Patient Services Representative

Sutter Health San Francisco , CA 94118

Posted 3 days ago

PRIMARY PURPOSE:

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

JOB ACCOUNTABILITIES:

  • 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.

  • Contacts other departments to assure coordination of appointments and information needed.

  • May troubleshoot 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.

  • May provide administrative assistance such as typing, copying, filing, opening and distributing mail, scheduling for department staff. May order equipment and supplies

  • May obtain or deliver medical items such as film, test results, prior files.

  • May assemble chart and request and organize incoming records.

  • May perform special tasks/projects as assigned.

POSITION REQUIREMENTS:

Education:

  • High school diploma or GED equivalent required. College degree preferred.

Knowledge / Skills:

  • Knowledge of managed care, Medi-Cal, Medicare eligibility, authorization and billing requirements and physician billing procedure.

  • Knowledge of Microsoft Office programs including Excel, Word, Access or similar programs.

  • Medical billing skills sufficient to coordinate authorization and billing requests.

  • Basic knowledge of English language, grammar and composition.

  • Ability to identify problems, prioritize, problem solve.

  • Excellent interpersonal and customer service skills.

  • Basic keyboarding and computer skills

  • Basic math skills demonstrating accuracy and attention to detail

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