Patient service representative jobs in La Mesa, CA - 849 jobs
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Customer Service Representative
Lori Long-State Farm Insurance Agent
Patient service representative job in San Diego, CA
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About the Company - Established State Farm Agent in Rancho Bernardo area looking for a licensed and experienced Part-Time Customer ServiceRepresentative to provide outstanding service to our customers. This is an in-office position.
Preferred Skills:
Property and Casualty Licensed
Experienced in the insurance industry
Strong communication skills
Friendly, reliable and smart
Detail oriented
Ability to work well in an office environment
Pay range and compensation package - Based on experience.
Equal Opportunity Statement: We are committed to diversity and inclusivity in our hiring practices.
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$31k-41k yearly est. 5d ago
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Part Time Patient Service Representative
Teksystems 4.4
Patient service representative job in San Diego, CA
We are seeking a dedicated and efficient PatientServiceRepresentative who will play a key role in providing exceptional customer service to patients, vendors, insurance companies, and other medical facilities. The ideal candidate will handle a high volume of incoming calls and manage patient appointments effectively.
Responsibilities
* Answer 60-80 incoming phone calls daily to respond to inquiries from patients, vendors, insurance companies, and other medical facilities.
* Provide excellent customer service by properly greeting, listening, assisting, directing, and closing each call.
* Re-schedule patient appointments as required via telephone calls, SMS, or messages received through our Patient Portal.
* Screen and route patient calls to other departments efficiently, ensuring accurate registration, appointment scheduling, and follow-up appointment scheduling in the EMR system.
* Take clear and accurate messages on behalf of patients using an internal communication template.
* Respond to patient questions and needs by editing, canceling, and rescheduling appointments as necessary according to clinic protocols.
* Maintain a good working relationship and effective communication within the department and with other departments for the benefit of the patient.
* Demonstrate knowledge and understanding of SY Health programs and services.
* Adhere to current department productivity and quality assurance requirements.
* Training schedules align with trainers, transitioning into a standard shift of 10:00am to 6:30pm.
Skills
* Minimum of 3 years of experience in customer service, call center, or healthcare setting.
* Fluency in English for both spoken and written communication.
* Exceptional phone manner.
* Excellent interpersonal and communication skills.
* Ability to type 35 words per minute with 90% accuracy.
*Job Type & Location*
This is a Contract to Hire position based out of San Diego, CA.
*Pay and Benefits*The pay range for this position is $25.00 - $25.00/hr.
Eligibility requirements apply to some benefits and may depend on your job
classification and length of employment. Benefits are subject to change and may be
subject to specific elections, plan, or program terms. If eligible, the benefits
available for this temporary role may include the following:
* Medical, dental & vision
* Critical Illness, Accident, and Hospital
* 401(k) Retirement Plan - Pre-tax and Roth post-tax contributions available
* Life Insurance (Voluntary Life & AD&D for the employee and dependents)
* Short and long-term disability
* Health Spending Account (HSA)
* Transportation benefits
* Employee Assistance Program
* Time Off/Leave (PTO, Vacation or Sick Leave)
*Workplace Type*This is a fully onsite position in San Diego,CA.
*Application Deadline*This position is anticipated to close on Jan 23, 2026.
h4>About TEKsystems:
We're partners in transformation. We help clients activate ideas and solutions to take advantage of a new world of opportunity. We are a team of 80,000 strong, working with over 6,000 clients, including 80% of the Fortune 500, across North America, Europe and Asia. As an industry leader in Full-Stack Technology Services, Talent Services, and real-world application, we work with progressive leaders to drive change. That's the power of true partnership. TEKsystems is an Allegis Group company.
The company is an equal opportunity employer and will consider all applications without regards to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
About TEKsystems and TEKsystems Global Services
We're a leading provider of business and technology services. We accelerate business transformation for our customers. Our expertise in strategy, design, execution and operations unlocks business value through a range of solutions. We're a team of 80,000 strong, working with over 6,000 customers, including 80% of the Fortune 500 across North America, Europe and Asia, who partner with us for our scale, full-stack capabilities and speed. We're strategic thinkers, hands-on collaborators, helping customers capitalize on change and master the momentum of technology. We're building tomorrow by delivering business outcomes and making positive impacts in our global communities. TEKsystems and TEKsystems Global Services are Allegis Group companies. Learn more at TEKsystems.com.
The company is an equal opportunity employer and will consider all applications without regard to race, sex, age, color, religion, national origin, veteran status, disability, sexual orientation, gender identity, genetic information or any characteristic protected by law.
$25-25 hourly 2d ago
Bilingual Patient Financial Advocate
Firstsource 4.0
Patient service representative job in Oceanside, CA
Hours: Tuesday-Saturday 10am-630pm
Pay Range: $19 - $21 hourly
Must be bilingual with English and Spanish
Join our team and make a difference!
The Patient Financial Advocate is responsible for screening patients on-site at hospitals for eligibility assistance programs either bedside or in the ER. This includes providing information and reports to client contact(s), keeping them current on our progress.
Essential Duties and Responsibilities:
Review the hospital census or utilize established referral method to identify self-pay patients consistently throughout the day.
Screen those patients that are referred to Firstsource for State, County and/or Federal eligibility assistance programs.
Initiate the application process bedside when possible.
Identifies specific patient needs and assist them with an enrollment application to the appropriate agency for assistance.
Introduces the patients to Firstsource services and informs them that we will be contacting them on a regular basis about their progress.
Provides transition, as applicable, for the backend Patient Advocate Specialist to develop a positive relationship with the patient.
Records all patient information on the designated in-house screening sheet.
Document the results of the screening in the onsite tracking tool and hospital computer system.
Identifies out-patient/ER accounts from the census or applicable referral method that are designated as self-pay.
Reviews system for available information for each outpatient account identified as self-pay.
Face to face screen patients on site as able. Attempts to reach patient by telephone if unable to screen face to face.
Document out-patient/ER accounts when accepted in the hospital system and on-site tracking tool.
Outside field work as required to include Patient home visits to screen for eligibility of State, County, and Federal programs.
Other Duties as assigned or required by client contract
Additional Duties and Responsibilities:
Maintain a positive working relationship with the hospital staff of all levels and departments.
Report any important occurrences to management as soon as possible (dramatic change in the number or type of referrals, etc.)
Access information for the Patient Advocate Specialist as needed (discharge dates, balances, itemized statements, medical records, etc.).
Keep an accurate log of accounts referred each day.
Meet specified goals and objectives as assigned by management on a regular basis.
Maintain confidentiality of account information at all times.
Maintain a neat and orderly workstation.
Adhere to prescribed policies and procedures as outlined in the Employee Handbook and the Employee Code of Conduct.
Maintain awareness of and actively participate in the Corporate Compliance Program.
Educational/Vocational/Previous Experience Recommendations:
High School Diploma or equivalent required.
1 - 3 years' experience of medical coding, medical billing, eligibility (hospital or government) or other pertinent medical experience is preferred.
Previous customer service experience preferred.
Must have basic computer skills.
Working Conditions:
Must be able to walk, sit, and stand for extended periods of time.
Dress code and other policies may be different at each healthcare facility.
Working on holidays or odd hours may be required at times.
Benefits including but not limited to: Medical, Vision, Dental, 401K, Paid Time Off
We are an equal opportunity employer that does not discriminate based on age (40 & over), race, color, religion, sex, national origin, protected veteran status, disability, sexual orientation, gender identity or any other protected class in accordance with applicable laws.
Firstsource Solutions USA, LLC
$19-21 hourly 5d ago
Medical Biller - Cal AIM
Neighbor 4.3
Patient service representative job in San Diego, CA
The Medical Biller for Cal AIM Services is responsible for accurately billing and processing claims for Enhanced Care Management (ECM), Recuperative Care, Community Supports (CS), detox billing, and other Cal AIM-related services. This role ensures timely claim submission, compliance with DHCS and Managed Care Plan (MCP) requirements, and effective coordination with clinical, administrative, and data teams to support revenue integrity.
Essential Functions
Prepare, submit, and track claims for ECM, Recuperative Care, Community Supports, detox billing, and other Cal AIM service lines.
Verify eligibility and authorization requirements for all Cal AIM beneficiaries.
Ensure documentation meets Cal AIM billing standards, including encounter data, activity logs, and service notes.
Reconcile encounters and claims to identify discrepancies or missing documentation.
Process claims corrections, resubmissions, and voids as needed.
Collaborate with ECM/CS/RCP program staff, care managers, and supervisors(stakeholders) to clarify documentation needs and share reconciliation reports of reimbursements.
Communicate with Managed Care Plans regarding claim follow-up, denials, Appeals and payment discrepancies.
Provide feedback and training to program staff regarding billing requirements and documentation best practices.
Maintain accurate records of claims, payments, denials, Appeals and adjustments.
Generate billing reports, productivity summaries, and revenue tracking related to Cal AIM services.
Support audits and data validation efforts as required.
On time, completion of assigned training and policies.
Performs other duties as assigned.
Qualifications
High school diploma or equivalent.
5-7 years of medical billing experience.
Knowledge of Medi-Cal or Medicaid billing processes.
Strong data entry accuracy and attention to detail.
Ability to review clinical documentation and apply billing rules.
Experience with CalAIM, ECM, or Community Supports billing.
Familiarity with DHCS/health plan portals.
Proficient computer skills, with intermediate proficiency in MS Office (Word, Excel, and PowerPoint)
The Pay Rate for this role is based on several factors including the candidate's experience, qualifications, and internal equity. The initial offer usually falls between the minimum and midpoint of the applicable salary range. Pay Band N5: $25.71 - $34.06 (Midpoint: $29.65).
$25.7-34.1 hourly Auto-Apply 32d ago
Patient Care Service Representative
Modena Allergy + Asthma
Patient service representative job in San Diego, CA
Job DescriptionAbout Us
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") are leading and rapidly growing medical practices specializing in allergy, asthma, and immunology care, with clinics across Southern California and Arizona-and ambitious plans for national expansion. We are physician-led, hospitality-focused, and technology-enabled, committed to transforming allergy care while advancing clinical research and expanding access to cutting-edge medicine.
Known for our high standard of excellence, we provide compassionate, patient-centered care for both pediatric and adult patients. Our model combines hospitality-driven service with innovative technology solutions that streamline operations, improve clinical outcomes, and enhance the experience for both patients and providers.
At Modena, we aim to hire great people, treat them well, and help them find meaning and purpose in our mission. Our dedicated team values collaboration, positivity, and growth while striving to improve lives through expert diagnosis, treatment, and research. We are looking for high-energy, kind, and collaborative individuals eager to grow personally and professionally while making a meaningful impact in the lives of others.
Position Summary
We are seeking a highly skilled and compassionate Patient Care ServicesRepresentative to join our team in a hybrid Medical Assistant (MA) and PatientServicesRepresentative (PSR) role. This unique position blends front office administrative duties with back office clinical support, ideal for someone who thrives in a dynamic and patient-centered environment. This role is non-exempt (hourly) and full-time, working 40 hours per week, Monday through Friday.
This role will be based primarily in our Sorrento Valley clinic but may also provide support to other nearby locations within San Diego County. The ideal candidate is adaptable and enjoys collaborating across multiple sites to ensure seamless operations and excellent patient experiences.
Key Responsibilities
Front Office & Administrative Duties:
Greet patients and visitors warmly and professionally.
Manage check-in and check-out processes, verify insurance, and collect co-pays.
Schedule patient appointments, testing, and follow-ups in collaboration with providers.
Submit and track prior authorizations, including verifying insurance and submitting required documentation.
Answer incoming calls and respond to patient inquiries with courtesy and accuracy.
Maintain up-to-date, HIPAA-compliant records in the electronic health record (EHR) system.
Ensure the front office area remains clean, organized, and well-stocked with necessary forms and supplies.
Assist with emergency response protocols by alerting clinical staff as needed.
Contribute to the onboarding and training of new team members to build support and cross-functional skills.
Clinical & Patient Care Duties (if MA certified):
Perform diagnostic procedures such as allergy skin testing, pulmonary function tests (PFTs), and FeNO testing.
Administer allergy and immunotherapy injections following clinical safety protocols.
Prepare and maintain allergy serum and oral desensitization vials.
Monitor and document patient vitals and treatment responses.
Support physicians and advanced practice providers during clinical consultations and procedures.
Educate patients and families on allergy and asthma care plans and treatment options.
Respond to and manage allergic reactions, including emergency interventions when needed.
Escort patients to exam rooms and prepare for provider exams.
Assist in preparing asthma action plans, Epinephrine training, and discharge instructions.
Maintain clean and stocked exam rooms; log refrigerator temperatures and sterilize instruments per protocols.
Assist with clinical prior authorizations under the direction of a supervisor.
Additional responsibilities as assigned.
Qualifications & Requirements
Education: High school diploma or equivalent required.
Experience: 3+ years of experience in a front desk, medical receptionist, or Medical Assistant (MA) role.
Experience with insurance verification, scheduling, and electronic health records preferred.
Licensure & Certifications:
Certified or Licensed Medical Assistant (California), if performing clinical duties.
CPR certification (or willingness to obtain upon hire).
Skills & Abilities:
Strong interpersonal, customer service, and communication skills.
Excellent organizational and multitasking ability in a clinical setting.
Knowledge of medical terminology and EHR systems.
Familiarity with HIPAA and OSHA compliance standards.
Ability to remain composed in fast-paced and emergency situations.
Commitment to patient confidentiality and high-quality service delivery.
Preferred Qualifications:
Prior experience in allergy, immunology, or respiratory care settings.
Comfort with performing skin testing and pulmonary diagnostics.
Experience submitting and managing insurance prior authorizations.
Compensation
The hourly range for this position is $20.00-32.00/hour. The actual compensation for this role will be determined by a variety of factors, including but not limited to the candidate's skills, education, and experience.
Physical Requirements
Ability to stand, walk, and move throughout the clinic, if applicable, for extended periods; occasionally lift objects up to 25 lbs., bend, stoop, or reach as needed. Frequent use of hands and fingers for patient care and equipment operation. Must have normal (or corrected) vision and hearing and be able to respond quickly in a fast-paced clinical environment, if applicable.
What We Offer
Competitive salary and benefits package, including medical, dental & vision insurance, 401(k) retirement plan with employer matching, and professional development opportunities
In addition, we offer paid time Off (PTO), sick time, floating holiday and holiday pay
Opportunity to shape the future of a thriving allergy and asthma practice in beautiful San Diego (and across our expanding network)
A supportive, mission-focused culture where your contributions directly impact patient outcomes and team growth
If this role excites you, please submit your resume and a cover letter outlining your relevant experience and why you're passionate about joining our team. We look forward to hearing from enthusiastic candidates ready to drive our success!
California Consumer Privacy Act (CCPA) Notice
Modena Health ("MH") and Modena Allergy & Asthma ("MAA") complies with the California Consumer Privacy Act ("CCPA"). Personal information provided in the job application process will be collected, used, and retained in accordance with applicable privacy laws. Candidates may request additional information regarding the categories of personal information collected and the purposes for which it is used during the hiring process.
$20-32 hourly 21d ago
Patient Services Representative
Seaport Scripps Home Health
Patient service representative job in San Diego, CA
WELCOME TO THE SEAPORT SCRIPPS HOME HEALTH FAMILY!
At Seaport Scripps Home Health, we believe that a career in healthcare the noblest of professions. Great clinical operations support makes home health possible. They help us fulfill our mission to provide LIFE CHANGING SERVICE to our patients and their families.
A career with Seaport Scripps Home Health requires a commitment to making work fun and CELEBRATING successes; delivering and holding each other to the HIGHEST STANDARDS of care and professionalism; continual LEARNING; treating others as PEOPLE whose interest matter as much as our own; being innovative while using GOOD JUDGEMENT. One other thing about our work culture; we know that in order for our patients to receive the care they deserve, we to put our EMPLOYEE'S FIRST.
JOB SUMMARY
The PatientServicesRepresentative serves as the first point of contact for visitors and callers, providing exceptional customer service and administrative support. This role ensures smooth front desk operations and assists with various office tasks to maintain an efficient and welcoming environment.
RESPONSIBILITIES
Greet and assist visitors in a professional and friendly manner.
Answer, screen, and direct incoming phone calls promptly.
When answering patient calls or handling patient-related inquiries, confirm identity and verify information in accordance with HIPAA guidelines.
Manage incoming and outgoing mail and deliveries.
Maintain a clean and organized reception area.
Assist with basic administrative tasks such as filing, data entry, and document preparation.
Handles inquiries and provides accurate information about the company.
Support other departments as needed with clerical tasks.
Maintains visitor log and documents related to vendor and guest visits
Checks incoming mail daily, sorts appropriately, and delivers or scans mail to recipients.
Ensure compliance with HIPAA regulations by safeguarding patient information and maintaining confidentiality at all times.
Maintains the emergency preparedness patient roster within the front office binder
Maintains the files, equipment, supplies, postage and general office and kitchen condition in an orderly manner.
JOB REQUIREMENTS
A minimum of two years' experience in office or customer service, preferably in home health or health care, or graduation from a one- or two-year business college preferred.
Able to type 50 words per minute.
Strong communication, organizational, and multitasking skills.
Proficient Computer and Telephone skills
Knowledge of Medical terminology
Pay Range: $22 - $28 per hour
The employer for this position is stated in the job posting. The Pennant Group, Inc. is a holding company of independent operating subsidiaries that provide healthcare services through home health and hospice agencies and senior living communities located throughout the US. Each of these businesses is operated by a separate, independent operating subsidiary that has its own management, employees and assets. More information about The Pennant Group, Inc. is available at ****************************
$22-28 hourly Auto-Apply 49d ago
Patient Service Representative
Imperial Beach Community Clinic 3.9
Patient service representative job in San Diego, CA
Imperial Beach Community Clinic will promote a healthy community by providing quality health care and resources, with a focus on the underserved. Our mission has been to provide high-quality medical care for all members of our community, regardless of their ability to pay. Our team considers your overall health, preferences, and experiences as we create a treatment plan that is right for you. Our doctors enjoy getting to know patients and their families and appreciate the support that comes from having lab, nutrition, and behavioral specialists on-site. More importantly, our friendly Spanish speaking staff know their primary task is to make you feel comfortable and understood in every step of your healthcare journey.
We fulfill this mission through:
• Improving access to primary health care for residents of South Bay
• Employing skilled professionals committed to providing quality healthcare services and addressing current health needs
• Serving the community with compassion and respect while maintaining confidentiality
• Collaborating with other health care providers and organizations
• Providing a medical home to the "at-risk" population
Benefits
Health Insurance - 100% cost covered by Clinic
Dental Insurance - 100% cost covered by Clinic
Life Insurance 25k life insurance - 100% cost covered by Clinic
10 Paid Holidays per Year
Employee Birthday - Paid day off
2 Weeks' Vacation first year (Unused vacation hours roll over to next year)
2 Weeks' Sick Time first year (Unused sick hours roll over to next year)
Clinic pays for CPR time and certification.
PatientServicesRepresentative
The PatientServicesRepresentative (PSR) is responsible for advancing the quality of healthcare through exceptionally good customer service and communication with patients, using IBCC's guidelines for communication. The PSR is also responsible for accurate data entry into the practice management and/or clinical systems. The PSR duties are shared and involve tasks associated with efficient flow of patients, such as answering phones, making appointments, and registering patients. PSR's are members of patient-centered care teams.
Essential Duties and Responsibilities
Adheres to the IBCC Mission, Vision, and Values, Standards of Conduct and HIPAA principles
Consistently adheres to and/or exceeds IBCC's communication guidelines and expectations with patients, peers, and supervisors. Greets every patient with a verbal greeting, eye contact and a smile. Communicates effectively by using welcoming words, proper tone of voice appropriate body language, eye contact and smiling in patient interactions. Listens skillfully and displays a willingness and ability to acknowledge patient needs, expectations and values through the use of reflective listening and empathy conveyance. Responds to patient needs in ways that are helpful and beyond expectation.
Collaboratively works with patients to positively affect their health outcomes.
Orients all patients to clinic policies regarding their selection of their primary care provider, IBCC's team-based care approach, services offered, appointment system, after hours' coverage, collection policy, etc.
Builds positive relationships with other staff, providers, and supportive departments to maximize accessibility of care to all patients.
Contributes to care team pre-planning (aka Team Huddle) with reminder calls, and updating registration info prior to each scheduled appointment, or rescheduling as deemed appropriate
Participates in continuous quality improvement activities and patient-centered medical home team meetings and trainings, and is receptive to accepting other job duties as assigned and as delegated
Assists in responding to and resolving patient complaints as needed
Works collaboratively with other departmental personnel to process and complete the patient encounter and collect amounts due in accordance with established procedures.
Call patients schedule appointments for laboratory, follow-ups etc.
Using proper phone etiquette, answers all incoming calls by 3rd ring. Responds to calls appropriately, including message taking and distribution.
Enters, reviews, and makes necessary changes to all patient registration information in the practice management system in accordance with established procedures.
Complete patient registration over the phone to obtain insurance information and demographics for new patients.
Verify eligibility on the various websites.
Enroll patients in programs such as CHDP, CDP and Fpact, this will be done over the phone.
Good customer and communication skills.
Researches answers and responds to patient's questions/correspondence about their account in a timely and professional manner, respecting patient confidentiality.
Opens and closes the clinic according to IBCC procedures.
Maintains a neat and organized work area with appropriate labeling of files as needed.
Knowledge: Customer service, basic medical front office practices, basic computer operations, Skills: Aptitude for skilled personal communication is mandatory. Strong written and
verbal skills, typing 35+ wpm
Ability to: Work well with people; communicate effectively and respectfully in English and/or other languages; operate computers and other modern office equipment; work in a busy environment; multitask, be flexible to accommodate to travel and changes in daily and hourly schedules
Education/Experience Requirements: High school diploma or GED; Bilingual English/Spanish encouraged but not mandatory; 2-3 years' experience in medical/data processing field preferred; Certificated through medical front office training program preferred. Typing certificate preferred >35 wpm.
Must maintain annual CPR certification and TB clearance.
Fluent in English/Spanish.
Salary Description $24.00- $26.00 per hour
$24-26 hourly 31d ago
Scheduling Specialist - Chest Medicine - La Jolla
Scripps Health 4.3
Patient service representative job in San Diego, CA
Caring for San Diegans since 1924, Scripps Clinic is San Diego's first choice for exceptional primary care and highly specialized and coordinated specialty care. Scripps Clinic offers a comprehensive range of medical and surgical services that are nationally recognized for quality, excellence and innovation. From primary to specialty care, our team-based model is designed to provide the best possible care and outcomes for you and your family. More than 900 providers and physicians provide 1.5 million patient visits a year coordinated through an integrated electronic health record.
This is a Full Time position (80 hours per pay period) with a Monday - Friday, 8AM - 5PM schedule, located at our Scripps Anderson Medical Pavilion in La Jolla. You will enjoy comprehensive benefits that cover health & wellness, career development, and retirement options among other benefits.
Why join Scripps Health?
At Scripps Health, your ambition is empowered and your abilities are appreciated:
* Nearly a quarter of our employees have been with Scripps Health for over 10 years.
* Scripps is a Great Place to Work Certified company for 2025.
* Scripps Health has been consistently ranked as a top employer for women, millennials, diversity, and as an overall workplace by various national publications.
* Becker's Healthcare ranked Scripps Health on its 2024 list of 150 top places to work in health care.
* We have transitional and professional development programs to create a learning environment that enables you to thrive in your specific field as well as in your overall career.
* Our specialties have been nationally recognized for quality in areas such as cardiovascular care, oncology, orthopedics, geriatrics, obstetrics and gynecology, and gastroenterology.
Join a caring team supporting Scripps Anderson Medical Pavilion as a Scheduling Specialist in the Chest Medicine department. You'll be on the front line for creating a positive Scripps Health experience for our patients while being responsible for duties such as the following:
* Interacting with patients, payers, and providers to gather information necessary for accurate registration including assigning of appropriate Medical Record Number, scheduling, referral/authorization, point of service payment collection, document collection and arrival/check-in functions.
* Responding to customer billing and payment inquires as needed.
* Mentoring and training staff on departmental procedures.
* Accurately scheduling and re-scheduling complex patient procedures and appointments. Successful scheduling includes, but not limited to, exhibiting proficiency in the scheduling procedures, scheduling and confirming appointments according to practice guidelines, entering appropriate insurance, initiating authorizations and referrals, performing Key User duties with minimal errors.
* Accurately documenting patient to provider communication, assessing urgency and escalating as appropriate. May manage the patient check-in and check-out process from start to finish, which includes identification verification; updating or confirming demographic and insurance information on every patient; ensuring appropriate forms are provided, signed and witnessed at the time of the patient visit; verifying coverage including benefits, authorization, pre-determination, payer specific policy exclusions or limitations to coverage, collecting any patient responsibility and accurately preparing end of day reporting or payment reconciliation as needed.
* Regularly displaying a proactive approach to customer service by listening to the patient, taking ownership of solutions and being able to accurately identify the need to involve leadership to resolve concerns.
Required Qualifications:
* Must possess excellent mathematical skills and ability to handle monies.
* Excellent communication and customer service skills.
* Strong organizational and analytical skills; innovative with ability to identify and solve problems. Able to adapt, prioritize and meet deadlines.
* Knowledge of medical terminology, commercial and government health insurance and billing guidelines, ACA requirements, understanding of DRG's, Medical ICD9/ICD10 codes and CPT/HCPC Codes and Modifiers are required.
Preferred Qualifications:
* 2 or more years of experience in a customer service or healthcare/medical office environment.
* Previous scheduling experience.
* Experience with Epic.
At Scripps Health, you will experience the pride, support and respect of an organization that has been repeatedly recognized as one of the nation's Top 100 Places to Work.
You'll be surrounded by people committed to making a difference in the lives of their patients and their teammates. So if you're open to change, go ahead and unlock your potential.
Position Pay Range: $27.24-$35.88/hour
$27.2-35.9 hourly 5d ago
Patient Service Representative
PRN Physical Therapy
Patient service representative job in San Diego, CA
As a PatientServiceRepresentative at PRN Physical Therapy, you'll be an essential part of our team, providing exceptional customer service and administrative support to ensure a smooth and positive experience for our patients.
Pay: $19-22/hr based on experience & skill set
Schedule: Full time - clinic is open M-F 7am-6pm
Location: 4435 Eastgate Mall La Jolla, CA 92121
Essential Job Functions:
Patient Interaction:
Greet and welcome patients with professionalism and warmth.
Schedule appointments and manage patient inquiries both in person and over the phone.
Collect and verify patient information, insurance details, and necessary documentation accurately.
Helping to create a positive work environment and culture of the clinic ensuring that patients needs are taking care of during transitional periods of therapy. Help provide customer service, a smile.
Administrative Support:
Maintain patient records and ensure all documentation is complete and accurate.
Assist in keeping front office area neat, tidy and organized
Coordinate with clinical staff to ensure a seamless patient experience.
Assist front office with front office tasks when down time occurring including but not limited to: answering the phone, scanning documents into charts, scheduling patients, taking over the counter payments, filing, faxing, etc.
Communication and Coordination:
Liaise effectively between patients, clinical staff, and other departments within the facility.
Communicate clearly and professionally to address patient concerns or questions.
Miscellaneous Operations:
Maintain a clean and organized reception area.
Assist in managing inventory and ordering office supplies as needed.
Participate in team meetings and contribute ideas for process improvement.
Cleaning and Maintenance: Ensure cleanliness and organization of therapy areas and equipment. Daily equipment cleaning, cleaning tables, laundry, stocking supplies
Physical Requirements:
Sitting: Prolonged periods of sitting at a desk while working on a computer and paperwork.
Manual Dexterity: Ability to use a computer keyboard and perform tasks requiring dexterity.
Vision: Clear vision for reading and analyzing documents.
Communication: Ability to communicate effectively verbally and in writing.
Mobility: Occasional movement within the office environment.
Qualifications:
High school diploma or equivalent; additional education in healthcare administration is a plus.
Proven experience in a customer service role; healthcare setting preferred.
Proficiency in using office software and scheduling systems.
Strong interpersonal skills and the ability to maintain professionalism in a fast-paced environment.
Attention to detail and accuracy in handling patient information and documentation.
Note: This job description is a general outline of responsibilities and requirements. Specific duties may vary based on the needs of the clinic and the directives of management.
$19-22 hourly 32d ago
Dental Patient Care Coordinator
Refined Dentistry La Jolla
Patient service representative job in San Diego, CA
Job Description
Front Desk / Scheduler / Treatment Coordinator - La Jolla, CA Full Time | Private Fee-for-Service Practice
Our exceptional fee-for-service dental practice is seeking a reliable and personable team member to handle front desk responsibilities, phones, greet and check out patients, patient scheduling, confirming appts and treatment coordination. We pride ourselves on providing outstanding care in a supportive and professional environment.
Compensation:
$28-$29 per hour, based on experience
Monthly bonus opportunities
Schedule:
Monday, Tuesday, Thursday: 8 AM-5 PM
Wednesday: 7:30 AM-4 PM
Friday: 7 AM-1 PM
Qualifications:
Minimum of 3 years of experience in a dental practice
Comfortable discussing financial arrangements with patients
Strong communication and organizational skills
Friendly, professional, and patient-focused demeanor
Responsibilities:
Present and explain treatment, address patient concerns and questions
Assist patients in prioritizing treatment and establishing scheduling and payment
Manage scheduling and all front desk duties
Perform general office tasks and other duties as assigned
If you are a motivated dental professional who enjoys helping patients feel comfortable and confident about their care, we'd love to meet you. Please apply today!
Skills:
General Practice
Fee for Service
Eaglesoft
Insurance
Cosmetic
Benefits:
Medical
Dental
401k
PTO
Bonuses
Compensation:
$27-$29/hour
$28-29 hourly 11d ago
Patient Service Representative
Department of Defense
Patient service representative job in Camp Pendleton South, CA
Apply PatientServiceRepresentative Department of Defense Military Treatment Facilities under DHA Apply Print Share * * * * Save * This job is open to * Requirements * How you will be evaluated * Required documents * How to apply This position is located at Naval Hospital Camp Pendleton, San Diego, CA.
Summary
About the Position: This position is located at Naval Hospital Camp Pendleton, San Diego, CA.
Overview
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Accepting applications
Open & closing dates
01/14/2026 to 01/21/2026
Salary $46,533 to - $60,494 per year
Defense Health Agency Indo Pacific Region - San Diego Market
Pay scale & grade GS 5
Location
3 vacancies in the following location:
Camp Pendleton, CA
Remote job No Telework eligible No Travel Required Not required Relocation expenses reimbursed No Appointment type Permanent Work schedule Full-time Service Competitive
Promotion potential
None
Job family (Series)
* 0303 Miscellaneous Clerk And Assistant
Supervisory status No Security clearance Secret Drug test No Position sensitivity and risk Noncritical-Sensitive (NCS)/Moderate Risk
Trust determination process
* Suitability/Fitness
Financial disclosure No Bargaining unit status Yes
Announcement number HSJG-26-12861814-MP Control number 854353100
This job is open to
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Federal employees - Competitive service
Current federal employees whose agencies follow the U.S. Office of Personnel Management's hiring rules and pay scales.
Career transition (CTAP, ICTAP, RPL)
Federal employees whose job, agency or department was eliminated and are eligible for priority over other applicants.
Land and base management
Current or former employees of a base management agency.
Veterans
Veterans of the U.S. Armed Forces or a spouse, widow, widower or parent of a veteran, who may be eligible for derived preference
Military spouses
Military spouses of active duty service members or whose spouse is 100 percent disabled or died on active duty.
Individuals with disabilities
Individuals who are eligible under Schedule A.
Clarification from the agency
See "Who May Apply" in the "Qualification" section for more information on who is eligible to apply for this position.
Duties
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* Serve as an advocate for patients throughout the facility, receiving and listening to complaints and grievances from patients or from individuals on behalf of patients.
* Serve as primary clinic representative for customer service issues, conducts patient satisfaction surveys; and identifies, analyzes, and evaluates trends that reflect patient perception of services.
* Promote and improve patient satisfaction with services rendered by all activities.
* Identify patient problems, recommends strategies for resolution, and initiates corrective action where possible.
* Coordinate with leadership to resolve system defects in delivery of services, procedures, and policies or environment of care.
Requirements
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Conditions of employment
* Appointment may be subject to a suitability or fitness determination, as determined by a completed background investigation.
* A Personnel Security Investigation is required.
* This position requires the incumbent be able to obtain and maintain a determination of eligibility for a Secret security clearance or access for the duration of employment. A background investigation and credit check are required.
* Immunization screening is required. Hepatitis B immunization is required for all positions with direct patient contact. Applicants may be required to show proof of other immunizations depending on the type of position.
* This position has mandatory seasonal influenza vaccination requirements and is subject to annual seasonal influenza vaccinations unless otherwise exempted for medical or religious reasons.
* One year trial/probationary period may be required.
Qualifications
Who May Apply: Only applicants who meet one of the employment authority categories below are eligible to apply for this job. You will be asked to identify which category or categories you meet, and to provide documents which prove you meet the category or categories you selected.
* 30 Percent or More Disabled Veterans
* Current Civilian Employees of the Defense Health Agency (DHA)
* Current Permanent Department of Defense (DoD) Civilian Employee
* Domestic Defense Industrial Base/Major Range and Test Facilities Base Civilian Personnel Workforce
* Executive Order (E.O.) 12721
* Interagency Career Transition Assistance Plan
* Land Management Workforce Flexibility Act
* Military Spouses, under Executive Order (E.O.) 13473
* Non-Appropriated Fund Instrumentality (NAFI)
* Non-Department of Defense (DoD) Transfer
* Office of Personnel Management (OPM) Interchange Agreement Eligible
* People with Disabilities, Schedule A
* Priority Placement Program, DoD Military Reserve (MR) and National Guard (NG) Technician Eligible
* Priority Placement Program, DoD Military Spouse Preference (MSP) Eligible
* Priority Placement Program, DoD MR and NG Preference Eligible Tech Receiving Disability Retirement
* Priority Placement Program, DoD Retained Grade Preference Eligible
* Reinstatement
* Veterans Employment Opportunity Act (VEOA) of 1998
* Veterans Recruitment Appointment (VRA)
In order to qualify, you must meet the education and/or requirements described below. Experience refers to paid and unpaid experience, including volunteer work done through National Service programs (e.g., Peace Corps, AmeriCorps) and other organizations (e.g., professional; philanthropic; religious; spiritual; community; student; social). You will receive credit for all qualifying experience, including volunteer experience. Your resume must clearly describe your relevant experience; if qualifying based on education, your transcripts will be required as part of your application. Additional information about transcripts is in this document.
Specialized Experience: One year of specialized experience equivalent to the GS-04 grade level in the Federal Service which includes assisting staff, patients, visitors, and customers with health related problems, questions, and/or concerns, utilizing automated systems to generate reports and analysis', and receiving and reviewing incoming/outgoing issues, inquiries, and/or complaints correspondence. This definition of specialized experience is typical of work performed at the next lower grade/level position in the federal service (GS-04).
OR
Education: Four years of education above the high school level obtained in an accredited business, secretarial or technical school, junior college, college or university.
OR
Combination of Education and Experience: A combination of education and experience may be used to qualify for this position as long as the computed percentage of the requirements is at least 100%. To compute the percentage of the requirements, divide your total months of experience by 12. Then divide your semester hours of education beyond two years (total semester hours minus 60) by 60. Add the two percentages.
Time in Grade Requirement: Applicants who have held a General Schedule (GS) position within the last 52 weeks must have 52 weeks of Federal service at the next lower grade or equivalent (GS-04).
Education
FOREIGN EDUCATION: If you are using education completed in foreign colleges or universities to meet the qualification requirements, you must show the education credentials have been evaluated by a private organization that specializes in interpretation of foreign education programs and such education has been deemed equivalent to that gained in an accredited U.S. education program; or full credit has been given for the courses at a U.S. accredited college or university. For further information, visit: *************************************************************************
Additional information
* Male applicants born after December 31, 1959 must complete a Pre-Employment Certification Statement for Selective Service Registration.
* You will be required to provide proof of U.S. Citizenship.
* One year trial/probationary period may be required.
* Direct Deposit of Pay is required.
* Selection is subject to restrictions resulting from Department of Defense referral system for displaced employees.
* Multiple positions may be filled from this announcement.
* Salary includes applicable locality pay or Local Market Supplement.
* If you have retired from federal service and you are interested in employment as a reemployed annuitant, see the information in the Reemployed Annuitant information sheet.
* Payment of Permanent Change of Station (PCS) costs is not authorized, based on a determination that a PCS move is not in the Government interest.
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Candidates should be committed to improving the efficiency of the Federal government, passionate about the ideals of our American republic, and committed to upholding the rule of law and the United States Constitution.
Benefits
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A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
How you will be evaluated
You will be evaluated for this job based on how well you meet the qualifications above.
Once the announcement has closed, a review of your application package (resume, supporting documents, and responses to the questionnaire) will be used to determine whether you meet the qualification requirements listed on this announcement. Please follow all instructions carefully when applying, errors or omissions may affect your eligibility.
If, after reviewing your resume and/or supporting documentation, a determination is made that you have inflated your qualifications and/or experience, you may lose consideration for this position.
You may claim Military Spouse preference.
You may claim Priority Placement Program (PPP) preference.
Interagency Career Transition Assistance Program (ICTAP). If you are a Federal employee in the competitive service and your agency has notified you in writing that you are a displaced employee eligible for ICTAP consideration, you may receive selection priority for this position. To receive selection priority, you must: (1) meet ICTAP eligibility criteria (2) be rated well-qualified for the position and; (3) submit the appropriate documentation to support your ICTAP eligibility. To be considered well-qualified and receive selection priority applicants must satisfy all qualification requirements for the position and receive a score of 90 or above. Additional information about the program is on OPM's Career Transition Resources website.
Benefits
Help
A career with the U.S. government provides employees with a comprehensive benefits package. As a federal employee, you and your family will have access to a range of benefits that are designed to make your federal career very rewarding. Opens in a new window Learn more about federal benefits.
Review our benefits
Eligibility for benefits depends on the type of position you hold and whether your position is full-time, part-time or intermittent. Contact the hiring agency for more information on the specific benefits offered.
Required documents
Required Documents
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The documents you are required to submit vary based on the authority you are using to apply (i.e., applying as a veteran, applying as a current permanent Federal employee, applying as a reinstatement, etc). Please review the following links to see which documents you need to provide to prove your eligibility to apply: Applicant Checklist for Internal/MP Announcements (DoD)
As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.
1. Your resume:
* Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration.
* For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position.
* Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume.
* If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy.
* For additional information, to include formatting tips, see: What to include in your resume.
2. Other supporting documents:
* Cover Letter, optional
* Most recent Performance Appraisal, if applicable
* Proof of Eligibility to Apply: Your application must include the documents which prove you are eligible to apply for the vacancy. The Proof of Eligibility document describes authorities commonly used in merit promotion recruitment and what document(s) are required to prove you meet the requirements of the authority. You must meet the requirements of at least one of the authorities listed in the Who May Apply section above to receive further consideration.
* Time-in-grade documentation: If you are applying for a higher grade and your SF-50 has an effective date within the past year, it may not clearly demonstrate you meet the one year time-in-grade requirement so you will need to provide an SF-50 which clearly demonstrates you meet the time-in-grade requirements (examples of appropriate SF-50s include Promotions, Within-grade Grade/Range Increases, and SF-50s with an effective date more than one year old).
* This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses
NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
How to Apply
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To apply for this position, you must complete the online questionnaire and submit the documentation specified in the Required Documents section below.
The complete application package must be submitted by 11:59 PM (EST) on 01/21/2026to receive consideration.
* To begin, click Apply to access the online application. You will need to be logged into your USAJOBS account to apply. If you do not have a USAJOBS account, you will need to create one before beginning the application (**********************************************************
* Follow the prompts to select your resume and/or other supporting documents to be included with your application package. As a reminder, your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration. For additional information, refer to the 'Required Documents' section.
* You will have the opportunity to upload additional documents to include in your application before it is submitted. Your uploaded documents may take several hours to clear the virus scan process.
* After acknowledging you have reviewed your application package, complete the Include Personal Information section as you deem appropriate and click to continue with the application process.
* You will be taken to the online application which you must complete in order to apply for the position. Complete the online application, verify the required documentation is included with your application package, and submit the application. Your resume selected in USAJOBS will be included, but you must re-select other documents from your USAJOBS account or your application may be incomplete.
* It is your responsibility to verify that your application package (resume, supporting documents, and responses to the questionnaire) is complete, accurate, and submitted by the closing date. Uploaded documents may take up to one hour to clear the virus scan.
* Additional information on how to complete the online application process and submit your online application may be found on the USA Staffing Applicant Resource Center.
To verify the status of your application, log into your USAJOBS account (****************************************************** all of your applications will appear on the Welcome screen. The Application Status will appear along with the date your application was last updated. For information on what each Application Status means, visit: ***************************************************
Agency contact information
Army Applicant Help Desk
Website ************************************************* Address JT-DD83DV PAC RIM DHN - PENDLETON
DO NOT USE
Camp Pendleton, CA 92055
US
Next steps
If you provided an email address, you will receive an email message acknowledging receipt of your application. Your application package will be used to determine your eligibility, qualifications, and quality ranking for this position. If you are determined to be ineligible or not qualified, your application will receive no further consideration.
Fair and transparent
The Federal hiring process is set up to be fair and transparent. Please read the following guidance.
Criminal history inquiries Equal Employment Opportunity (EEO) Policy
Financial suitability New employee probationary period
Privacy Act Reasonable accommodation policy
Selective Service Signature and false statements
Social security number request
Required Documents
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The documents you are required to submit vary based on the authority you are using to apply (i.e., applying as a veteran, applying as a current permanent Federal employee, applying as a reinstatement, etc). Please review the following links to see which documents you need to provide to prove your eligibility to apply: Applicant Checklist for Internal/MP Announcements (DoD)
As described above, your complete application includes your resume, your responses to the online questionnaire, and documents which prove your eligibility to apply. If you fail to provide these documents, you will be marked as having an incomplete application package and you will not be considered any further.
1. Your resume:
* Your resume must be two pages or less and must support the specialized experience described in this announcement. Resumes exceeding two pages will be removed from consideration.
* For each relevant work experience, make sure you include the employer's name, job title, start and end dates (include month and year), for qualifications purposes, the number of hours worked per week, and a brief description that show you can perform the tasks at the required level listed in the job announcement. If your resume does not contain this information, your application may be marked as incomplete, and you may not receive consideration for this position.
* Use plain language. Avoid using acronyms and terms that are not easily understood. The hiring agency will not make assumptions about what's in your resume.
* If your resume includes a photograph or other inappropriate material or content, it will not be used to make eligibility and qualification determinations, and you may not be considered for this vacancy.
* For additional information, to include formatting tips, see: What to include in your resume.
2. Other supporting documents:
* Cover Letter, optional
* Most recent Performance Appraisal, if applicable
* Proof of Eligibility to Apply: Your application must include the documents which prove you are eligible to apply for the vacancy. The Proof of Eligibility document describes authorities commonly used in merit promotion recruitment and what document(s) are required to prove you meet the requirements of the authority. You must meet the requirements of at least one of the authorities listed in the Who May Apply section above to receive further consideration.
* Time-in-grade documentation: If you are applying for a higher grade and your SF-50 has an effective date within the past year, it may not clearly demonstrate you meet the one year time-in-grade requirement so you will need to provide an SF-50 which clearly demonstrates you meet the time-in-grade requirements (examples of appropriate SF-50s include Promotions, Within-grade Grade/Range Increases, and SF-50s with an effective date more than one year old).
* This position has an individual occupational requirement and/or allows for substitution of education for experience. If you meet this requirement based on education you MUST submit a copy of your transcript with your application package or you will be rated ineligible. See: Transcripts and Licenses
NOTE: Documents submitted as part of the application package, to include supplemental documents, may be shared beyond the Human Resources Office. Some supplemental documents such as military orders and marriage certificates may contain personal information for someone other than you. You may sanitize these documents to remove another person's personal information before you submit your application. You may be asked to provide an un-sanitized version of the documents if you are selected to confirm your eligibility.
If you are relying on your education to meet qualification requirements:
Education must be accredited by an accrediting institution recognized by the U.S. Department of Education in order for it to be credited towards qualifications. Therefore, provide only the attendance and/or degrees from schools accredited by accrediting institutions recognized by the U.S. Department of Education.
Failure to provide all of the required information as stated in this vacancy announcement may result in an ineligible rating or may affect the overall rating.
$46.5k-60.5k yearly 4d ago
Patient Care Coordinator
Serene Health
Patient service representative job in San Diego, CA
Job Description
Empowering Wellness, Transforming Lives
Optima Medical Management Group is dedicated to enhancing the quality of life by promoting wellness. At Optima MMG and all of its divisions: Serene Health, Community Support, and American TrueCare, our mission is to provide comprehensive support and care that not only addresses immediate concerns but also fosters long-term well-being.
As pioneers in the field, we aspire to lead in member care outcomes and set new standards for excellence and innovation. We are committed to empowering our members to achieve self-sufficiency in health, creating a ripple effect that strengthens families and communities.
Our work culture at Optima MMG is built on pride, passion, and a collective commitment to making a positive difference in people's lives. Our team members are dedicated problem-solvers who bring their unique skills and perspectives to the table. We believe that by fostering a collaborative and supportive environment, we can unlock the full potential of our team and, in turn, provide the best possible care to our members.
A career at Optima MMG is an opportunity to be part of a dynamic and forward-thinking organization. We encourage continuous learning and professional growth, providing our employees with access to industry experts, cutting-edge technologies, and a supportive community that values each individual's contributions. Join us on this journey to not only advance your career but to be a driving force in transforming lives and communities through passionate and fulfilling work!
Job Summary:
The official job title is Lead Care Manager (LCM).
The Lead Care Manager (LCM) role involves developing personalized care plans, coordinating member services, and collaborating closely with members and families, as well as Primary Care Providers to ensure they receive necessary medical treatment and support. The LCM will consult with members to determine their needs, develop individualized action plans, and work with care teams to manage the member experience effectively. Providing emotional support, resolving administrative issues, and ensuring timely access to care are key aspects of the position. Compassion, healthcare knowledge, and exceptional customer service are essential qualities for assisting members in becoming self-sufficient in health. The LCM will work with a diverse population of members enrolled in the Enhanced Care Management program, which may involve one or multiple members from the population of focus section below.
Responsibilities:
• Interview members to assess medical and social determinant of healthcare gaps and provide education about their condition and medication, while developing individualized care plans.
• Respond to member inquiries and concerns, ensuring adherence to hospital and legal requirements.
• Collaborate with interdisciplinary teams, locate medical and social resources, and coordinate social service plans.
• Maintain on-going contact with members, via telehealth and in-person visitation.
• Advocate for members, consult with healthcare providers, arrange appointments and treatment plans, evaluate member progress, and assist with healthcare barriers.
• Maintain empathy and professionalism while contacting members and families.
• Supporting behavioral health coordination, Substance Abuse and Community Resources.
• Perform additional duties as assigned.
Populations of Focus:
• Individuals experiencing homelessness: Lacking a fixed, regular, and adequate nighttime residence.
• Individuals at risk for avoidable hospital or emergency department utilization: Five or more emergency room visits in a six-month period that could have been avoided with appropriate outpatient care or improved treatment adherence.
• Individuals with Serious Mental Health and/ or substance use disorder needs: Adults who meet the eligibility criteria for participation in, or obtaining services through Specialist mental health services or the Drug Medi-Cal organized delivery system or Drug Medi-Cal program.
• Individuals transitioning from incarceration/Justice Involved: Adults transitioning from a correctional setting or transitioned from a correction setting within the past 12 months, or children and youth who are transitioning from a youth correctional facility or transitioned from being in a youth correctional facility within the past 12 months.
• Adults living in the community and at risk for long-term care institutionalization: Adults who are living in the community who meet the SNF Level of Care criteria; or who require lower-acuity skilled nursing or equipment for prevention, diagnosis, or treatment of acute illness or injury.
• Adult nursing facility residents transitioning to the community: Adult nursing residents who are interested in moving out of the institution, and are likely candidates to do so successfully, and are able to reside continuously in the community.
• Children and youth enrolled in California Children's Services (CCS) or CCS Whole Child Model (WCM) with Additional Needs Beyond the CCS condition: Children and youth enrolled in CCS or CCS WCM and are experiencing at least one complex social factor influencing their health.
• Children and Youth Involved in Child Welfare
• Individuals with Intellectual/ Developmental Disabilities: Adults who have a diagnosed I/ DD and qualify for eligibility in any other adult ECM population of focus.
• Pregnant and Postpartum individuals; Birth Equity Population of Focus: Adults and youth who are pregnant or postpartum and qualify for eligibility in any other adult or youth ECM POF, or are subject to racial and ethnic disparities.
Education and Experience:
• High school diploma or GED required.
• Minimum of 1 year experience in case management, member care, customer service, call center, or member care required.
• Valid California driver's license and valid vehicle insurance required.
• MA certificate or medical terminology knowledge preferred.
Required Skills/Abilities:
• Excellent communication, interpersonal, customer service and organizational skills.
• Computer skills for documentation, email and chat support.
• Proficient skills in working independently and collaboratively in a team to provide member care.
• Proficiency in multitasking, organization, and attention to detail is required for effectively providing care to multiple members simultaneously.
• Candidates should exhibit the capability to utilize resources effectively for problem-solving while maintaining composure under pressure in a compassionate manner.
• Applicants must demonstrate proficient speaking, reading, and typing abilities and possess strong proofreading skills.
Physical Requirements:
• Must be able to travel using personal vehicle to complete outreach visits. Mileage reimbursement for the use of your vehicle is at a standard rate.
• Prolonged periods of sitting at an office desk on the computer.
• Lifting: Able to lift up to 15lbs.
Pay range$25-$28 USD
Benefits
Our full-time employees are eligible for the following benefits enrollment after 60 days of employment:
Medical, Dental, & Vision Benefits: We have various insurance options for you and your family.
Short & Long-Term Disability Benefits: Protection when you need it most.
Voluntary Accident, Voluntary Critical Illness, and Voluntary Hospital Indemnity Plans: Added security for you and your loved ones.
Flexible Spending Accounts: Manage your finances with flexibility.
Employee Assistance Program (EAP): Support when life throws challenges your way.
401(K): Building your financial future with us. Effective after 1 year of employment.
Paid Vacation and Sick Leave: Flexibility for the planned and unplanned.
Paid Holidays: Quality time to enjoy celebrations.
Employee Referral Program: Share the opportunities and reap the rewards.
Company Discount Program: Enjoy savings on everyday expenses and memberships.
Equal Employment Opportunity
Optima Medical Management Group and its divisions are an Equal Opportunity Employer. Optima MMG is committed to providing employment opportunities for all qualified candidates without discrimination on the basis of race, religion, sex, sexual orientation, gender identity, age, national origin, citizenship, disability, marital status, veteran status, or any other characteristic protected by federal, state or local laws. Optima MMG is committed to providing reasonable accommodation for individuals with disabilities.
Pre-Employment
Optima Medical Management Group is a drug-free workplace. Employment is contingent upon a successful pre-employment drug screening and background check.
$25-28 hourly 30d ago
Patient Services Representative (5120)
Citadel Federal Solutions LLC
Patient service representative job in San Diego, CA
This is a PatientServicesRepresentative role supporting Veterans Affairs.
This is a long-term stable opportunity with the potential to transition to a government employee.
FalconTek is a GovCon solutions and services provider that supports federal agencies, state governments, and commercial companies. FalconTek has provided support around the globe on mission critical programs since 2008. We rapidly deploy personnel in support of technical, professional, and medical projects.
You MUST currently have a REAL ID
Job Types: Full-time, Contract
Pay: $19.31 per hour + $4.93 to utilize for Health & Wellness or Cash in Lieu
Address: 5120 Shoreham Place, San Diego, CA 92122
Schedule: Monday - Friday (8am - 4:30pm)
Start Date:
Fingerprinting and a government background investigation will be conducted.
The anticipated timeline to start is 45 days.
Background Screening/ Check/ Investigation:
Successful Completion of a Background Screening/ Check/ Investigation will/may be required as a condition of hire.
Job Description:
Medical Support:
Interpret and verify provider orders in accordance with VHA National Scheduling Directive guidelines.
Schedule, cancel, and re-schedule patient appointments and/or consults; enter no-show information; prepare for clinic visits; monitor appointments, consults, and request for areas of responsibility.
Enter recall reminders, monitor recall reminder processes and delinquencies, ensure that encounter forms are completed in order to obtain appropriate workload credit; respond to VS GUI, VISTA, and CPRS alerts.
Scans insurance cards, protect secure information and complete all insurance capture buffer encounters required by (ICB);
Works with patients to complete Release of Information (ROI) forms to pass to ROI team for further action, teach patients how to sign up for the secure messaging system in MyHealtheVet, authenticate patient access in the secure messaging system in MyHealtheVet, and receive and relay messages between patient/provider using the secure messaging system, etc.
Travel Arrangements:
Review requests for reimbursement of travel costs and reconciles claims/vouchers for payments using electronic systems.
Review ambulance claims for eligibility and payment.
Assists in arranging transportation for eligible patients and works with clinical teams to request appropriate mode of transportation.
File Scanning:
Assist Health Information Management (HIM) service to scan and/or upload outside medical records into the Electronic Medical Record (EMR).
Community Care:
Assist VA Community Care Staff in contacting Veterans to obtain preferences (if needed), schedule/reschedule appointments with community providers and enter appointment provider, date, and time information.
Follow-up with the community provider or Veteran to confirm the Veteran was scheduled and/or went to their appointment and request medical records.
Scan (if needed) and index the medical records to the pertinent consult.
Requirements
Must possess the ability to communicate effectively and professionally interdisciplinary team members and to provide optimal customer service to both internal and external customers.
Must be proficient in spoken and written English.
Must be a citizen of the United States
Must have the following experience or education (or combination of both) to meet minimum qualifications for employment:
Six months experience of clerical, office, customer service, or other administrative work that indicates the ability to acquire the particular knowledge and skills needed to perform the duties of the position
One year above high school
Experience/Education combination:
Equivalent combination of experience and education are qualifying for entry level for which both education and experience are acceptable
Must be dependable and use good judgment and effectively and properly analyze and evaluate all situations to ensure that the veteran's welfare is protected.
Average 40 wpm, as data entry is a main responsibility of this position.
Knowledge of the operation of several types of office equipment and software/databases relative to data extraction and inputting.
Basic knowledge of the functionality of the computerized patient record.
Must be dependable and use good judgment and effectively and properly analyze and evaluate all situations to ensure that the veteran's welfare is protected.
Benefits:
401(k)
Dental insurance
Health insurance
Life insurance
Paid time off
Vision insurance
ADA: FalconTek will make reasonable accommodations in compliance with the Americans with Disabilities Act of 1990.
EEO/AA: FalconTek does not discriminate based on race, color, national origin, sex, religion, age, disability, sexual orientation, gender identity, veteran status, height, weight, or marital status in employment or the provision of services and is an equal access/equal opportunity/affirmative action employer.
$19.3 hourly 11d ago
Care Coordinator Cancer Screening
Opsam Health
Patient service representative job in Chula Vista, CA
Job title
Care Coordinator - Accelerated Cancer Screening
Reports to
Health Navigator Supervisor, Medical Director
Status
Full-Time (1 Year Grant Funded Position)
Salary
$22.00 - $24.00
OPSAM HEALTH MISSION
We exist to provide quality and patient-centered healthcare to every member of the communities we serve, regardless of the ability to pay.
OPSAM Health is a Federally Qualified Health Center (FQHC) that serves the San Diego County community. Founded in 1973 in a barber shop in Downtown San Diego by Filipino health professionals offering services to immigrants who did not have the finances, linguistic skills, or ability to navigate the health care system. Today, Operation Samahan has evolved into a diverse community health center with services available in National City, Mira Mesa, City Heights, and Rancho Penasquitos. We provide primary care, dental, behavioral health, family planning, integrative health and wellness, healthy eating, civic engagement, and other health-related services to the uninsured, underinsured, and underserved families of all income levels, regardless of their ability to pay.
JOB PURPOSE
The Care Coordinator - Accelerated Cancer Screening will focus on closing cancer screening care gaps for Opsam Health patients, ensuring timely follow-up for abnormal breast, cervical, and colorectal screenings. They will collaborate with clinical teams to guide patients through each step of the screening and follow-up process, addressing any barriers to care. This role includes managing referrals, coordinating with external providers, and auditing patient records to ensure quality care. Additionally, the coordinator will work with the Quality Improvement team to enhance educational and training efforts related to cancer screening's
ESSENTIAL DUTIES AND RESPONSIBILITIES
Responsible for reducing cancer screening care gaps for Opsam Health patients
Oversee clinic care coordinator's daily huddle regarding cancer prevention screening efforts
Support to clinicians to navigate patients through each step in the process of any abnormal breast, cervical and colorectal cancer screening results, assisting patients in accessing recommended follow-up care, including additional imaging, tests and appointments at tertiary care centers
Ensure proper communication with patients, clinical staff, providers, lab and imaging partners to assure the patients' timely and appropriate care
Audit chart records in eClinicalWorks for cancer screening and follow up reports
Assist patients with referrals related to breast, cervical and colorectal abnormalities
Schedule appointments/ referrals with appropriate provider(s) for cervical, breast and colon cancer screening diagnosis, and treatment, including contacting and reminding patients to schedule appointments, anticipatory guidance about expected tests and procedures, and navigate on how to arrive at scheduled appointments on time and prepared
Request medical records from outside care providers and upload to ensure accurate and complete medical record
Consider and strategically address the “social determinants of health” which may be delay or otherwise interfere with timely and appropriate follow-up services
Collaborate with QI Team in the planning and implementation of educational, training and quality improvement efforts for cancer screening
Coordinate all newly diagnosed cancer to oncology specialists (such as Moore's Cancer Center) to ensure timely evaluation and management
Other duties assigned as needed
Qualifications
Medical Assistant, Bachelor's degree in healthcare field or High School Diploma with at least 2 years of clinical care coordination experience.
Knowledge of medical terminologies
Experience working in a large clinic setting
Experience working with Health Insurance plans
Knowledge of scheduling medical appointments and prior authorization processes.
Experience with electronic medical records
Excellent ability to communicate both orally and in writing.
Demonstrated knowledge and advanced level skill in word processing software applications (Word, Excel, Teams, Outlook, & PowerPoint)
Ability to interact well with care teams and all patients and families.
Excellent customer service skills.
$22-24 hourly Auto-Apply 45d ago
Patient Services Rep
San Diego Community Health Center 4.1
Patient service representative job in San Diego, CA
This position serves as the PatientServicesRepresentative for SDAIHC. The role is integral to providing outstanding patient care by warmly welcoming patients, efficiently managing incoming calls, overseeing registration and appointment scheduling. Additionally, the representative ensures accurate insurance verification and clearly communicates financial responsibilities to patients. The position is also responsible for updating patient information, required administrative forms, and documentation in both the eCW and Electronic Health Records (EHR). In addition to these core duties, this role includes performing a variety of clerical tasks to support the smooth operation of the medical department.
The PSR plays a critical role in ensuring timely patient access to care by maintaining a call abandonment rate below 7%, scheduling appointments accurately within department protocols, and verifying complete and correct patient demographic information at every encounter. In addition to these core duties, this role includes performing a variety of clerical tasks to support the smooth operation of the medical department.
Must be able to demonstrate knowledge and skills necessary to perform all job-related activities as outlined below.
Essential Duties and Responsibilities:
Primary Functions:
Warmly greet patients in a courteous and respectful manner while maintaining a clean, safe and comfortable reception area and patient lobby.
Process new patient registration in accordance with billing and medical records guidelines.
Primary Functions: continue
Ensures accurate verification and data entry of patient demographics insurance information, and scanning required clinical and a and administrative forms, screening and processing of applications for medical programs CHDP/EWW/FPACT/SFS/RHAP) and correct entry of clinical codes during check in.
Gather patient information for walk in triage by completing a triage slip (including patient's name, HRN #, DOB, chief complaint, payer source), verify insurance eligibility and benefits, and collects necessary administrative and clinical forms following medical department procedures.
Collects payments for outstanding balances, co-pays, and services provided at the time of service and provides patients and the fiscal department with accurate receipts in accordance with fiscal guidelines.
Makes next patient appointments in accordance with medical scheduling templates and scheduling guidelines established by the Medical Director.
Answers incoming calls and ensure new patient appointments, appointment cancellations and rescheduling of appointments are completed in a timely manner. Ensure voicemail messages and return phone calls are completed promptly by front desk process and guidelines.
Maintains schedules updated with status throughout the business day, assures no-shows are coded and patients are checked-in and out in a timely manner in accordance with medical department guidelines and process.
Performs “end of day” duties:
Double checks receipts, cash reconciliation, and all manual work.
Ensure front desk forms and front office supplies are fully stocked for the next business day.
This position may require rotating coverage across the Behavioral Health, Dental and Medical front desk.
Identifies patient payer sources, verifies insurance eligibility, and benefits and determines co-pays and deductibles, PCP changes needed, SFS notifications, and communicates to patients and front desk prior to appointment.
Ensure scheduled appointments are scheduled within scheduling guidelines, PCP assignments are accurate, forwards HEDIS insurance print outs to medical staff and communicates any discrepancies to immediate supervisor and provider.
Completes administrative check offs by reviewing patient EHR, scheduling system (ECW) and identifies outstanding required administrative and clinical forms, administrative required documents such as native verifications, photo IDs, insurance cards and completion of SFS applications. Request paper chart from medical records as needed in accordance with medical records policy and guidelines.
Ensures data entry of payer source is accurate and updated to coincide with insurance verification, sequence patient's payer sources on the date of service in accordance with billing guidelines.
Scans all insurance verification to EHR, edits creation date, and double checks for readability and accuracy.
Ensure the medical schedules remain booked by calling patients from the “waiting list”.
Other duties as assigned.
Performance Metrics and Accountability:
The PatientServiceRepresentative will be evaluated on the following key performance indicators to ensure high-quality service delivery and efficient patient access to care:
Category
Performance Metric
Standard / Expectation
Call Management
Maintain overall call abandonment rate below 7%
≤ 7% abandonment rate
Average hold time per patient call
≤ 60 seconds
Scheduling Accuracy
Schedule all appointments in the correct appointment type and slot per department protocol
100% compliance
Ensure same-day and next-day appointment requests are routed appropriately for triage
100% compliance
Data Accuracy
Collect and verify correct patient demographic and insurance information at each encounter
100% accuracy
Maintain up-to-date and complete EHR documentation
100% compliance
Customer Service
Demonstrate professionalism and empathy during all patient interactions
≥ 90% positive feedback (via audits or surveys)
Follow-Up & Communication
Ensure all Tele-Encounters (TEs) are sent to the correct inbox and addressed within the same day
100% same-day completion
Qualifications:
Minimum Qualifications:
To successfully perform this job, the individual must be able to fulfill each essential duty and responsibility outlined in this position with performance standards. The qualifications listed below represent the necessary knowledge, skill and ability required.
High School Diploma or GED (equivalent).
2-3 years related experience and/or training, or equivalent combination of education and experience.
Preferred:
Experience serving a multinational, multicultural population.
FQHC background.
Familiarity with Community Health Clinics and/or Indian Health Clinics.
ECW EHR.
Special Conditions of Employment:
CPR/ BLS certification: Maintain a current Basic Life Support (BLS) certification issued by the American Heart Association (AHA), the American Red Cross, or an equivalent organization. Certification must include an in-person, hands-on skills assessment. Online-only certifications are not accepted.
Annual background checks: Consent to annual background checks as a condition of continued employment, to ensure compliance with organizational standards and eligibility requirements.
For-Cause Drug Screening: Comply with drug screening requirements when initiated by the organization for cause, to support a safe, compliant, and drug-free workplace.
Ongoing Compliance Requirements: Maintain up-to-date compliance with all required annual renewals, including professional licenses, certifications, physical examinations, TB testing, and mandatory regulatory trainings as assigned by the San Diego American Indian Health Center (SDAIHC).
Knowledge, Skills, and Abilities:
Strong oral and written communication skills.
Exceptional time management skills
Highly organized and attention to detail.
Capable of maintaining confidentiality and accurate record-keeping.
Strong interpersonal skills.
Ability to interact effectively with diverse individuals.
Demonstrates the ability to establish and sustain cooperative working relationships throughout the course of work.
Competence in performing basic mathematical calculations is necessary for job responsibilities.
Dependable and highly trustworthy.
Proficiency in Microsoft office suite or similar software programs.
Physical and Mental Requirements:
Physical demands outlined below represent those required to successfully perform the essential functions of this job, without accommodation.
Physical and Mental Requirements: continue
Ability to lift and move up to 10 pounds and navigate between locations as needed.
Capability to remain seated at a desk and operate a computer for extended periods.
Physical stamina to stand, bend, and reach for prolonged durations.
Strong analytical skills, with the ability to perform mathematical calculations, organize and prioritize tasks, and maintain productivity under pressure.
Demonstrated ability to supervise, manage multiple tasks simultaneously, and comprehend and follow instructions accurately.
Customer Service:
Actively champions and upholds the Mission, Vision, and core values of SDAIHC through consistent actions and commitment.
Demonstrates outstanding customer service in all interactions with internal and external stakeholders, fostering positive and respectful relationships.
Embodies SDAIHC's Standards of Customer Service Behavior, including Compassion, Positive attitude, Effective Communication, Professional Appearance, a Strong Sense of Ownership, and Collaborative Teamwork.
Continuously engages in customer service training and professional development to enhance skills and maintain best practices.
Proactively promotes SDAIHC's reputation as a leading service organization through every interaction, demonstrating professionalism and dedication.
Quality Management:
Actively contributes to the organization's success by engaging in quality improvement initiatives and demonstrating a commitment to continuous enhancement of services.
Strictly adhere to all SDAIHC policies and procedures while proactively supporting the adoption and implementation of new organizational initiatives.
Participate in and champion ongoing quality improvement efforts as directed by clinic leadership, fostering a culture of excellence and innovation.
Safety:
Maintain strict compliance with all regulations, policies, and procedures related to safe work practices, consistently prioritizing workplace safety.
Actively engage in infection prevention by adhering to best practices and implementing appropriate infection control measures during patient care and interactions.
Ensure full compliance with regulatory standards to maintain the safety of the physical environment, including equipment and supplies, promoting a secure and hazard-free workspace.
Utilize all necessary tools and equipment effectively to uphold workplace safety and reduce potential risks.
Promptly identify and report any unsafe working conditions to ensure immediate corrective action and maintain a safe working environment.
Privacy/Compliance:
Upholds the highest standards of privacy and security for all patients, employees, and volunteers by strictly granting access to information solely on a need-to-know basis for legitimate business purposes.
Demonstrates unwavering commitment to corporate integrity by adhering to all relevant regulations and promptly reporting any unethical, fraudulent, or unlawful behavior or activities.
Consistently exemplifies the highest ethical standards in all professional interactions and decision-making processes.
Safeguards the confidentiality and security of patient and employee information with the utmost integrity, maintaining trust and accountability by allowing access strictly for business-related needs.
Disclaimer
Nothing in this restricts management's right to assign or reassign duties and responsibilities to this job at any time. This description reflects managements' assignment of essential functions. It does not prescribe or restrict the tasks that may be assigned. This job description is subject to change at any time.
Preference is given to qualified American Indian/Alaskan Natives in accordance with the American Indian Preference Act (Title 25, U.S. Code Section 472, 473 and 473a). In other than the above, the San Diego American Indian Health Center, is an equal opportunity employer.
Acknowledgement
San Diego American Indian Health Center is an Equal Opportunity Employer. We encourage applications from all individuals regardless of race, religion, color, sex, pregnancy, national origin, sexual orientation, gender identity, gender expression, ancestry, age, marital status, physical or mental disability or any other protected class, political affiliation, or belief.
$32k-38k yearly est. 12d ago
Patient Care Coordinator I - Scripps Poway Eyecare & Optometry
Keplr Vision
Patient service representative job in San Diego, CA
Are you passionate about providing exceptional customer service and making a difference in the lives of patients? We're looking for a friendly, professional, and detail-oriented individual to join our team as a Patient Care Coordinator. In this dynamic, customer-facing role, you'll be the first point of contact for patients, offering a welcoming atmosphere and top-tier care every step of the way.
What You'll Do:
Be the friendly voice on the phone, assisting patients with scheduling and inquiries
Greet and check in patients with a warm smile and professional demeanor
Manage a variety of front desk tasks with efficiency and attention to detail
Ensure smooth patient flow through excellent time management and multitasking skills
What We're Looking For:
1+ year of customer service experience (healthcare experience a plus, but not required!)
Strong communication skills with the ability to interact professionally and courteously with patients
Tech-savvy with basic computer skills and the ability to learn new systems quickly
A positive, can-do attitude and the ability to stay organized under pressure
Why You'll Love Working Here:
Career growth opportunities - We believe in promoting from within, offering a path for advancement as you gain experience and develop your skills.
Upward mobility - Take your career to the next level! Whether you're looking to grow into leadership roles or specialize in other areas of healthcare, the opportunities are endless.
Supportive, team-oriented environment where your contributions are valued and your growth is encouraged.
Ready to jumpstart your career in healthcare? We're willing to train the right person-if you're passionate about providing outstanding patient care, creating an unforgettable first impression, and building a rewarding career, we want to meet you!
Apply today and take the first step toward an exciting future with us!
$33k-50k yearly est. 19d ago
Patient Services Representative Floater
DAP Health 4.0
Patient service representative job in El Cajon, CA
At DAP Health, we are committed to transforming lives and advancing health equity for all. As a leading nonprofit health care provider, we deliver compassionate, high-quality care to the diverse communities of the Coachella Valley and San Diego County. Our comprehensive services range from primary care to mental health, wellness programs, and beyond, with a focus on those who are most vulnerable. Joining our team means becoming part of a passionate, innovative organization dedicated to making a meaningful impact in the lives of those we serve. If you're looking for a dynamic and purpose-driven environment, we invite you to explore the opportunity to contribute to our mission. Job Summary The PatientServicesRepresentative Floater plays a key role in providing exceptional customer service to patients and ensuring they have a positive experience during their visit. In addition, this position also requires traveling between sites and other locations as needed. The PatientServicesRepresentative Floater will fill in and support other clinics on an as needed basis to cover time off, training, or as directed. Supervisory Responsibilities: None Essential Duties/Responsibilities Greet and assist everyone who walks in the door with eye contact and a smile, ensuring everyone feels welcome and cared for Register new patients and patients who have fallen out of care either in person or over the phone Gather all documents required for new patient registration, ensuring accurate patient demographics and guarantor information at every patient visit Identify patients who require program assistance and schedule patients with Care Coordinator Specialist for assessment and program enrollment Answer incoming calls within 3-4 rings and make patient calls in a courteous and professional manner Return voicemails by the end of the next business day Schedule patient follow-up appointments, confirm upcoming appointments, and reschedule as indicated Ensure that appropriate insurance is selected for services rendered for the date of the scheduled visit Check patients in and out for scheduled or walk-in appointments Ensure patients are empaneled according to provider of record and keep up to date with the provider's panel management Assist and encourage patients with signing up for MyChart Answer MyChart patient messages related to registration and/or appointment scheduling Assist patients using tablets or other devices to obtain demographic information required to establish electronic record as needed Run, review, and demonstrate understanding of insurance eligibility Scan all information pertaining to registration into EHR Monitor and respond to website inquiries requesting new patient information Collect and turn in Release of Information (ROI) to HIM department Collect applicable co-pays and outstanding balances at time of check in Keep track of daily incoming documentation for providers Follow up on no-shows and send out no-show letter as stated on no-show workflows Advise Case Manager or EIS Worker when patients indicate need for linkage to internal/external resources (when applicable) Keep supervisor informed of office equipment upkeep/maintenance Complete appointment confirmation calls for unconfirmed patients 24 hours prior Perform other duties as assigned
Required Skills/Abilities
* Ability to maintain recognized medical industry standards of high quality, client-centered services that are HIPAA compliant
* Proficiency in MS Office applications
* Computer expertise in database input
* Effective communication skills, both written and oral
* Excellent customer service skills
* Bilingual in Spanish/English, preferred
Education and Experience
* At least 1 year of experience in medical front office operations preferred - including but not limited to registration process, use of medical terminology, medical insurance, and referral authorizations
* Previous experience working with Electronic Health Records preferred
* Current BLS certification obtained through the American Heart Association or American Red Cross
Working Conditions/Physical Requirements
* This position has a home base at a DAP Health clinic location
* Ability to lift 24 pounds
* Operates in an office setting at times and requires frequent times of sitting, standing, repetitive motion and frequent phone calls/conversations
* Ability to travel to sites around San Diego County, to include Escondido and Borrego Springs as needed. Mileage reimbursement provided per company policy.
* Requires current and valid driver's license and current personal auto insurance as well reliable transportation and a clean driving record
$31k-36k yearly est. 6d ago
Standardized Patient
Strategic Operations Inc. 4.1
Patient service representative job in San Diego, CA
Strategic Operations Inc. (STOPS) provides training services and products to the military, law enforcement, first responders, medical providers, and other organizations responsible for homeland security. The company employs state-of-the-art Hollywood special effects pyrotechnics, special effects make-up (wound effects), role players , subject matter experts, instructors, and training scenarios to create training environments that are the most unique in the industry. STOPS also manufactures modular, mobile building systems (relocatable habitat units (RHUs)), props, faux weapons, and live fire targets and constructs, enhances, and transforms training facilities throughout the United States and Canada. STOPS is actively looking to employ individuals, on a part-time/on-call basis, in the support of live action training.
Summary
A Standardized Patient (SP) is a specialized role player, a person who can accurately and consistently recreate the history, personality, physical finding, emotional structure, and response patterns of an actual patient. The SP participates in the teaching and assessment of undergraduate medical students, medical residents, nurses, and allied health care professionals ( learners ) during Medical Simulation training. The SP is a person, age 18 or greater, trained to act out the role of a patient, family member, or other individual to allow “learners” to practice physical exams (non-invasive), history taking skills, communications skills, and other important clinical skills required by Healthcare Providers. The SP must be able to accurately portray a specific scenario for which the learners will perform a brief interview and/or a focused medical case. An SP may also be required to provide constructive feedback regarding the learner's performance.
Job Duties
Specific duties will take place at Naval Medical Center San Diego (Balboa Hospital), the STOPS Tactical Training Laboratory in San Diego, CA, or another location at the direction of the client. Individuals must be able to follow the direction of the Lead Evaluator/Instructor during training scenarios.
The SP will present scenarios in a standardized manner, as instructed by the Lead Evaluator/Instructor and/or as elicited by the learner during simulated interactive patient history and/or a medical case.
The SP will remain in a specific “character” when responding to the learner's questions.
The SP must accurately remember encounters with learners for the purpose of providing feedback on learner performance.
The SP may be recorded or videotaped during the simulation.
The SP must respect the privacy of the learners and hold in confidence all information obtained during a scenario/case.
The SP will perform miscellaneous job-related duties as assigned.
The SP may from time to time be required to perform the duties of a general or casualty actor/role player.
Knowledge, Skills, & Abilities Required
Ability to play a required role and act convincingly while maintaining the specified character - through body language, emotions, personality, and physical findings.
Ability to understand, follow directions, and provide feedback - after action report.
Ability to recall and accurately relay learner's performance to the Lead Evaluator/Instructor.
The individual must have a professional demeanor.
Must enjoy working with people and understand the importance of the position.
Qualifications
The ability to, read, write, and speak English is required.
Prior role-playing experience with military, law enforcement, and first responders/medical providers is preferred, but not necessary.
SPs are assigned based on experience and specific demographic requirements.
Extensive experience is not necessary, perspective individuals will be training on the various components of working as an SP.
$36k-43k yearly est. Auto-Apply 60d+ ago
Patient Care Coordinator
Smile Brands 4.6
Patient service representative job in El Cajon, CA
Bright Now! Dental in El Cajon is seeking a motivated and compassionate Patient Care Coordinator to join our growing team. This role is ideal for a dental professional who enjoys patient education, treatment presentation, and helping patients move forward with confidence in their care.
Schedule (days/hours)
5 days
Responsibilities
* Welcome patients and create a positive, caring first impression
* Coordinate patient appointments and support efficient scheduling
* Communicate treatment recommendations and next steps in partnership with the clinical team
* Review insurance benefits and assist patients with financial questions
* Follow up with patients regarding outstanding or recommended care
* Ensure accurate patient records and documentation
* Support a smooth, high-quality patient experience throughout the visit
Qualifications
* At least one year related experience
* Knowledge of dental terminology
* Strong communication and interpersonal skills, with a focus on delivering exceptional customer service
Preferred Qualifications
* Previous experience in a dental or medical office setting
Compensation
$18-$21/hour
About Us
Benefits are determined by employment status/hours worked and include paid time off ("PTO"), health, dental, vision, health savings account, telemedicine, flexible spending accounts, life insurance, disability insurance, employee discount programs, pet insurance, and a 401k plan.
Smile Brands supports over 650 affiliated dental practices across 28 states all focused on a single mission of delivering Smiles For Everyone! Smiles for patients, providers, employees, and community partners. Everyone. Our growing portfolio of affiliated dental brands and practice models range from large regional brands to uniquely branded local practices. This role is associated with the affiliated dental office listed at the top of the job posting on our career site.
Smile Brands Inc. and all Affiliates are Equal Opportunity Employers. We celebrate diversity and are committed to providing an inclusive workplace for all employees. We are proud to be an equal opportunity employer. We prohibit discrimination and harassment of any kind based on race, color, creed, gender (including gender identity and gender expression), religion, marital status, registered domestic partner status, age, national origin, ancestry, physical or mental disability, sex (including pregnancy, childbirth, breastfeeding or related medical condition), protected hair style and texture (The CROWN Act), genetic information, sexual orientation, military and veteran status, or any other consideration made unlawful by federal, state, or local laws. If you would like to request an accommodation due to a disability, please contact us at ***********************
$18-21 hourly Auto-Apply 35d ago
Patient Access Rep - PAR Level 3
Healthcare Support Staffing
Patient service representative job in San Diego, CA
Company is the region's pediatric medical center serving San Diego, Imperial and southern Riverside counties. We are: •The largest children's hospital in California (based on admissions)
•The sixth largest children's hospital in the country
•The only hospital in the San Diego area dedicated exclusively to pediatric healthcare
•The region's only designated pediatric trauma center
•Provider of care to 88 percent of the region's children
•Provider of care to 196,905 children (in fiscal year 2014)
Our outstanding team includes more than 730 physicians and more than 1,200 nurses, more than 3,900 employees, more than 500 active volunteers, and more than 1,200 Auxiliary members.
Job Description
The manager is looking for a solid Patient Access Representative III's for their Central Authorization department. The PAR III will be helping with the workload for infusion, hematology, and proton therapy authorizations.
Candidate will work in the Central Authorization Department, helping with infusion, hematology and proton therapy authorizations.
Patient Access Representative III secures and provides appropriate information to patient families and funding sources to register, schedule and/or obtain authorizations for inpatient, outpatient, and/or diagnostic services.
Qualifications
High School Diploma or equivalent
Minimum of 3 yr work experience in health care setting
Must have Insurance Verification & Authorization Experience
Ability to work in a call center environment
Medical Terminology experience
Preferred:
EPIC (or at least another EMR)
Bilingual (Spanish)
background in medical terminology
Additional Information
Advantages of this Opportunity:
Competitive salary, negotiable based on relevant experience
Benefits offered, Medical, Dental, and Vision
Fun and positive work environment
Monday through Friday 8am-5pm
$33k-42k yearly est. 60d+ ago
Learn more about patient service representative jobs
How much does a patient service representative earn in La Mesa, CA?
The average patient service representative in La Mesa, CA earns between $29,000 and $42,000 annually. This compares to the national average patient service representative range of $27,000 to $38,000.
Average patient service representative salary in La Mesa, CA
$35,000
What are the biggest employers of Patient Service Representatives in La Mesa, CA?
The biggest employers of Patient Service Representatives in La Mesa, CA are: