Clinic Support Representative Behavior Health

Clinic Support Representative Behavior Health

The Clinic Support Representative (CSR) while reporting directly to the Director of Patient Experience will work closely with the Clinic Managers to perform all primary functions as an advanced Clinic Support Representative. The CSR will deliver the ultimate Platinum Experience.

Primary Functions:

• Performs all the functions of a Clinic Support Representative, under the direction of the Director of Patient Experience in collaboration with Clinic Managers where assigned.
• Maintains knowledge of all services and units of the Health Center, and it's department and communicate such information to patients as needed.
• Promotes the utilization of Services that Swope Health offers to help with Patient retention.
• Assists with special registration programs.
• Ensures accurate patient data is entered correctly in Electronic Clinical Works (eCW) and any HER systems Swope Health uses effectively, and efficiently.
• Disseminates information on Patient Bill of rights, Patient Services guide and Patient Resource guide.
• Responsible for collecting co-pays, services fees and deductibles as needed.
• Responsible for clearly explaining the sliding fee scale to help promote revenue cycle
• Works with Finance Department to resolve administrative claim denials.
• Is knowledgeable of specialty requirements of children, adults, and seniors through thorough understanding of Medicare, Medicaid, MC+, private insurance and self-pay requirements.
• When working in the clinic will answer phones, assist with front office needs, validate cash bags, prepare money for deposits and lock in safe, greet patients, and other duties as needed or assigned to ensure the front desk functions and flows to improve patient flow, so they received exceptional care starting with the front end process.
• Performs other related duties as assigned.

Educational Requirements: High school diploma and at least 4 or more years of customer service experience in a business office or medical office/clinic or hospital registration/admissions setting.

Experience & Qualifications:

• High school diploma and at least 4 or more years of customer service experience in a business office or medical office/clinic or hospital registration/admissions setting.
• Professionalism and Strong Soft Skills
• Working knowledge of funding sources and regulatory issues impacting Health Care billing and collection functions.
• Proficient computer skills.

Swope Health Services supports its team members with:

• Medical benefits (including a Health Savings Account option), dental and vision
• 401(k) retirement plan with company match
• Company-paid benefits such as life insurance, Accidental Death & Dismemberment, and Short- and Long-Term Disability
• Flexible Spending Account
• Paid Days Off beginning at 12 days annually, effective the first day of employment
• Nine annual company-paid holidays; One annual paid personal day.

About Swope Health Services: Each year, Swope Health serves over 45,000 patients, encompassing more than 200,000 visits in four counties on both sides of the state line. Our team members are proud of the work we do and the promise we've made – delivering coordinated care that values the needs of the whole person and championing better health in our community. Swope Health is a special place that cares for the people who need it most, wherever they are in the community. As part of our promise to battle health inequities and provide high-quality, comprehensive care, we make care visible. That means we proudly deliver our promise through every action, every day.