Patient Service Representative

Job Description

About FCHC:

Since 1976, Florida Community Health Centers, Inc. (FCHC) has been a health care leader in Florida. We provide comprehensive primary and specialty health care and patient support services through a network of Centers surrounding Lake Okeechobee and across Florida’s Treasure Coast. Our mission is to ensure that everyone in our communities has access to culturally competent, high-quality health care that they can afford. FCHC has locations in Clewiston, Moore Haven, Okeechobee, Fort Pierce, Port St. Lucie, Stuart, Indiantown, Pahokee and West Palm Beach. FCHC’s Corporate Office is centrally located in West Palm Beach, Florida. FCHC has multiple staff members who speak Spanish and Creole, and translation is available for other languages as needed. FCHC has created a “one-stop shop” for patients–providing Pediatric and Adult Primary Care, Dental, OB/GYN and Women’s Health, Infectious Disease, Behavioral Health, Pharmacy, chronic disease education and care management, referral assistance, benefit enrollment assistance and coordination, and telehealth services. Our patients benefit from a “medical home” model, where they may access our extensive array of health care clinicians and services in an atmosphere where they are treated with respect, care, and concern.

Mission

The Mission of Florida Community Health Centers, Inc. (FCHC) is to provide accessible, cost-effective, high-quality, comprehensive health care to all persons in our communities.

Vision

Florida Community Health Centers, Inc. (FCHC) will maintain strong leadership in, and advocate for, the provision of health care services.

FCHC will foster and promote collaborative relationships and will develop partnerships with local, state, and federal public health service agencies and the community in general, to enhance the quality of delivery systems for comprehensive health care. FCHC will be an employer of choice and will demonstrate excellence with a highly trained staff and governing board.

Values

FCHC values Integrity, Compassion, Commitment to serving others (external and internal to the organization), Innovation, Effectiveness (cost and outcome), Efficiency, being Mission-driven, Commitment to serving others internal to organization and Commitment to Excellence.

**This center is hiring multiple candidates**

PC 12-5011-194

PC 12-5011-064

PC 12-5011-309

Role and Responsibilities:

Employee has a working knowledge of and is able to explain all aspects of the Medical Records Policies and Procedures. (i.e., release of records, subpoenas, etc.)

Greets patients as they arrive, has patient sign in, verifies demographic information and ensures ready “for staff” status changes. Maintains a warm and friendly environment and exhibits good customer service.

Properly works “Eligibility Issues Bucket”, for any insurance discrepancies the day before scheduled. Monitors next day appointment status by utilizing the automated eligibility and phone list report.

Responsible party and patient demographics including address verification, are completely entered into the system in accordance with the policy and procedure manual to include name, date of birth, income, family size, alerts, PCP and contact preference

Properly identify and verify third party coverage, sliding fee scale eligibility and complete appropriate forms (i.e., insurance verification form, income information form, Availity, Medicare questionnaire[MSP], Medicaid verifications, etc.). Obtain proof of income annually with tax return or three consecutive pay stubs. Ensure proper pay codes are added to account including selecting proper carriers and ID numbers as required for accurate billing.

Understand definition of and determines migrant seasonal farm worker status, homeless status, and properly enters into EHR Systems

Employee accurately explains patient responsibility for all payor codes. (i.e., insurance, sliding fee scale, Medicaid, Medicare, and special programs).

A properly executed consent for treatment and Health Care Proxy and Contact Information Form are obtained according to policy.

Maintains cash drawer ensuring accuracy and security at all times. Cash drawer consistently balances preventing shortages/overages. Ensure cash drawer is balanced upon leaving for and returning from lunch

Explains charge totals for the day and patients portion to the patients. Collects appropriate co pays, co insurance and sliding fee scale portions during registration and/or exiting patient. Review outstanding balances in patient accounts

Review the current day’s charges with patient

Review account past due balance. (i.e., ROA, CIB, Bad debt.)

Process receipt for patient and keeps a signed copy of credit card payments

Timely entering of the completed encounter ensuring proper payor codes, correct site location, and diagnosis are assigned. (Encounters must be entered by noon on the 2nd business day after the date of service.)

Reviews workflow dashboard, claim in hold, patient account holds, and ensures all claims are created and resolved. Completes deposit slip, balancing cash & checks to DCRJ

Process charge entry user audit report and balances charges to encounters and payments Daily Cash Receipt Journal (DCRJ) and compares data entry on report

Balance and complete DCRJ accurately and completely

Ensure all receipts are accounted for and used in sequential order.

Qualifications and Education Requirements:

High School Graduate or Equivalent

One (1) year of Data Entry/Medical Office experience ( preferred )

Strong Customer Relations Skills

Valid Florida Driver’s License and has reliable/accessible transportation.

Bilingual (Spanish/English) speaking (preferred)

Apply at Description

Our mission here at Florida Community Health Centers, Inc. is to t provide accessible, cost-effective, high-quality, comprehensive health care to ALL persons in our communities. We serve 16 locations surrounding Lake Okeechobee & the Treasure Coast. Should you be interested please submit your resume to us for review. Thank you!