Location
Los Angeles, CA, United States
Posted on
Mar 01, 2022
Profile
**Apply today! Applicants that meet qualifications will receive a text with additional questions from our MODERN HIRE screening and interview system.**
**$1,000 Sign-on Bonus for eligible external candidates who meet all conditions for payments - this is in addition to the fantastic benefits and compensation package offered by Providence that begin on your first day of employment.**
**Providence is calling a Patient Care Representative Lead (Full-Time/Day Shift) to Providence Medical Institute in Los Angeles, CA.**
**Please upload a current resume reflecting all professional relevant experience.**
**We are seeking a Patient Care Representative Lead** who will be responsible for the supervision of patient management, including the flow of patients through the front office in an efficient and professional manner, the accurate coding of services rendered and over the counter cash management. Serves as a first line resource for PCR I, II and III by being a role model to staff members.
**In this position you will:**
Answer phones promptly. Screen and direct phone calls appropriately. Timely response to routine inquiries. Take accurate and complete messages and forwards messages promptly and accurately.
Schedule patients in a timely and accurate manner and inputs patient demographic information into computer system, where applicable.
Complete patient check in process. This includes:
Ensure patients sign the Sign in Sheet.
Verify/update or has patient complete new Patient Registration Form.
Collect and ensures accurate insurance and demographic information.
Copy Insurance card.
Initial Patient Registration Form and superbill to confirm completeness of insurance information.
Collect patient co-payments.
Complete patient check out process. This includes:
Maximizing collections by following department policies and procedures.
Review the patient superbill for completeness of services rendered, diagnosis, follow up instructions and scheduling next appointment or completing patient recall card.
Obtain necessary information to complete authorizations as directed by the insurance requirements and the physician/provider. Maintain authorization log and notifies patient of receipt of authorization within twenty four hours. Notify physician/provider of any denials.
Maintaining an orderly and pleasing work space that ensures the integrity and safety of the practice, patients and personnel.
Responsible for accurate coding and batching of services rendered. Prepares paperwork, including accurate completion of Batch Summary Form and submits within forty eight hours the completed required information to the Central Billing Office.
Responsible for maximizing collection of all over the counter payments due at time of Service. This may include co-payments, deductibles, uninsured and patient balances. Manage received cash by adhering to the department policy and procedure cash on cash control.
Responsible for supervising and training front office staff, including patient care rep I, II and III. Supervision includes coordinating job functions, contributing to designated staff performance reviews, first line disciplinary actions, staffing. Intervenes with customers in difficult or non-routine matters. Responsible for communicating to supervisor general and non-routine front office duties. Responsible for the management of physician schedules.
Scan and link text/images in Electronic Medical Record.
Responsible for timely and accurate verification of patient insurance and demographic information and ensures the communication of this information to the appropriate staff.
Serve as liaison with employers for workers compensation and employer bulk and MILCM, to facilitate workflow and customer service.
Responsible for completing workers compensation first reports and status reports.
Responsible for reporting status of diagnostic/specialty services ordered by rendering physician at the site in a timely manner, as specified by supervisor.
Responsible for maintaining and documenting an appropriate inventory of front office supplies.
Responsible for completing specialty services batching accurately and timely.
Responsible for Rounding with Purpose and being the Patient Advocate.
Documentation/Information Management: Utilize MIS systems according to policy and procedure. Appropriate care and maintenance of MIS system needs to be observed at all times.
Performance Improvement: Participate in CQI and/or quality management activities as identified by supervisor.
Development: Keep abreast of department policies and procedures by positively participating in staff meeting and inservices. Participates in at least one Human Resource Education Program per year.
Budgetary: Responsible to use equipment and supplies efficiently and to make suggestions for cost cutting initiatives to supervisor.
**Qualifications:**
**Required qualifications for this position includes:**
4 years of experience in medical office
Knowledge of ICD-9 / CPT Coding
Able to use Microsoft Office Suite
Typing / keyboarding skills of 45 WPM
**Preferred qualifications for this position includes:**
1 year of Supervisory experience
**About the hospital you will serve:**
Providence Health & Services is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.
We offer a full comprehensive range of benefits see our website for details ******We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit**
******Our Mission**
As expressions of Gods healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
**About Us**
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
**Schedule:** Full-time
**Shift:** Day
**Job Category:** Patient Services
**Location:** California-Los Angeles
**Req ID:** 337498
Categories
Information Technology
Customer Service
Healthcare
Construction / Skilled Trades
Administrative / Clerical
Posted:
2022-03-01
Expires:
2022-03-31
Providence Health & Services
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