurate in the Electronic Medical Record (EMR). Assist patients with paperwork, consent forms, payments, and other check-in processes when they arrive for their appointments. They will be knowledgeable in all programs of the clinic.

Essential Functions:

• Patient Check-in Process:

• Verify and/or update insurance in Aprima (Medical, BH, & RH).
• Collect all required paperwork, consent forms, and payment.
• Utilize the state Medicaid portal to verify coverage for any patients with sliding fee or self-pay status.

• Pre-appointment preparation:
  • Verify information looking for any misinformation. If misinformation is identified, the responsible party should be contacted to obtain the correct information.
  • Review accounts to ensure the accuracy of patient demographic information (SBHC, Title X).
  • Confirm appointment type is appropriate for the problem listed and the place of service.
  • Update/dismiss out-of-date remarks.
  • Review notes from Insurance Verification Specialist to determine amounts due, both co-pay and any past due balances.
• Works with Billers to retroactively bill for changes to insurance.
• Receives returned mail and follows up with the responsible party to obtain the correct address.
• Review claims for bad addresses and/or bad debt, submitting them for further review by the PSR Manager. The PSR Manager will submit these claims to the board if their approval is necessary.
• Respond to billing inquiries from patients, providers, and insurers via task messages, e-mail, and/or telephone as needed.
• Performs general clerical duties and other routine functions.
• Ensures strict confidentiality of patient and financial records.
• Collaboration with various clinic teams to ensure smooth workflows for patient visit experiences.
• Works closely with the Call Center team to ensure optimal customer service.

Additional Requirements:

• Grants are a vital part of Care Clinic revenues and directly or indirectly support all positions. This role may have responsibilities that are closely associated with grant deliverables. Grants and grant responsibilities may change over time.
• Complete all required training as designated by HR and the position supervisor.
• Adhere to all policies within the organization and those outlined within the SCCC Employee Handbook.
• Comply with all SCCC Vaccine Mandates.
• Willingness to travel and work at other SCCC locations as determined by the supervisor.
• Comply with all applicable Credentialing and Privileging requirements timely.
• Embrace the SCCC Mission and Vision and agree to work within the SCCC Guiding Principles and the principles set by the position supervisor.
• Must participate in quality assurance/ improvement activities when applicable.

Qualifications:

To perform this job successfully, an individual must be able to engage in each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodation may be made to enable individuals with disabilities to perform essential functions.

Education/Experience:

Must Haves to be successful:

• High School Diploma or GED, or Equivalent.
• Strong written and verbal communication skills.
• Ability to read, write, and speak the English language.
• Ability to maintain a calm, helpful, and friendly attitude while assisting patients.
• Ability to relate cooperatively and constructively with patients, co-workers, administration, and providers.
• Willingness to learn and be flexible in job duties.

Nice to Haves:

• Customer Service Experience preferred.
• Ability to speak the Spanish language (bilingual).
• Experience working with an Electronic Medical Record (EMR) system is preferred.

Work Environment:

The work environment is in a healthcare setting which can be fast-paced and involves working directly with patients and healthcare professionals. This role is highly clerical. Requires ability to work autonomously and stay on task. Reasonable accommodation may be made to enable individuals with disabilities to perform the essential functions of the job. The noise level in the work environment is usually moderate.

Live, work, and play in ‘Colorado’s Playground’! Summit County boasts four world-class ski resorts with Vail Resort just 45 minutes away. With rivers, lakes, hiking, and mountain biking trails, Summit County is a paradise for the outdoor enthusiast. From summer to winter, Summit County is a year-round destination with activities that include skiing, snowboarding, cross-country skiing, snowshoeing, snowmobiling, hiking, biking, rafting, fishing, and boating. Music, art, cultural, and social events are plentiful year-round. The different communities in Summit County include Frisco, Breckenridge, Dillon, and Silverthorne; ski resorts include Breckenridge, Copper Mountain, Keystone, and Arapahoe Basin.

Summit Community Care Clinic:

• Provides rewarding, mission-driven careers in the heart of the beautiful Colorado mountains. As a member of the Care Clinic team, you will make an important difference in the lives of the patients you serve - changing lives every day. We have been nationally recognized for our integrated care model.
• Is a Federally Qualified Health Center (FQHC) that provides a full range of integrated care services including medical, dental, and behavioral health services through a team-based model of care. is highly valued as an important thread in the community fabric. There is an underlying appreciation of what the clinic provides to the community, and this creates a fulfilling workplace environment.
• The Care Clinic currently offers the following:
  • Insured group health, dental, & vision plans.
  • Medical and dependent care flexible spending account options.
  • 401k retirement plan with an employer contribution match.
  • Life, AD&D, and Long-term disability plans are paid for by the employer.
  • Free 24/7 access to confidential resources through an Employee Assistance Program (EAP).
  • Voluntary benefit plans to complement health care coverage including accident insurance, critical illness, short-term disability, and group pet insurance.
  • A generous mix of Paid Time Off (PTO) and paid holidays.
  • Lifestyle Spending Account (for full-time employees).
  • Offer fringe benefits like ski medallion, rec center discounts, etc.
  • Training program for growth potential.

If we sound like a dynamic, caring organization that meets your requirements, apply now.