Patient Service Representative (Medical or Dental)

Job Description

Reports To : Health Center Administrator or Mobile Medical Program Administrator

Job Summary : Assists Patients, Lead Patient Service Representative, and the Health Center Management (HCM) team in the performance of a broad range of administrative duties.

Qualifications and Requirements :

To perform this job successfully, an individual must be able to perform each essential job duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and / or ability required.

Essential Job Duties :

• Clinical Administrative Duties.
• Schedules and confirms patient appointments.
• Provides and facilitates the completion of necessary patient forms.
• Verifies medical or dental insurance coverage and eligibility.
• Assists patients with presumptive applications for Sliding Fee Discount Program.
• Verifies patient demographic information.
• Informs patients of account balances and takes payments over the counter.
• Answers telephone calls. Responds to caller questions as able and / or transfers calls to appropriate party.
• Takes and documents messages as appropriate.
• Deciphers the correct amount to charge self-pay, prompt pay or sliding fee discount program for patients.
• Proactively greets, interacts with, and assists patients and staff in a professional manner.
• Checks in patients on location.
• Travels to any location as needed.
• Performs medical records scanning and other lead duties if hired at a center with no lead PSR. Will be designated by HCA.
• Working assigned weekends is required.
• Clean lobby, restrooms, and other patient areas with proper cleaning supplies while using proper Personal Protective Equipment (PPE).
• Screen all patients and visitors and perform Infrared and ear temperature checks.
• Use and educate patients and visitors on the proper Personal Protective Equipment (PPE) as required.
• Additional Dental Administrative Duties.
• Place all necessary recall plans for patients.
• Proactively calls patients from recall plan reports and schedules patients' appointments according to recall.
• Verifies patient treatment plans, patient instructions, and summary reports.
• Verifies dental deductible.
• Processes and assists in the completion of dental referrals and tracking.
• Follows up on all outside referrals for the patient.
• Performs and assists in the completion of prior insurance authorizations and tracking.
• Together with the patient, provider and / or other members of the dental care team assists with estimates for treatment plans for the patient and reviews with patients.
• Additional Administrative Duties if Assigned to SEABHS.
• Runs queries on Cenpatico patients and determines which patients are missing quality measures.
• Calls patients that are missing quality measures to schedule appointments.
• Assists patients in overcoming barriers to care by scheduling follow-up appointments, arranging transportation, and following up with patients who missed appointments.
• Performs other duties and special projects for the quality department as assigned.

Additional Administrative Duties if Assigned to Mobile Medical Units.

Required Education, Experience, Certificates & Licenses :

Preferred Education, Experience, Certificates & Licenses :

Required Language Skills :

Physical Requirements :

Other Required Knowledge, Skills, and Abilities :

Work Environment & Conditions :