Patient Service Rep, SPMF

Patient Service Rep, SPMF
San Francisco, CA

• Cardiology & Electrophysiology; M-F shift start at 8am-4:30pm (Training shifts 8:30am-5pm); Possibly temp to hire may be asked to work at secondary location in San Francisco based on staffing needs.

 
JOB SUMMARY:

• Provides clerical support by answering telephones, scheduling and registering patients.
• Verifies insurance coverage, obtains patient demographics, ensures necessary authorizations are obtained prior to patient visits, and may troubleshoot billing problems.

Education/ Knowledge, including Licensure/ Certification/ Registration:

• High school diploma/GED required.
• Experience in a high-volume specialty physician practice office as typically acquired in one year. Bachelor's degree preferred.
• Knowledge of managed care, Medi-Cal, Medicare eligibility, authorization and billing requirements and physician billing procedures.
• Knowledge of Microsoft Office programs including Excel, Word, Access or similar programs.

Experience:

• Experience in medical office setting and IDX system desired.

Skills:

• Ability to identify problems, prioritize, problem solve.
• Basic keyboarding and computer skills.
• Basic knowledge of English language, grammar and composition.
• Basic math skills demonstrating accuracy and attention to detail.
• Excellent interpersonal and customer service skills.
• Medical billing skills sufficient to coordinate authorization and billing requests.

Access to Protected Health Information (PHI)/ Physical Requirements/ Special Working Conditions:
Access to PHI: The protected health information this position can access is all medical record information. This position requires this patient health information in order to perform the functions outlined as part of this position description. No responsibility to treat or care for patients.

• Personal Protective Equipment: None Physical Requirements: None.
• Possible exposure to: Blood or body fluids.
• Possible exposure to: Communicable diseases.
• Possible exposure to: Violent patients.
• Regularly works with: CRT (computer) monitor.
• Work involves: Frequent repetitive motion.
• Quantifiable Dimensions: Check with Department Supervisor for Quantifiable Dimensions.

Principal Accountabilities

• Contacts other departments to assure coordination of appointments and information needed.
• Enters information into the computer system, including patient information and insurance.
• May forward insurance information to the appropriate department.
• May act as receptionist for department, answering phones, greeting visitors and responding to questions.
• May assemble chart and request and organize incoming records.
• May obtain or deliver medical items such as film, test results, prior files.
• May perform special tasks/projects as assigned.
• May provide administrative assistance such as typing, copying, filing, opening and distributing mail, scheduling for department staff. May order equipment and supplies.
• May trouble-shoot billing related problems.
• May work with billing staff to resolve problems and maximize reimbursement.
• Arranges payment plans with patients when necessary following proper procedures.
• May assist billing staff in reimbursement follow-up issues.

 
QUALIFICATIONS:
Skills:

• Basic keyboarding and computer skills – Required
• Basic knowledge of English language, grammar and composition – Required
• Basic math skills demonstrating accuracy and attention to detail – Required
• Excellent interpersonal and customer service skills – Required
• Experience in a high volume specialty physician practice office as typically acquired in one year – Required
• Experience in medical office setting and IDX system – Highly Desired
• Knowledge of managed care, Medi-Cal, Medicare eligibility, authorization and billing requirements and physician billing procedures – Required
• Knowledge of Microsoft Office programs including Excel, Word, Access or similar programs – Required
• Medical billing skills sufficient to coordinate authorization and billing requests – Required

Education:

• High school diploma/GED – Required
• Bachelor's degree – Highly Desired

 
We are an equal opportunity employer, and we are an organization that values diversity. We welcome applications from all qualified candidates, including minorities and persons with disabilities.
 
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Last updated on Nov 6, 2023