8 Sacramento Native American Health Center Jobs near me
Sacramento Native American Health Center is Hiring a Member Service Representative Near Sacramento, CA
Position Summary:
The Member Services Representative is responsible for the verification of insurance eligibility of new and existing patients receiving clinical services within the health center. This includes collection of basic necessary demographic information to initiate the enrollment process and to assess their financial and payer source status. As part of the clerical/administration process, they will determine eligibility for public insurance programs, and obtain verification of private insurance as it relates to the patient encounter.
Essential Functions:
- Answer incoming calls and/or see patients in a face-to-face setting for new patient registration, which involves creating demographic charts in the Electronic Health Record (EHR) software for members coming to utilize clinical services as well as eligibility inquiries for established patients.
- Provide support to patients regarding Medi-Cal, Medicare and their managed care systems in a clear and professional manner that ensures their understanding.
- Utilize the Electronic Health Record (EHR) RTS system and/or individual payer websites to obtain eligibility and/or pre-authorization information for next day appointments.
- Familiarity with individual payer guidelines.
- Refer patients to on-site Certified Enrollment Counselors for enrollment and re-enrollment of Medicaid, Affordable Care Act (ACA), and other state and federal programs.
- Confirm SNAHC is the assigned Primary Care Physician (PCP) with patient insurance plans
- Appropriately notifies patients of any eligibility conflicts, outstanding balances and/or out-of-pocket costs associated with visits.
- Responsible for ensuring all the information entered into the Electronic Health Record (EHR) is accurate and complete. This includes reviewing and verifying any paper documents to make sure that all forms are completed, identified, signed and corrected.
- Responsible for required data entry as it relates to insurance eligibility prior to any services by any provider, must be able to complete this task efficiently and effectively.
- Verifies patients have updated their consents, signature forms and demographic information within the last 12 months, and communicate this in accordance to the process.
- Compliance with all state and federal laws and regulations, as they pertain to position including; HIPAA, sexual harassment, Scope of Practice, OSHA etc.
- Other duties as assigned.
- Must have 1 year(s) of knowledge and experience working in a clinical front office setting
- High School diploma or GED
- Knowledge and/or familiarity of Medicare; Medi-Cal; Presumptive Eligibility; local Geographic Managed Care Plans (GMC); state/federal funded programs for health care enrollment; Sliding Scale.
- Experience with electronic health records software; NextGen preferred.
- Excellent computer skills, preferably with Windows.
- Excellent telephone and communication skills.
- Must be polite and helpful at all times.
- Must demonstrate superior professionalism when dealing with clients, staff, and vendors.
- Ability to work independently, set priorities, and work well under pressure.
Job Summary
Full Time
$52k-63k (estimate)
05/03/2024
05/16/2024
snahc.org
SACRAMENTO, CA
100 - 200
2007
Private
BRITTA GUERRERO
<$5M
Ambulatory Healthcare Services
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The following is the career advancement route for Member Service Representative positions, which can be used as a reference in future career path planning. As a Member Service Representative, it can be promoted into senior positions as a Managed Care Coordinator that are expected to handle more key tasks, people in this role will get a higher salary paid than an ordinary Member Service Representative. You can explore the career advancement for a Member Service Representative below and select your interested title to get hiring information.
If you are interested in becoming a Member Service Representative, you need to understand the job requirements and the detailed related responsibilities. Of course, a good educational background and an applicable major will also help in job hunting. Below are some tips on how to become a Member Service Representative for your reference.
Step 1: Understand the job description and responsibilities of an Accountant.
Quotes from people on Member Service Representative job description and responsibilities
Provided members high-level customer service to ensure complete satisfaction by fulfilling their requests and concerns through effective communication and member engagement.
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Customer service representatives (CSRs) are the front-line support within organizations that sell products and services to consumers and businesses.
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They deliver high-quality customer service, listening to members' requests and working to find the appropriate solution.
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Essential Duties and Responsibilities Greet members, prospective members and guests, providing exceptional customer service.
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The statement of service must provide the branch of service, rate/rank, all dates of service, the expected date of discharge and anticipated character of service (Honorable, General, etc.).
01/03/2022: Wichita, KS
Step 2: Knowing the best tips for becoming an Accountant can help you explore the needs of the position and prepare for the job-related knowledge well ahead of time.
Career tips from people on Member Service Representative jobs
An associate member service also manages membership application requests and evaluates eligibility.
03/03/2022: Idaho Falls, ID
Building member relationships through quality service experiences.
01/04/2022: Colorado Springs, CO
Process service requests and create authorizations to communicate transportation details to partners.
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Customer service representatives must have high EQ, be excellent at communication, and have superb problem solving skills.
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Provided great member service that reflected on repeat and referral members.
02/27/2022: Atlantic City, NJ
Step 3: View the best colleges and universities for Member Service Representative.
