Patient Service Clerk

At Triple-S, we are committed to providing meaningful job experiences for Valuable People (Gente Valiosa). We strive for excellence in everything we do, from the way we work together to the way we serve our customers.

When you join Triple-S, you will be key to our efforts on delivering high-quality and affordable healthcare as well as contribute to our purpose to enable healthier lives. We serve more than 1 million consumers in Puerto Rico through our Medicare Advantage, Medicaid, Commercial, Life and Property & Casualty Businesses.

Let's build healthier communities together, join now

Job Summary

Performs administrative functions and offers service to all patients who visit the clinic, providing assistance and guidance in the registration process. Ensures compliance with both the service and billing standards established by the Clinic, as well as patient expectations. Collects, organizes, and presents data to resolve specific situations and, or problems. Anticipate customer needs and channel them with management so that action and, or anticipatory measures can be taken, according to established standards.

Essential Functions

Responsible for receiving and caring for the patient, either in person and, or by telephone, offering help according to their particular needs.
Guides the patient regarding the services provided by the clinic, the billing process for medical plans, and informs about pending balances.
Generate patient file, registering in the system and updating the socio-demographic data of all patients who visit the clinic.
Responsible for processing the eligibility of procedures with insurers in the system, updating the information and carrying out the corresponding changes.
Verify the deductible that applies to charge for services provided to the patient.
Responsible for ensuring that patient documents are properly completed and signed, for billing purposes for medical services.
Provides support to the nursing and billing department regarding medical record management.
Responsible for entering data according to the diagnosis and, or procedure codes identified by the doctor on the "super bill" sheet.
Responsible for verifying the "petty cash" delivered and returning it to the shift supervisor at the time of delivering the cash.
Responsible for carrying out daily accounting of the transactions carried out and validating them with the Finance department.

EDUCATION

Technical Course in Health or Office Systems
High School Diploma

Experience

Technical Course, preferably in areas related to Health Sciences or Office Services Administration, with 6 months of related experience in administrative functions. Or instead, High School Diploma with a minimum of 1 year of experience in administrative functions.

LICENSES AND CERTIFICATIONS

None required

COMPETENCIES

It is company policy to seek for the qualified applicants for positions throughout the company without distinction of race, color, national origin, religion, sex, gender identity, real or perceived sexual orientation, civil status, social condition, political ideologies, age, physical or mental disability, veteran status or any other characteristic protected by law. Drug-free company.

Equality Employment Opportunity/Affirmative Action for People with Disabilities/Veterans. Employer with E-Verify to verify the eligibility of employment of all the new employees.

We encourage Veterans and Disabled to Apply.

Nivel de antigüedad
Sin experiencia
Tipo de empleo
Jornada completa
Función laboral
Otro
Sectores
Seguros

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