Patient Services Representative-Ambulatory - Ambulatory Specialty Call Center

Join to apply for the Patient Services Representative-Ambulatory - Ambulatory Specialty Call Center role at Alameda Health System

Join to apply for the Patient Services Representative-Ambulatory - Ambulatory Specialty Call Center role at Alameda Health System

SUMMARY:

Under general supervision, the Patient Services Representative (PSR) provides a specialized clerical support service to the various clinic registration units and screen patients for possible eligibility into various financial programs. Specially trained to perform the patient registration and less complex enrollment of eligible patients into various financial assistance programs. PSRs are also a part of the ambulatory care team and support the day to day functions of the clinic practice and team-based care.

The PSRs may be required to work in alternate locations as necessary. Program enrollment responsibilities include but are not necessarily limited to the following:), Childhood Health and Disability Program (CHDP), Charity (AHS’s Charity Program), Presumptive Eligibility (PE), and Cancer Detection Program (CDP). Performs related duties as required.

Summary

SUMMARY:

Under general supervision, the Patient Services Representative (PSR) provides a specialized clerical support service to the various clinic registration units and screen patients for possible eligibility into various financial programs. Specially trained to perform the patient registration and less complex enrollment of eligible patients into various financial assistance programs. PSRs are also a part of the ambulatory care team and support the day to day functions of the clinic practice and team-based care.

The PSRs may be required to work in alternate locations as necessary. Program enrollment responsibilities include but are not necessarily limited to the following:), Childhood Health and Disability Program (CHDP), Charity (AHS’s Charity Program), Presumptive Eligibility (PE), and Cancer Detection Program (CDP). Performs related duties as required.

DUTIES & ESSENTIAL JOB FUNCTIONS: NOTE: Following are the duties performed by employees in this classification. However, employees may perform other related duties at an equivalent level. Not all duties listed are necessarily performed by each individual in the classification.

• Provides patient-centered care that is respectful of, and responsive to, individual patient preferences, needs and values. Provides and promotes excellence in customer service for both internal and external customers.
• Collaborates with patients and other healthcare providers to deliver coordinated, high quality care.
• Registration and Pre-registration for Ambulatory Care Services;
  Interview patients to obtain necessary information for billing purposes, financial screening of patients and process documents to establish source of payment, and preparation of registration packets and patient visit. Appointment scheduling in person, and/or on the phone with excellent customer service.
• Advise patient and/or guarantor of financial obligations; collection and process payments, co-payments and pre-payments for services. Verify insurance program eligibility and coverage for Ambulatory Care Services.
• Interprets laws and regulations of Federal, State, and County programs and advises patient of eligibility requirements, as well as their rights and obligations in receiving financial services. Assist patient in completing applications and forms, as necessary, and reviews for accuracy and completion.
• Enter registration and billing information into computer application system following specific guidelines and instructions; retrieve data and prepare variety of reports related to patient census, patient insurance, and financial status.
• Distribute, complete, and collect forms and documents for Ambulatory Care Services;
  Provide explanation and education to patients of services and resources available. Determine enrollment options for eligible patients into various financial assistance programs, and enrollment of health coverage…