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Patient Representative

Salary: $15.25-$18.62 hourly / $2,653-$3,239 monthly / Range: 4796

DEFINITION: Under general supervision, interviews patients and determines ability to pay or eligibility for third party payors; prepares billings, case records, and statistical reports; and performs related duties as required.

DISTINGUISHING CHARACTERISTICS: This classification is found in the Departments of Public Health and Alcohol, Drug & Mental Health Services. It is distinguished from the Patient Accounts Clerk series by its emphasis on registering patients and determining their eligibility.

EXAMPLES OF DUTIES: Registers patients at clinic sites; interviews patients and responsible parties to obtain and record personal, family, and financial data; analyzes patients' ability to pay and determines fees on a sliding scale; informs patients of amount owed the County for services rendered and sets up payment agreements for balances due; informs patients of steps to be taken to eliminate indebtedness and the financial impact of various alternatives; verifies Medi-Cal and Medicare eligibility and prepares input documents for billing; posts credits and debits to accounts and contacts patients with delinquent accounts to arrange payments.

EMPLOYMENT STANDARDS:

1. Two years of responsible clerical experience involving public contact, including at least one year of experience in a medical office; or,
2. a combination of training, education, and experience that is equivalent to the employment standard listed above and that provides the required knowledge and abilities.

Knowledge of: sources of information to verify insurance coverage; various types of medical insurance such as Medicare, Medi-Cal, and CHAMPUS; medical terminology applicable to the medical billing process.

Ability to: interview patients under stressful conditions; convince debtors of necessity of assuming financial responsibility; read, understand, and apply policies and procedures; complete basic arithmetic calculations; review, post, and record information accurately; use office equipment and automated systems.

 



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