This position serves as the Behavioral Health Patient Services Representative for the San Diego Community Health Center Behavioral Health Department. This position ensures that the highest level of patient care is rendered to patients by greeting, answering incoming calls, registration, appointment scheduling, insurance verification and explain financial obligations, updates Eclinical Works(ECW), and Electronic Health Records (EHR) with patient’s updates, required administrative forms and documents and performs other various clerical duties
Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below.
Essential Duties and Responsibilities:
Primary Functions:
Greets patients in a courteous and respectful manner and maintains receptionist area and patient lobby clean, safe and comfortable for patients, visitors.
Schedule patient appointments including calling patients for reminders the day before, and rescheduling appointments if necessary.
Primary Functions: continue
Verifies patient information by interviewing patient; reviewing and/or recording medical history; confirming purpose of visit or treatment.
Completes records as assigned by providers. Generate revenues by recording billing information of services rendered; completing insurance forms; responding to insurance and other third-party inquiries.
Maintains patient confidentiality and protects operations by keeping patient care information confidential.
Assist patients in completing BH client self-assessments and getting release of information forms signed.
Ability to handle many phone calls regarding client medication concerns; must be calm and able to handle upset clients in a respectful and factual manner, while also informing PNPs.
Obtain insurance “prior authorizations” so patients can be seen and/or medications prescribed.
Inventory supplies and materials
Data entry to maintain office and patient records.
Ability to demonstrate superior customer service.
Interact with staff in a supportive manner to keep the workflow going and to keep the department safe and clean.
On occasion assist client in office or call in having a crisis and will need to know how to respond to help the client keep calm and to keep the department safe.
Ensures verification and data entry of updated demographics and insurance information is completed, clinical and administrative forms and documents are completed and scanned, screens and process applications for available medical programs such as CHDP/EWW/FPACT/SFS, clinical codes are entered correctly during patient check-in.
Answers incoming calls and ensures new patient appointments, appointment cancellations and rescheduling of appointments are completed in a timely manner.
Ensures voicemail messages and returns phone calls are completed promptly per front desk process and guidelines.
Maintains schedules updated with current status throughout the business day, assures no-shows are coded and patients are checked-in and out in a timely manner in accordance with medical department guidelines and process.
Ensure the appointment report is scanned to fiscal by 10:00 am the next business day.
Identifies patient payer sources, verifies insurance eligibility, and benefits and determines co-pays and deductibles, PCP changes needed, SFS notifications, and communicates to patients and front desk prior to appointment.
Ensure scheduled appointments are scheduled within scheduling guidelines.
Forwards HEDIS insurance print outs to Provider and communicates any discrepancies to immediate supervisor and provider.
Complete administrative check offs by reviewing patient EHR, scheduling system and identifying outstanding required administrative and clinical forms, administrative required documents such as native verifications, photo IDs, insurance cards and completion of SFS applications. Request paper chart from medical records as needed in accordance to medical records policy and guidelines.
Ensures data…