Customer Service Representative
Company: Sansum Clinic
Location: Santa Barbara
Posted on: May 31, 2021
About the CompanySansum Clinic is the largest independent
nonprofit healthcare organization between the Los Angeles Basin and
the San Francisco Bay Area. With more than 150 affiliated
physicians and 1,000 employees, Sansum Clinic provides the full
spectrum of healthcare services, from primary care to more than 30
specialties. Sansum Clinic serves more than 150,000 patients
(600,000 visits) annually at our 25+ patient care facilities
between Carpinteria and Santa Maria.Job DescriptionGENERAL
STATEMENT OF DUTIES: Represents the clinic to patients, insurance
companies, local companies, attorneys, front line staff and
providers to ensure efficient claims submissions and statement
processing for services rendered by Sansum Clinic providers as well
as contract providers. ESSENTIAL FUNCTIONS AND RESPONSIBILITIES:
(This list may not include all of the responsibilities assigned.)
Answers telephones to provide information in a pleasant manner
while dealing with high volume of patient calls. Perform duties
primarily of a clerical nature designed to culminate in receivables
by third parties for services rendered. Fields questions and
requests both verbally and in writing concerning patient accounts.
Assist patients in completing necessary forms. Submits claims to
insurance carriers and attorneys to ensure timely correct payment.
Participates in department quality improvement, clinic safety,
infection control and hazardous materials programs and activities.
Adheres to all policies and procedures. Completes annual
performance and competency evaluation process with management and
participates in goal setting, performance improvement and
educational training as needed. Participates in professional
development activities and maintains professional affiliations.
Attends required meetings and participates in committees as
requested. Adheres to HIPAA regulations. Exercises discretion and
maintains high level of confidentiality. Performs related work as
required.KNOWLEDGE, ABILITIES, AND SKILLS: Knowledge of common
safety hazards and precautions to establish a safe work
environment. Ability to communicate well with patients, families,
co-workers, physicians, other members of the healthcare team, etc.
Ability to adapt to varied, age-specific and/or specialized groups.
Ability to understand use, function, interpret, document, and keep
records. Ability to interpret, adapt and apply guidelines and
procedures. Ability to react calmly and effectively in emergency
situations. Ability to read, write and communicate effectively in
English. Ability to organize and prioritize work. Ability to follow
oral and written instructions. Ability to reason and make sound
judgments. Skill in identifying problems and recommending
solutions. Skill in establishing and maintaining effective working
relationships with co-workers, management, patients, medical staff,
and the public. Skill in accepting constructive criticism and
giving suggestions in a professional manner. RequirementsEDUCATION,
EXPERIENCE AND LICENSURE: High School diploma or equivalent Minimum
of 6 months experience in an accounting or customer service
environment required. Knowledge of insurance billing procedures.
Attention to detail CompensationCompetitive salary, depending on
experience, with an excellent comprehensive benefit package if
eligible, including 403b, medical insurance, dental insurance, life
insurance and paid time off.
Keywords: Sansum Clinic, Santa Barbara , Customer Service Representative, Other , Santa Barbara, California
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