Patient Care Representative / MA

Suncoast Community Health Center Brandon , FL 33511

Posted 2 months ago

POSITION TITLE: Patient Care Representative (PCR)


Under the direct supervision of the Charge Nurse, the incumbent is responsible for monitoring and screening of all telephone calls for the Clinical Department.


  • Medical Assistant diploma

  • Computer literate.

  • Two years of experience as a customer service or public relations representative in a clinic or hospital preferred.

  • Strong knowledge of medical terminology.

  • Strong interpersonal/telephone skills.

  • CPR

  • Bilingual (Spanish/English) preferred.


  • Monitor and respond to all incoming phone calls for the medical department. Document messages, prioritize urgency and route to licensed nurse/provider or other appropriate people for further action.

  • Document all telephone calls and directions given to the patient.

  • Forward calls regarding assessment, symptoms and judgment calls, emergency care or medical advice to Charge Nurse, triage nurses, POD nurses at clinical sites.

  • Review request of pharmacy orders for medication and refills, per Call Center Policy #T-150

  • Assist patients requesting appointments with their Primary Care Provider.

  • Assist patients with referral requests.

  • Other duties as assigned.

icon no score

See how you match
to the job

Find your dream job anywhere
with the LiveCareer app.
Mobile App Icon
Download the
LiveCareer app and find
your dream job anywhere
App Store Icon Google Play Icon

Boost your job search productivity with our
free Chrome Extension!

lc_apply_tool GET EXTENSION

Similar Jobs

Want to see jobs matched to your resume? Upload One Now! Remove
Patient Access Central Unit Representative Brandon Regional


Posted 6 days ago

VIEW JOBS 4/13/2019 12:00:00 AM 2019-07-12T00:00 Parallon believes that organizations that continuously learn and improve will thrive. That's why after more than a decade we remain dedicated to helping hospitals and hospital systems operate knowledgeably, intelligently, effectively and efficiently in the rapidly evolving healthcare marketplace, today and in the future. As one of the healthcare industry's leading providers of business and operational services, Parallon is uniquely equipped to provide a broad spectrum of customized revenue cycle services. Job Summary – The PTAC Central Unit Representative is responsible for timely and accurate processes associated with some or all of the following: * Pre-registration * Insurance verification * Pre-Certification * Insurance Notification Supervisor – PTAC Central Unit Manager Supervises – not applicable Duties (included but not limited to): Duties will be performed by each individual depending on assignment of responsibilities: * Perform pre-registration and insurance verification within 3-5 days prior to date of service for both inpatient and outpatient services. For notification received with less than 3 days' advanced notice perform within 24 hours of notification. * Follow scripted benefits verification and pre-certification format in Meditech custom benefits screen and record benefits and pre-certification information in the approved standard format * Assign Insurance Plans (IPlan's) accurately * Perform electronic insurance eligibility confirmation when applicable and document results * Complete Medicare Secondary Payor Questionnaire as applicable for retention in imaging system (i.e. OnBase) * Calculate patient cost share and be prepared to collect via phone or make payment arrangement * Contact patient via phone (with as much advance notice as possible, preferably 48 hours prior to date of service) to confirm or obtain missing demographic information, quote/collect patient cost share, and instruct patient on where to present at time of appointment * Receive and record payments from patient for services scheduled. * Utilize appropriate communication system to facilitate communication with hospital gatekeeper * Ensure appropriate documentation is entered in standard format on the patient record. This should be performed in the applicable Health Information System (i.e. Meditech) and if necessary any other subsidiary systems if they are not automatically updated. * Contact physician to resolve issues regarding prior authorization or referral forms * Research Patient Visit History to ensure compliance with payor specific payment window rules * Perform insurance verification and pre-certification follow up for prior day's walk in admissions/registrations and account status changes by assigned facility as per SSC guidelines. * Communicates with hospital based Case Manager as necessary to ensure prompt resolution of pre- existing, non-covered, and re-certification issues * Meets/exceeds performance expectations and completes work within the required time frames * Implements and follows system downtime procedures when necessary * Practice and adhere to the "Code of Conduct" philosophy and "Mission and Value Statement" * Other duties as assigned KNOWLEDGE, SKILLS & ABILITIES * Communication - communicates clearly and concisely, verbally and in writing. This includes utilizing proper punctuation, correct spelling and the ability to transcribe accurately. * Customer orientation - establishes and maintains long-term customer relationships, building trust and respect by consistently meeting and exceeding expectations * Interpersonal skills - able to work effectively with other employees, patients and external parties * PC skills - demonstrates proficiency in Microsoft Office applications and others as required * Policies & Procedures - demonstrates knowledge and understanding of organizational policies, procedures and systems * Basic skills - demonstrates ability to organize, perform and track multiple tasks accurately in short timeframes, have ability to work quickly and accurately in a fast-paced environment while managing multiple demands, ability to work both independently and collaboratively as a team player, adaptability, analytical and problem solving ability and attention to detail and able to perform basic mathematical calculations, balance and reconcile figures, punctuate properly, spell correctly and transcribe accurately. EDUCATION High school diploma or GED required. EXPERIENCE One year of related experience required. CERTIFICATE/LICENSE - N/A PHYSICAL DEMANDS/WORKING CONDITIONS Requires prolonged sitting/standing, some bending, stooping, walking and stretching. Requires eye-hand coordination and manual dexterity sufficient to operate a keyboard, photocopier, telephone, calculator and other office equipment. Requires normal range of hearing and eyesight to record, prepare and communicate appropriate reports or other information. Requires lifting papers/boxes and pushing/pulling up to 25 pounds occasionally. Work is performed in an office environment or hospital setting. Work may be stressful at times. Contact may involve dealing with angry or upset people. Staff must remain flexible and available to provide staffing assistance for any/all disaster or emergency situations. #ParallonBCOM #ParallonCareers HCA Brandon FL

Patient Care Representative / MA

Suncoast Community Health Center