Patient Service Representative

Patient Services Representative

Full Time | Hourly

The OHRA Center

We’re committed to compassionate care for all. Our patients. Our employees. You.

At La Clinica, we love our patients and enthusiastically treat them with the same care, respect, and dignity that we would our friends, family, and neighbors because that's who they are. If this appeals to you, La Clinica might be the right place to build your career. We’re looking for the right team members to treat our patients with this level of care.

We extend our commitment to compassionate care to our employees as well. We invest in our employees' lives through competitive pay, comprehensive benefits packages, easy access to wellness, personal and professional development workshops, and a focus on healthy work-life harmony. Check out our careers page to learn more about why our employees love working at La Clinica.

The Patient Services Representative (PSR) provides excellent customer service while supporting essential administrative functions of the clinic. This role manages the front desk reception and check-in process, maintains accurate patient information in electronic health records, verifies insurance coverage, schedules appointments, fields billing questions, and ensures smooth clinic operations. Strong communication skills, attention to detail, and competence with healthcare information systems is required. The Patient Services Representative promotes a welcoming, efficient, and positive experience for all patients and staff.

Accountabilities Include:

Essential Job Duties

• Provide excellent customer service to patients and visitors in a professional, welcoming manner.
• Collect and enter patient information accurately and securely into electronic medical record system, ensures all consents are scanned into practice management system within 24 hours.
• Complete new patient registration
• Verify insurance eligibility and obtain benefit details through provider portals and websites.
• Verify all required consent forms, and financial responsibility documents are signed prior to procedures.
• Responsible for facilitating insurance authorizations for services and OHP waivers based on patients presented reason for visit.
• Assess patients' financial status and if appropriate refer to financial support programs and benefit enrollment specialists.
• Check-in patients for appointments across various care modalities (in-person, telehealth, etc.). Manage schedule through centralized booking system.
• Support outreach to patients about upcoming appointments and needed care using phone, Artera text, patient portal, etc.
• Follow up and monitor incoming Artera and MyChart messages as they are received from patients.
• Collect payments, co-pays, accurately apply payments to patient accounts and issue receipts to patients.
• Connect patients with the Billing Department to resolve billing questions or create payment plans.
• Provide support to clinical team with scheduling, referrals, authorizations, pre visit prep, and other needs.
• Responsible for quality assurance of registration, completing work queue corrections and updating registration as insurance information is provided.
• Complete data entry, documentation, and reporting in practice management and EHR systems accurately and completely.
• Participate in quality improvement initiatives to improve workflows, identify gaps, and enhance patient experience.
• Maintain up-to-date knowledge of payer policies, regulatory requirements, patient resources, and clinic offerings.
• Collaborate with cross-functional teams to achieve departmental and organizational objectives.
• Support department with special projects, audits, quality improvement initiatives.
• Ensure excellent patient experience throughout visit. Connect with appropriate resources.
• Completes assigned trainings via La Clinica’s learning module system (Relias) by required due date.
• Other duties as assigned.

Mobile Health

• Ensure accurate documentation for grants, regulatory and reimbursement requirements.

Driver Responsibilities

• Perform vehicle inspections daily.
• Maintain vehicle maintenance as needed, including scheduling of annual maintenance.
• Drive 40-foot Mobile Health Center daily to and from community sites.

Qualifications:

• Excellent verbal and written communication skills. Ability to interact professionally with diverse patients and staff.
• Excellent communication and interpersonal abilities
• Detail-oriented with strong organizational and multi-tasking abilities.
• Proficient with computers, tablets, and mobile devices. Experience with electronic health record and practice management software a plus.
• Commitment to providing compassionate, equitable care and service to all patients.
• Skilled at managing conflict and diffusing challenging situations calmly and respectfully.
• Dependable team player who takes initiative and ownership.
• Flexible and adaptable to learning new systems, processes, and responsibilities.
• Must be able to sit or stand for extended periods of time. May need to lift up to 30 lbs occasionally.

Education and Experience:

• High school diploma or GED required.
• 1 year experience in busy, fast-paced dental office environment
• Experience working with adolescents/families.
• Bilingual English/Spanish required.
• Must have valid driver’s license and driver’s record must meet organization standards.
• Must have active Driver’s Insurance

Equity Statement:

At La Clinica, we commit to engage everyone in a welcoming, respectful, and loving way and to maintain the dignity and value of all people above everything else. These standards align with our organization’s vision of absolute excellence, open-hearted community, and well-being for all.

For more information, please visit our website at: https://laclinicahealth.org/patients/approach/

Applications will be reviewed by the appropriate Department for interview; those selected must be able to provide proof of legal right to work in this country. Criminal history background check and pre-employment drug screen will be performed prior to any job offers. La Clinica is a drug free work environment. Equal Opportunity Employer. La Clinica complies with the Americans with Disabilities Act. If you consider yourself disabled and desire assistance in the application process, please contact the Human Resources Department.