Patient Services Representative

Description

Summary of Position:

Circle the City is a rapidly growing non-profit dedicated to providing high quality, holistic healthcare to people experiencing homelessness in Maricopa County. Circle the City was recently awarded a Federal New Access Point Grant from the US Department of Health and Human Services to launch a new Healthcare for the Homeless clinic in Central Phoenix. This clinic will benefit from the designation as a Federally Qualified Health Center (FQHC) and will provide comprehensive primary care alongside fully integrated behavioral health and case management services to more than 4,000 individuals experiencing homelessness each year.

 This position is responsible for processing patients at the intake desk, physician practice reception, directing patients appropriately, and facilitating communication between patients and the clinic staff.  This position is responsible for providing support for clinicians, scheduling the treatment rooms, and scheduling appointments as needed for off-site medical provider visits.  Ensures integrity of accounts receivable through appropriate registration and insurance verification.  Responsible for other functions, including appointment scheduling, registration, and patient check-ins.

Essential Duties:

Duties include, but are not limited to:

• Obtains authorization for patients, through pre-certification process.
• Assist MA/Referral coordinator with authorizations for ancillary testing, inpatient admissions, referral to specialists, prescription, durable medical equipment, etc.
• Maintains current knowledge of practice sites, managed care contracts, and guidelines.
• Adheres to guidelines of contractually managed care regarding referrals and testing.
• Complete intake paperwork with patients. Ensuring the attestation is signed by the patient.
• Referral coordinator.
• Cancels and reschedules patient appointments as necessary according to availability, backlog, and at request of immediate supervisor.
• Greets and acknowledges patients and visitors. Follows standard operating procedures on checking patients in and follows standard operating procedures on appropriate patient check out.
• Answers telephone and takes messages and/or routes calls to appropriate personnel.
• Schedules patient appointments, both over the phone and in person, as determined by protocols established by the Physician and the necessity of continuity of care. To include specialists.
• Notifies appropriate departments and physicians regarding admissions, referrals, and authorization in a timely manner.
• Fully cross trained in all front office functions.
• Follow the release of information process when records are requested.
• Ensures integrity of accounts receivable through accurate registration and insurance verification.  Disseminates insurance information on covered services and protocols and ancillary services.
• Referral coordinator & Mas.
• Other duties as presented by the Supervisor, Managers, and/or Director of Facility Operations.

Qualifications

Qualifications:

Basic Knowledge and Skills:

• Good verbal and written communication skills.
• Detail oriented and able to take direction.
• High school diploma or equivalency.
• Strong computer skills: MS Office Suite.
• Effectively utilize electronic medical records.
• Able to work with minimal supervision successfully.
• Bilingual (Spanish/English) preferred.

Physical and Mental Requirements:

• Position requires extended periods of sitting and standing.
• Position requires regular bending and reaching.
• Able to adapt to rapid, unpredictable workflow.
• Experience with the underserved population is preferred.

 We are an equal-opportunity employer. All resumes will be reviewed for education and experience. Employment practices will not be influenced or affected by an applicant's or employee's race, color, religion, sex (including pregnancy), national origin, age, disability, genetic information, sexual orientation, gender identity or expression, veteran status, or any other legally protected status.