Providence Health & Services Patient Care Representative Lead - Torrance *FT Days* in Torrance, California
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Providence is calling a Patient Care Representative Lead (Full-Time/Day Shift) to Providence Medical Institute in Torrance, CA.
Please upload a current resume reflecting all relevant experience.
We are seeking a Patient Care Representative Lead who will be responsible for the supervision of patient management, including the flow of patients through the front office in an efficient and professional manner, the accurate coding of services rendered and over the counter cash management. Serves as a first line resource for PCR I, II and III by being a role model to staff members.
In this position you will:
Answers phones promptly. Screens and directs phone calls appropriately. Timely response to routine inquiries. Takes accurate and complete messages and forwards messages promptly and accurately
Schedules patients in a timely and accurate manner and inputs patient demographic information into computer system, where applicable
Completes patient check in process. This includes:
Ensure patients sign the Sign in Sheet
Verify/updates or has patient complete new Patient Registration Form
Collects and ensures accurate insurance and demographic information
Copies Insurance card
Initials Patient Registration Form and superbill to confirm completeness of insurance information
Collects patient co-payments
Completes patient check out process. This includes:
Maximizing collections by following department policies and procedures
Review the patient superbill for completeness of services rendered, diagnosis, follow up instructions and scheduling next appointment or completing patient recall card
Obtains necessary information to complete authorizations as directed by the insurance requirements and the physician/provider. Maintains authorization log and notifies patient of receipt of authorization within twenty four hours. Notifies physician/provider of any denials
Maintaining an orderly and pleasing work space that ensures the integrity and safety of the practice, patients and personnel
Responsible for accurate coding and batching of services rendered. Prepares paperwork, including accurate completion of Batch Summary Form and submits within forty eight hours the completed required information to the Central Billing Office
Responsible for maximizing collection of all over the counter payments due at time of Service. This may include co-payments, deductibles, uninsured and patient balances. Manage received cash by adhering to the department policy and procedure cash on cash control
Responsible for supervising and training front office staff, including patient care rep I, II and III. Supervision includes coordinating job functions, contributing to designated staff performance reviews, first line disciplinary actions, staffing. Intervenes with customers in difficult or non-routine matters. Responsible for communicating to supervisor general and non-routine front office duties. Responsible for the management of physician schedules
Scans and links text/images in Electronic Medical Record
Responsible for timely and accurate verification of patient insurance and demographic information and ensures the communication of this information to the appropriate staff
Serves as liaison with employers for worker’s compensation and employer bulk and MILCM, to facilitate workflow and customer service
Responsible for completing worker’s compensation first reports and status report.
Responsible for reporting status of diagnostic/specialty services ordered by rendering physician at the site in a timely manner, as specified by supervisor
Responsible for maintaining and documenting an appropriate inventory of front office supplies
Responsible for completing specialty services batching accurately and timely
Responsible for “Rounding with Purpose” and being the Patient Advocate
Documentation/Information Management: Utilizes MIS systems according to policy and procedure. Appropriate care and maintenance of MIS system needs to be observed at all times
Performance Improvement: Participates in CQI and/or quality management activities as identified by supervisor
Development: Keeps abreast of department policies and procedures by positively participating in staff meeting and inservices. Participates in at least one Human Resource Education Program per year
Budgetary: Responsible to use equipment and supplies efficiently and to make suggestions for cost cutting initiatives to supervisor
Required qualifications for this position includes:
4 years experience in medical office
Knowledge of ICD-9 / CPT Coding
Able to use Microsoft Office Suite
Typing / keyboarding skills of 45 WPM
Preferred qualifications for this position includes:
- 1 year Supervisory experience
About the hospital you will serve:
Providence Health & Services is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.
We offer comprehensive, best-in-class benefits to our caregivers. For more information, visit
As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.
Providence is a comprehensive not-for-profit network of hospitals, care centers, health plans, physicians, clinics, home health care and services continuing a more than 100-year tradition of serving the poor and vulnerable. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.
Job Category: Patient Services
Req ID: 310346