Patient Services Representative (PSR)-Endocrinology-Full Time-SF - Full-time / Part-time

Sutter Pacific Medical Foundation is a not for profit corporation that exists to provide medical services, research and education. The foundation provides the infrastructure for the delivery of physician services, and contracts with a separate corporation comprised of physicians and other care providers to deliver the clinical services. This multi-specialty foundation will provide a platform from which new physicians can be recruited to continue to provide physician services in a nonprofit, community setting. The Foundation's vision is to create a medical group that will deliver high quality, market competitive medical services.

The Patient Services Representative (PSR) determines and revises patient and clinician scheduling, including referral appointments. The position ensures all necessary authorizations are obtained prior to patient visits. The PSR participates in the posting of charges and payments using the Front Desk Check-In/Check-Out process. The position also has the ability to cover any non-clinical position within the Care Center. High School Diploma or equivalent. Medical office experience sufficient to perform in all duties and aspects of the Care Center front office, including computerized scheduling and billing, complex coding, and specific and general office duties, as can be obtained with 2-3 years of experience in a medical office. Sufficient knowledge of HMO/PPO insurance programs to correctly assess the need for prior authorization of procedures/referrals and to interpret patient financial information. Sufficient current knowledge of medical billing procedures, including CPT, ICD-9 and HCPCS codes, and medical terminology to accurately bill patients' various medical insurance carriers. Knowledge of physician office scheduling procedures sufficient to create and manage efficient schedules for multiple physicians, as would be typically obtained in a year of similar experience. Administrative knowledge of surgical and medical procedures.

Knowledge of medical terminology sufficient to identify, interpret and explain medical procedures to patients, third party payors and medical facility personnel. Skill in analyzing situations and making timely decisions under pressure. Typing speed and accuracy at 45 WPM, allowing for the accurate computer entry of the needed volume of data, and to query accounts while patients are on the phone. Excellent telephone and customer service skills. Medical billing skills sufficient to accurately enter correct charge and payment data into the computer system and to utilize the Rejection Report.