Patient Service Representative

Type : Temp

Hours : MF 8am5pm

Location : San Ysidro Health Center. 4004 Beyer Blvd. SanDiego CA 92173

Job Requirements :

• Must be bilingual English / Spanish.
• Dental front desk experience preferred; medical receptionexperience helpful too! (Will not consider less than 12 months offront desk experience for this temp role.)
• EPIC experience is a big PLUS!
• Candidates need to be well versed in dental and the checkin and out / scheduling workflows.
• Performsclerical duties to support the daily business activities of thedepartment.
• Responsible for the following : answer telephones greeting patients and processing patients inpreparation for clinical visits.
• 3 month temp

Position Summary

• Performs clerical duties to support the daily businessactivities of the department.
• Responsible forthe following : answer telephones greeting patients and processingpatients in preparation for clinical visits.

EssentialFunctions

Applies thestepbystep AWAKEN process to consistently fulfill our patientsneeds and help the Dental Department maintain excellent PatientSatisfaction scores.

• Answerstelephones routes call takes messages and provides routineinformation to patients or staff. Responds to all telephoneinquiries in a timely and courteous manner.
• Provides guidance and direction to visitors and patients.Calls for transportation as necessary.
• Verifies patients demographic and personal informationand enters them in the appropriate EHR program.
• Verifies insurance benefits and eligibility by usingeligibility portal in Nextgen and MediCal.
• Schedules appointments by telephone and in person;follows up on failed and cancelled appointments. Performs the 24 or48hour patient appointment reminder calls or updates status of textmessage calls into Dentrix.

Contacts patients if their provider isunavailable on any given day and documents any patientcancellations. Calls patients to backfill any open appointmentslots.

• Covers for the Patient Service Leadwhen on leave and performs any task required from a PatientServices Lead.
• Responsible to communicateequipment and office maintenance as needed.
• Must collect patient payments copayments and deductiblesand generate accurate receipts for dental services rendered.Utilizes POS machine for Credit Card payment processing.
• Collects all daily payments balances against Dentrixreports processes the needed documentation and personally deliversfund to Lead.
• Presents treatment plan estimateand makes financial arrangement with patient at time ofconsultation based on the patients insurance coverage.

Generatesfinancial contracts explains and collects signatures from allprivate and sliding fee scale patients. Processes all financialcontracts and submits them to the billing departmentaccordingly.

• Effectively identifies patientgrievances follows established protocols to resolve or determinesescalation level and need to refer to supervisors.
• Performs follow up on unpaid accounts during the checkinor check out process to ensure collections report are within theorganizations expectations of 95% or above.
• Keeps abreast of all changes via web and / or by leadershipwith regards to changes in MediCal coverage for dentalservice.
• Responsible for creating a patientrecord for all new patients.
• If neededresponsible for assisting patients in the filling out ofregistration and Medical History forms.
• Responsible for organizing new patient charts and ensuresthat all needed documents are signed by patient.
• Responsible for sorting correspondence and referrals etc.identify with label and scan into document center in EHRsystem.
• Maintain privacy of all patientsemployee and volunteer information and access such information onlyon a needtoknow basis for business purposes.

Comply with all HIPAAregulations regarding corporate integrity and securityobligations.

• Assures a signature on allreports correspondence referrals etc. from the appropriate providerbefore filing the chart.
• Assists patients incompleting a record release / request form as needed.

OtherResponsibilities

• Maintainsan adequate inventory of forms clerical supplies and Xeroxpaper.
• Maintains established departmentalpolicies and procedures objectives quality assurance program safetyenvironmental and infection control standards.
• Participates in educational programs and inservicesmeetings.
• Attends meetings asrequired.
• Attends morning or afternoon huddlesas directed by Manager
• Performs other relatedduties as assigned or requested.

SupervisoryRelationship

Reports directly to PSRLead and Dental Manager

Position Qualifications

Education

Minimum High School or equivalent.

Experience

Minimum 1year experience in a general office setting.

Preferred In a dental setting.

Equipment Used : Multi extension telephones.Personal computer Printers Fax and POS Machine.

Technical Knowledge :

• Knowledge of MediCalMedicare managed care plans third party rules and regulations andinsurance agreements.
• Claims processing anddaily operations of dental office OSHA regulations and safetyprocedures.
• Skills : Other Bilingual(English / Spanish). Good oral and written communication.
• Experience with Dental Terminology NextGenDentrix and Windows Office systems preferred.
• Typing of a minimum of 35 wpm.
• Dental records filing and dental terminology.

Effortrequired

• PhysicalActivities Lifting of approximately 25 lbs.
• Working Traits Verbal ability for accurate and tactfulexplanations.
• Working Condition May berequired to work some evenings and / or Saturdays.

Last updated : 2024-05-13