United Health Centers of the San Joaquin Valley

  • Central Registration Representative

    Job Locations US-CA-Parlier
    Posted Date 1 month ago(11/14/2018 9:25 AM)
    Job ID
    2018-1201
    # of Openings
    1
    Category
    Central Registration
  • Overview

    PLEASE NOTE: UHC Central Registration Department is currently located in Parlier, but will be relocating to Fresno in January 2019.

     

    This position is responsible for the efficient and effective scheduling of site appointments. Answer incoming telephone calls from patients and physician offices calling to schedule Medical, Dental, CPSP, Behavioral Health, Health Education, Enrollment and Vision appointments. Confirms medical, dental and enrollment appointments per established protocols. Secures patient information for charting, billing and record keeping purposes. Ensures that established information is obtained in order to pre-register patients. Screens and evaluates processes necessary to determine a patient’s eligibility for third party coverage. Educates and enrolls patients into Medi-Cal and Qualified Health Plans for Covered California. Additionally, is an expert in UHC’s Sliding Fee and has knowledge of UHC’s covered services, billing, and reimbursement procedures. Representative must be able to identify any schedule conflicts and take appropriate action to ensure smooth patient flows and the highest level of resource utilization possible.

    Responsibilities

    • Overall knowledge of the revenue cycle process, registration, insurance verification, pre-certification, billing compliance, payer contracts, patient estimation, financial assistance. Schedules, educates registers, verifies and estimates services for the patient
    • Registering patients for appointments; obtaining updated insurance and demographic information and entering it in the computer system, and ensuring completion of all necessary paperwork
    • Educate and enrollment into Medi-Cal and qualified health plans
    • Attend community events to education and enrollment
    • Answer incoming calls on a multi-line phone
    • Making outbound calls to confirm and obtain pre-registration information
    • Copying/scanning insurance cards
    • Take payments over the phone
    • Promptly and courteously answers and screens phone calls for the department; routes call as appropriate within established customer service guidelines; accurately records messages and delivers to the appropriate party in a timely manner; checks voicemail frequently
    • Obtaining/updating patient charts with registration and eligibility documentation
    • Providing outstanding customer service to internal and external customers 
    • Reporting any potential customer concerns or complaints immediately to management 
    • Utilizes protocol for patient look up to ensure accurate identification of patient to ensure data integrity and patient safety
    • Is responsible for the site’s completeness of sliding fee applications and documentation
    •  Daily, print, plan and review of Appointment report

    Qualifications

    EDUCATION AND LICENSE/CERTIFICATION:

    • High School Graduate or equivalent. Associates Degree preferred.
    • Enrollment Specialist/Certified Enrollment Counselor certification, preferred.

    PRIOR EXPERIENCE:

    • Minimum 2 years of experience in a health center setting as Healthcare Associate.

    • Knowledge in scheduling or call center environment.
    • Knowledge of billing processes and coding preferred.         
    • Demonstration of strong understanding of UHC front office processes and patient intake.

    SKILLS:

    • Bilingual (English/Spanish)
    • Able to quickly build and maintain rapport with patients and providers of differing backgrounds
    • Team player
    • Customer-service oriented
    • Strong computer skills
    • Positive professional insight
    • Flexibility and dependability
    • Demonstrated good problem-solving skills; sound judgment
    • Effective leadership/supervisory skills
    • Modern office practices and procedures including email
    • Intermediate computer skills
    • Attention to detail and excellent follow-through on work tasks
    • Able to handle multiple tasks simultaneously 

    PHYSICAL REQUIREMENTS:

    • Must be able to lift up to 20 pounds and push up to 50 pounds (on wheels).
    • Must be able to hear staff on the phone and speak clearly in order to communicate information to patients and staff.
    • Must be able to read memos, computer screens, personnel forms and clinical and administrative documents.
    • Must have high manual dexterity.
    • Must be able to reach above the shoulder level to work, must be able to bend, squat and sit, stand, stoop, crouch, reach, kneel, twist/turn
    • Travel may be required to travel to other health centers and community events.

     

    ADDITIONAL JOB INFRMATION:

    Hours of Operation: Must be available to work non-standard hours and overtime based on work volume. Hours of operation are 8:00AM to 8:00 PM, schedules may vary. Successful applicants must be flexible with their start and end times, as work hours will be based on the business needs of our internal and external customers. Applicants will be required to rotate and work a variety of shifts, may include weekends. 

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