Patient Services Representative I

This is a fully remote position, open to applicants in California.

📋 Description

• Answer patient/client inquiries and resolve them efficiently, ensuring a positive impression of RCM Vituity.

• Review accounts and take necessary actions, such as collecting insurance details, providing financial assistance, processing credit card transactions, referring accounts to collections, or directing them to the relevant billing team.

• Update patient accounts and documentation based on actions taken or requests received.

• Conduct pre-verifications to assess eligibility and determine when to submit claims by performing online eligibility checks.

• Identify and address Patient Services concerns.

• Manage incoming and outgoing phone calls.

• Carry out additional tasks as assigned by management.

⛳️ Requirements

• Ability to type a minimum of 40 words per minute or 7,000 data entry keystrokes per hour.

• High school diploma or equivalent is required.

• Approximately two (2) years of experience in a healthcare environment or insurance-related field with a focus on patient registration and/or insurance authorization is essential.

• Experience in a medical setting is preferred.

• Previous experience in a call center is highly desirable.

• Customer service experience is preferable.

• Fluency in Spanish, both spoken and written, is a plus.

• Strong customer service experience is preferred.

• Familiarity with medical terminology is preferred.

• Proficiency in Microsoft Office and Windows software is preferred.

• Excellent written and verbal communication skills are required.

• Knowledge of medical group practice management systems and PC skills.

• Understanding of insurance and managed care requirements.

• Comprehension of health insurance concepts and requirements, including HMO, PPO, Medicare, Medi-Cal, and other federal and state programs.

• Knowledge of medical and billing terminology.

• Capability to demonstrate effective customer service skills with both internal and external clients.

• Ability to make phone calls to resolve account issues.

• Ability to foster teamwork.

• Flexibility and adaptability in a dynamic environment.

• Capacity to read and understand simple instructions, brief correspondence, and memos.

• Ability to write basic correspondence.

• Proficiency in presenting information effectively in one-on-one and small group settings.

• Ability to accurately perform addition, subtraction, multiplication, and division with whole numbers, fractions, and decimals.

• Capability to perform 10-key by touch.

• Ability to work independently with minimal supervision.

• Ability to apply common sense to follow written, verbal, or diagrammed instructions.

• Ability to handle problems involving multiple concrete variables in standardized situations.

• Availability to work overtime during peak periods.

🏝️ Benefits

• Monthly wellness events and programs such as yoga, HIIT classes, and more.

• Training opportunities to support and advance your professional development.

• Team-building activities including virtual scavenger hunts and holiday celebrations.

• Flexible working hours.

• Opportunities to participate in Vituity community events such as LGBTQ+ History Month, Día de los Muertos Celebration, and Money Management workshops.

• Comprehensive health plan options.

• Coverage for dental, vision, HSA/FSA, life insurance, and AD&D.

• Top-tier 401(k) retirement savings plans offering a $1.20 match for every dollar up to 6%, plus discretionary profit-sharing contributions (eligible January after 18 months of service).

• Generous paid time off starting at 3-4 weeks annually.

• Discounts on student loan refinancing.

• Professional and Career Development Program.

• Included Employee Assistance Program (EAP) and travel assistance.

• Wellness program.

• Purpose-driven culture focused on enhancing the lives of our patients, communities, and employees.

• Annual corporate Success Sharing bonus program based on the company’s performance.