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Zufall Health

Patient Representative I

Zufall Health, Somerville, New Jersey, us, 08876

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Patient Representative I

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Zufall Health .

Description The Patient representative (PR) acts as a greeter to patients entering Zufall Health Center, answers the telephone, completes registration, and conducts intake as needed. The PR directs patients to the appropriate destination, answers questions, explains processes, reviews required documentation, checks eligibility, and supports the mission and vision of the Zufall Health Center.

Essential Functions, Duties and Responsibilities

Consistently adheres to all departmental policies and procedures

Conducts all aspects of job in a professional and ethical manner

Works independently with little or no supervision but uses available resources for problem resolution as indicated by circumstances or need

Completes assignments in a timely and efficient manner

Maintains high level of confidentiality

Works collaboratively with team members to assure the optimal outcomes of care and service

Utilizes departmental resources prudently and appropriately

Uses communication methods which create and foster a positive image of the department, upholding the values of the Zufall Health Center

Communicates appropriately both verbally and in writing; uses appropriate mechanisms for identifying and resolving work‑related issues

Keeps manager or supervisor informed of work‑related issues at all times

Performs additional duties as determined by supervisor

Specific Duties – Interaction with Patients

Greets all visitors to the facility and directs them to their appropriate destination

Greets patients and visitors in a prompt, pleasant, and helpful manner in person and on the telephone

Answers the telephone and makes appointments or responds to inquiries

Ensures that the patient brings all supporting documentation to visit

Reminds patient of appointment time, documentation needed, immunization records for new patient pediatric appointments, and schedules and reschedules appointments

Explains processes and forms to patients as needed

Conducts eligibility checks on insurances

Collects payments from patients, enters the payment in eCW and prints receipts for patient. PR’s are responsible for the money they collect and ensuring that it is locked in the safe or locked drawer at their desk or in supervisor’s office at all times. Keys to drawers are never to be left in the open

Communicates with the medical staff regarding patient’s visits

Assists with printing out requisitions or other forms as needed

As PR’s are in the public areas, they should present themselves always as professional and friendly, and act as a team player in all situations. They are responsible for keeping their personal areas and their surrounding public areas neat and clean and should routinely “straighten up” during the day

Appearance of attire and possessions: PR’s should keep their “scrubs” that they wear in good condition, clean and neat. Only Zufall jackets are to be worn over scrubs. Wearing of personal sweaters or sweatshirts are not allowed. Only white T shirts are allowed under scrubs and clean sneakers are to be worn. No personal clothing or possessions are to be visible at their desk or on the back of the chair. This includes cell phones which should never be taken out, for any reason in an area where patients are allowed, regardless of whether or patients or visitors are present

PR’s are hired as a PR I. They remain at this level during their initial training and after three months of employment are required to take an exam which covers all of the material that is required to perform their duties. It includes but is not limited to customer satisfaction, telephone encounters, refill processes, insurances, registration of patients, special population definitions, HIPAA, compliance and Zufall policies and procedures. Staff will have three opportunities to pass the exam. If they do not pass at their first or second try they will be given additional training. If however, they fail three times, they will be terminated

Communication

Maintains patients’ confidentiality in compliance with HIPAA and other federal, state and local regulations as stated in the ZHC policies and procedures manual

Answers inquiries of patients and public in person or via telephone regarding regulations and services; when necessary, refers inquiries to appropriate person or department

Reads, writes, speaks, understands, and communicates in English and Spanish sufficiently to perform the duties of this position

Requirements

Has knowledge of computer software programs such as Microsoft Word, and electronic medical records

Has excellent customer service skills

Be able to work with very little supervision

Be able to adapt quickly to unanticipated changes in workflow or work process, or frequent changes in insurances rules and coverage changes

Be able to understand, carry out, and remember verbal and written instructions

Bilingual English and Spanish required

Education, Training & Experience

High School diploma required; college credit or additional education in medical field or insurance and billing courses preferred

Possess a current, unrestricted New Jersey operator license issued by the New Jersey Division of Motor Vehicles, or be able to efficiently and effectively use public transportation in order to be able to travel to other sites as needed

Have minimum of 1 year experience in customer service field, and 1 year of experience in collecting money or billing and insurances

Experience in a clinical/ambulatory care setting preferred

Salary $16.00-$18.55 per hour

Seniority Level

Entry level

Employment type

Full-time

Job function

Health Care Provider

Industries

Hospitals and Health Care

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