Patient Services Representative I

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

📋 Description

• Answer patient/client inquiries and resolve them with professionalism, ensuring a positive representation of RCM Vituity.

• Assess accounts and take necessary actions, such as gathering insurance information, providing financial assistance, processing credit card transactions, referring accounts to collection agencies, or directing accounts to billing teams.

• Update patient accounts and notes according to actions taken or requests made.

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

• Identify and relay Patient Services concerns.

• Manage incoming and outgoing calls.

• Carry out additional tasks as assigned by management.

⛳️ Requirements

• Capable of typing at least 40 words per minute or 7,000 data entry keystrokes per hour.

• High school diploma or an equivalent qualification.

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

• Related experience in a medical setting is preferred.

• Prior call center experience is highly desirable.

• Customer service experience is preferable.

• Bilingual in Spanish, both oral and written, is a plus.

• Strong customer service background is preferred.

• Familiarity with medical terminology is preferred.

• Proficient in Microsoft Office and Windows software is preferred.

• Excellent written and verbal communication skills.

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

• Knowledge of insurance and managed care requirements.

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

• Awareness of medical and billing terminology.

• Effective customer service abilities with both internal and external customers.

• Capability to make phone calls aimed at resolving accounts.

• Ability to foster teamwork.

• Flexible and adaptable to a dynamic work environment.

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

• Ability to compose simple correspondence.

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

• Proficient in performing basic arithmetic using whole numbers, common fractions, and decimals.

• Ability to perform 10-key entry by touch.

• Capable of working independently with minimal supervision.

• Ability to utilize common sense to follow through on written, verbal, or diagrammed instructions.

• Aptitude for addressing problems that involve several concrete variables in standardized scenarios.

• Willingness to work overtime during peak periods.

🏝️ Benefits

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

• Training opportunities to support and enhance your professional growth.

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

• Flexible work hours.

• Opportunities to participate in Vituity community events like LGBTQ+ History, Día de los Muertos Celebration, Money Management/Money Relationship, and others.

• Comprehensive health plan options.

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

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

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

• Discounts on student loan refinancing.

• Professional and Career Development Program.

• EAP and travel assistance included.

• Wellness program.

• A 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 yearly performance.