Patient Services Representative ; UT Health RGV Multispecialty - Harlingen

Overview

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Please omit this information prior to submission. The University of Texas Rio Grande Valley reserves the right to discontinue accepting applications prior to the stated close date of this position, after meeting the posting requirement of three (3) calendar days. For questions, visit our Careers site at (Use the "Apply for this Job" box below). for detailed contact information.

Posting Number
Posting Number SRGV
8823

Working Title

Number of Vacancies
1

Location

Department
School of Medicine / Primary and Community Care ISU

FTE
1.0

FLSA
Non-Exempt

Scope of Job

Responsible for greeting and registering patients in a caring and warm manner, handle incoming patient telephone calls, scheduling appointments, handling patient queries, collecting and obtaining accurate insurance information, and time of service collections as required.

Acts as the first point of contact for patients in the clinical setting and provides high-level customer service consistently to both internal and external customers, while upholding UT Health RGVs mission, values, and promoting service lines.

Accurately and completely registers patients by obtaining patient demographic information, while maintaining patient confidentiality in accordance with HIPAA guidelines.

Responsible for scheduling, rescheduling, and cancelling all patient appointments as needed and when appropriate to maximize patient flow and clinic efficiency.

Responsible for answering incoming calls in a professional, timely manner, ensuring callers needs are met and accurate information is relayed and obtained.

Completes reminder calls as needed; greets incoming patients and visitors in person or on the telephone and promotes active listening responsively to patient concerns or complaints and provides or seeks appropriate remedies while promoting quality care.

Checkd in and checkd out patients through the appropriate appointment workflows, including verifying patient insurance eligibility, scanning all necessary identification into the EMR system, and ensuring completion and accuracy of patient registration forms.

Performs all necessary daily check-in and checkout tasks as required for reconciliation purposes, including next day preparation of charts, deposit reconciliation, and charge entry.

Maintains patient confidentiality regarding access to patient and other clinical information via email, computer, fax, and mail.

Verifies patient insurance eligibility and benefits through various payers, including commercial insurances, Medicaid, and Medicare.

Obtains the necessary prior authorizations, referrals, and other insurance documentation needed for all visits as required by the insurance carrier.

Performs all Time-of-Service collections including collecting copays, deductibles, and outstanding balances due on the account.

Educates the patient/responsible parties regarding billing processes, financial responsibilities, third party benefit information and, provides estimates of out-of-pocket costs to patients.

Establishes payment plans for outstanding balances and prepayment plans for future services; refers patients to Financial Counselors and screens for charity programs when appropriate.

Answers frequently asked questions regarding clinic services and appointment related information and is seen as a source of knowledge to both internal and external customers and knows when to escalate questions and concerns.

Demonstrates respectful, courteous, professional, and appropriate behavior that represents the core values of UT Health RGV and supports the image, mission, and goals of the clinical enterprise.

May be required to provide coverage at various clinical sites as needed.

Performs other administrative duties as assigned.

Supervision Received
General supervision from assigned supervisor.

Supervision Given
May supervise assigned support staff.

Required Education
High School Diploma or equivalent.

Preferred Education

Licenses/Certifications
Preferred:
Completion of Medical Office Specialist certificate program or Medical Administrative Assistant or closely related.

Required Experience
Six (6) months of medical front-office, and/or receptionist experience in patient registration, scheduling, providing customer service, and/or insurance…