Patient Services Representative, Utilization

Who We Are:

SAC Health empowers our patients and their families to live vibrant and healthy lives through culturally responsive exceptional care. Patient-centered whole-person care. Our unique full scope team-based approach is what makes SAC Health the provider of choice for patients.

Top-Tier Patient Satisfaction Scores Largest Teaching Health Center FQHC 11 Locations offering 44 Specialties NCQA Patient-Centered Medical Home Level 3 Certified
Multi-Site Approved for NHSC & NCLRP loan forgiveness programs - NHSC/Nurse Corps/Pediatric Specialty HPSA Scores: Primary: 17 Dental: 25 Mental: 20

What We Are Looking For

Responsible for the scheduling of patients for appointments in all clinical departments. Responsible for helping expedite patient flow through clinic front office by ensuring the patients are checked in and records are available to staff at all times. Responsible for determining insurance coverage and financial qualifications for discount programs. Update patient information in computer. Responsible to plan organize and complete all task in a timely manner. Demonstrates standard ethics and ensures that procedures and policies are fallowed at all times. Demonstrates to work with others well in a team atmosphere.

Schedule: 4 days per week 10 hours per dayTuesday-Friday 8:30am-7pm Location: Brier Clinic San Bernardino CA

ESSENTIAL FUNCTIONS AND DELIVERABLES

• Greet all patients and guests in a warm and friendly manner. Must have a pleasant demeanor at all times and be able to handle difficult customers and situations in a tactful and respectful manner.
• Provide information for all inquiries both in person and by telephone regarding clinic fees and payment programs. Check for authorization and or referral.
• Make appointments for assigned departments.
• Check patient in for medical appointments Ensure patients are being seen for appropriate appointment and PCP and assign proper guarantors for continuity of care purposes.
• Determine appropriate program or payer source for each patient checking in based on complex criteria including medical services needed age income etc. providing applications as needed.
• Interview patients for sliding fee scales. Determine amount of discount by obtaining family size and income data and utilizing federal poverty guidelines together with SACHS sliding fee schedule.
• Document in computer and on client medical record the insurance status payment method payment balance or sliding fee percent.
• Maximize clinic revenues by screening clients for third party reimbursement sources. Refer clients to Medi-cal when appropriate.
• Check eligibility on a variety of payer sources. Ensure patient is assigned to correct PCP (Primary Care Provider) for continuity of care purposes.
• Collect payments and balance cash drawer.
• Must have excellent communication skills; be customer service oriented.
• Ability to work as part of team in a cohesive manner.
• Must be able to adhere to the Attendance policy and procedure.
• Ability to collaborate teach support and function in a teaching organization that builds coaches and embraces interns and residency programs. Must demonstrate a passion for the team and have the ability to consistently work with rotating doctors residents and interns while continuously building a trusting safe patient centered workplace.
• Demonstrate the ability to be culturally sensitive and respect diversity work effectively and with individuals of different cultures and socioeconomic status; Passion for service.
• Other duties as outlined in the official job description.

QUALIFICATIONS:

• Education: High school diploma or equivalent required. Medical terminology and additional studies in business preferred.
• Licensure/Certification: As a requirement of this position you must receive EPIC certification for the module you have been hired into.
• Experience: One year of experience in customer service medical receptionist or scheduling in medical setting preferred.
• Essential Technical/Motor Skills: Telephone skills and computer competency required. Ability to calculate figures and amounts such as discounts and percentages is required.
• Interpersonal Skills: Bilingual-English/Spanish preferred. Communicate by phone in writing and in person with all levels of personnel students patients and insurance agencies; able to read analyze and interpret procedures from various payer sources. Must possess basic writing skills. Must have friendly cooperative caring and calm demeanor. Commitment to serve low-income clients.
• Work Eligibility: Must be legally authorized to work in the United States on a full-time basis. Must not now or in the future require sponsorship for employment visas.

EEO: SAC Health is committed to fostering a diverse equitable and inclusive work environment and is committed to being an equal opportunity employer. All qualified applicants will receive consideration for employment without regard to race color religion gender gender identity or expression sexual orientation national origin genetics disability age or veteran status.

Full Benefits Package

Industry Leading PTO Accrual (accrued per pay period) Sick Leave Paid Holidays Paid Jury Duty Bereavement SAC Health Covers approximately 85% of Team Member health premium costs (may vary w/benefit plan selection) Retirement - up to 8% employer contribution Continuing Education and Learning Benefits Annual Mission Trip and much more!

Learn More About the Work We Do:

SAC Healths Mission: SAC Healths mission is to reflect the healing ministry & love of Jesus Christ through healthcare education & partnerships that empower our communities to flourish.

SAC Healths Core Values: Quality Healthcare - Teamwork - Wholeness -Integrity - Compassion - Excellence - Humble Service - Respect

Required Experience:

Unclear Seniority