Patient Access Rep

Patient Service Representative

Type: Temp

Hours: MF 8am5pm

Location: San Ysidro Health Center. 4004 Beyer Blvd. San Diego CA 92173

Job Requirements:

• Must be bilingual English/Spanish.
• Dental front desk experience preferred; medical reception experience helpful too! (Will not consider less than 12 months of front desk experience for this temp role.)
• EPIC experience is a big PLUS!
• Candidates need to be well versed in dental and the check in and out/scheduling workflows.
• Performs clerical duties to support the daily business activities of the department.
• Responsible for the following: answer telephones greeting patients and processing patients in preparation for clinical visits.
• 3 month temp

Position Summary

• Performs clerical duties to support the daily business activities of the department.
• Responsible for the following: answer telephones greeting patients and processing patients in preparation for clinical visits.

Essential Functions

• Applies the stepbystep AWAKEN process to consistently fulfill our patients needs and help the Dental Department maintain excellent Patient Satisfaction scores. AWAKEN: Anticipate Welcome Appreciate and Keep it real Excellence and Never.
• Answers telephones routes call takes messages and provides routine information to patients or staff. Responds to all telephone inquiries in a timely and courteous manner.
• Provides guidance and direction to visitors and patients. Calls for transportation as necessary.
• Verifies patients demographic and personal information and enters them in the appropriate EHR program.
• Verifies insurance benefits and eligibility by using eligibility portal in Nextgen and MediCal.
• Schedules appointments by telephone and in person; follows up on failed and cancelled appointments. Performs the 24 or 48hour patient appointment reminder calls or updates status of text message calls into Dentrix. Contacts patients if their provider is unavailable on any given day and documents any patient cancellations. Calls patients to backfill any open appointment slots.
• Covers for the Patient Service Lead when on leave and performs any task required from a Patient Services Lead.
• Responsible to communicate equipment and office maintenance as needed.
• Must collect patient payments copayments and deductibles and generate accurate receipts for dental services rendered. Utilizes POS machine for Credit Card payment processing.
• Collects all daily payments balances against Dentrix reports processes the needed documentation and personally delivers fund to Lead.
• Presents treatment plan estimate and makes financial arrangement with patient at time of consultation based on the patients insurance coverage. Generates financial contracts explains and collects signatures from all private and sliding fee scale patients. Processes all financial contracts and submits them to the billing department accordingly.
• Effectively identifies patient grievances follows established protocols to resolve or determines escalation level and need to refer to supervisors.
• Performs follow up on unpaid accounts during the checkin or check out process to ensure collections report are within the organizations expectations of 95% or above.
• Keeps abreast of all changes via web and/or by leadership with regards to changes in MediCal coverage for dental service.
• Responsible for creating a patient record for all new patients.
• If needed responsible for assisting patients in the filling out of registration and Medical History forms.
• Responsible for organizing new patient charts and ensures that all needed documents are signed by patient.
• Responsible for sorting correspondence and referrals etc. identify with label and scan into document center in EHR system.
• Maintain privacy of all patients employee and volunteer information and access such information only on a needtoknow basis for business purposes. Comply with all HIPAA regulations regarding corporate integrity and security obligations.
• Assures a signature on all reports correspondence referrals etc. from the appropriate provider before filing the chart.
• Assists patients in completing a record release/request form as needed.

Other Responsibilities

• Maintains an adequate inventory of forms clerical supplies and Xerox paper.
• Maintains established departmental policies and procedures objectives quality assurance program safety environmental and infection control standards.
• Participates in educational programs and inservices meetings.
• Attends meetings as required.
• Attends morning or afternoon huddles as directed by Manager
• Performs other related duties as assigned or requested.

Supervisory Relationship

Reports directly to PSR Lead and Dental Manager

Position Qualifications

Education

• Minimum High School or equivalent.

Experience

Minimum 1 year experience in a general office setting.

Preferred In a dental setting.

Equipment Used: Multi extension telephones. Personal computer Printers Fax and POS Machine.

Technical Knowledge:

• Knowledge of MediCal Medicare managed care plans third party rules and regulations and insurance agreements.
• Claims processing and daily operations of dental office OSHA regulations and safety procedures.
• Skills: Other Bilingual (English/Spanish). Good oral and written communication.
• Experience with Dental Terminology NextGen Dentrix and Windows Office systems preferred.
• Typing of a minimum of 35 wpm.
• Dental records filing and dental terminology.

Effort required

• Physical Activities Lifting of approximately 25 lbs.
• Working Traits Verbal ability for accurate and tactful explanations.
• Working Condition May be required to work some evenings and/or Saturdays.