Patient Services Representative

Position Summary: 

The Patient Services Representative are responsible for greeting patients and visitors to the health center and the front desk operations including scheduling and check-in/out duties of patients receiving dental services within SNAHC. This includes notifying patients of service delays, verifying eligibility, collecting necessary co-payments if needed, and updating patient information to ensure records are current. The position also includes communicating with patients about upcoming appointments within the health center and any outstanding balances that are due and that require payment before the next appointment. 

Essential Functions: 

• Schedules appointments and verifies insurance and/or payment method for the appropriate department.
• Schedules follow up dental appointments as well as any other clinical appointment(s) upon patient request or need using approved templates and guidelines.
• Conduct patient screenings by assessing pain levels for emergency appointments as required by contracted insurances. 
• Conducts appointment reminder communication calls and screens insurance eligibility for the same-day and/or walk-in appointments. Appropriately notifies patients of any eligibility conflicts. 
• Utilizes software features to maximize patient access and adheres to patient check-in/out procedure.
• Reconciles daily cash drawer and patient payments for Patient Financial Services management. 
• Ensuring all the information entered into the Electronic Health Record (EHR) is accurate and complete. This includes reviewing the chart, and verifying all forms are completed and up to date. 
• Collects and records patient payments for services rendered daily. 
• Assists patients with health insurance information, verifying eligibility such as Medi-Cal, Medicare, and Geographic Managed Care (GMC) programs, private insurance, and determines appropriate co-payment(s). Refers to Member Services when necessary. 
• Actively participates in internal quality improvement teams. Works with members proactively to support quality improvement initiatives in accordance with the mission and strategic goals of the organization, federal and state laws and regulations, and accreditation standards. 
• Compliance with all state and federal laws and regulations, as they pertain to position including HIPAA, sexual harassment, Scope of Practice, OSHA, etc.  
• De-escalate irate patients as needed. 
• Other duties as assigned.  

Competencies:

• Communication and Relationships 

• Initiative 

• Planning and Organizing 

• Safety 

• Teamwork 

• Customer Service 

• Data Collection 

• Eligibility 

• Payment Collection 

• Scheduling 

Minimum Qualifications: 

• General education degree or high school diploma 

• 1 year of experience working in a front office setting/ or similar role. 

• Customer Service Experience 

• Experience with electronic health records software and database systems preferably 

• Knowledge of collecting and verifying insurance information. 

Preferred Qualifications: 

• Knowledge of dental terminology.  

• Knowledge dental procedures with the ability to explain in detail. 

• Experience in an FQHC setting. 

• Knowledge of traditional, cultural, and spiritual practices of the diverse AI/AN community, as well as ability to work with other racially, culturally, ethnically, and financially diverse populations. 

• Bilingual 

Salary : $21 - $23