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The Summit Community Care Clinic (SCCC) Patient Services Representative (PSR) is the first point of contact with our patients, from checking in through to checking out and/or rescheduling appointments. The PSR is the liaison between the Revenue Cycle partners: the patient, front desk, billing, and our clinical teams. They will ensure that appointments, patient demographics, accounts, and insurance verification is in the Electronic Medical Record (EMR) accurately. Assist patients with paperwork, consent forms, payments, and other check in processes when they arrive for their appointment. They will be knowledgeable in all programs of the clinic. After being fully trained as a Patient Services Representative this person will transition into the Spanish Call Center Representative with the possibility to be 50% remote after 6-12 months of employment.

As a condition of employment, Summit Community Care Clinic requires COVID-19 vaccination of all clinical and non-clinical staff.

Essential Functions:

• Patient Check-in Process:

• Verify and/or update insurance in Aprima (Medical, BH, & RH).
• Collect all required paperwork, consent forms, and payment.
• Utilize state Medicaid portal to verify coverage for any patients with sliding fee or self-pay status.

• Pre-appointment preparation:

• Verify information looking for any misinformation. If misinformation is identified, the responsible party should be contacted to obtain the correct information.
• Review account to ensure accuracy of patient demographic information (SBHC, Title X).
• Confirm appointment type is appropriate for problem listed and place of service.
• Update/dismiss out of date remarks.
• Review notes from Insurance Verification Specialist to determine amounts due; both co-pay and any past due balances.

• Works with Billers to retroactively bill for changes to insurances.
• Receives returned mail and follows up with responsible party to obtain the correct address.
• Reviews claims for bad addresses and/or bad debt, submitting them for further review by the PSR Manager. PSR Manager will submit these claims o the board if their approval is necessary.
• Responds to billing inquiries from patients, providers, insurers via task messages, e-mail and/or telephone as needed.
• Performs general clerical duties and other routine functions.
• Ensures strict confidentiality of patient and financial records.
• Collaboration with various clinic teams to ensure smooth workflows for patient visit experiences.
• Works closely with Call Center team to ensure optimal customer service.

Additional Requirements:

• Grants are a vital part of Care Clinic revenues and directly or indirectly support all positions. This role may have responsibilities that are closely associated with grant deliverables. Grants and grant responsibilities may change over time.
• Complete all required trainings as designated by HR and the position supervisor.
• Adhere to all policies within organization and those outlined within the SCCC Employee Handbook.
• Comply with all SCCC Vaccine Mandates.
• Willingness to travel and work at other SCCC locations as determined by the supervisor.
• Comply with all applicable Credentialing and Privileging requirements timely.
• Embrace the SCCC Mission and Vision and agree to work within the SCCC Guiding Principles and the principles set by the position supervisor.

• Must participate in quality assurance/ improvement activities when applicable.

Qualifications:

To perform this job successfully, an individual must be able to engage in each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skills, and/or abilities required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

**Ask about our $2000 sign on BONUS**