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Providence Health & Services Patient Care Representative II in San Pedro, California


Providence is calling a Full time, Day shift Patient Care Representative II at Providence Medical Institute in San Pedro, CA.

We are seeking a Patient Care Representative II r esponsible for patient management, the flow of patients through the front office in an efficient and professional manner, the accurate coding of services rendered and over the counter cash management.

In this position you will have the following responsibilities:

  • Answer phones promptly. Screen and direct phone calls appropriately. Timely response to routine inquiries. Take accurate and complete messages (100% of the time) and forwards messages promptly and accurately

  • Schedule patients in a timely and accurate manner

  • Complete patient check in process

  • Ensure patients sign the Sign in Sheet

  • Verify/updates or has patient complete new Patient Registration Form

  • Collect and ensure accurate insurance and demographic information

  • Copy Insurance card

  • Initials Patient Registration Form and superbill to confirm completeness of insurance information

  • Collect patient copayments

  • Complete patient check out process

  • Maximizing collections by following department policies and procedures

  • Review the patient superbill for completeness of services rendered, diagnosis, follow up instructions and scheduling next appointment or completing patient recall card

  • Complete authorizations as directed by the insurance requirements and the physician/provider. Maintain authorization log and notifies patient of receipt of authorization within twenty four hours

  • Notify physician/provider within 24 hours of any denials

  • Maintaining an orderly and pleasing work space that ensures the integrity and safety of the practice, patients and personnel

  • Responsible for accurate coding and batching of services rendered

  • Prepares paperwork, including accurate completion of Batch Summary

  • Form (95% of the time) and submits within forty eight hours the completed required information to the Central Billing Office

  • Responsible for maximizing collection of all over the counter payments due at time of Service. This may include copayments, deductibles, uninsured and patient balances. Manage received cash by adhering to the department policy and procedure cash on cash control

  • Scan and link text/images in Electronic Medical Record

  • Responsible for timely and accurate verification of patient insurance and demographic information and ensures the communication of this information to the appropriate staff

  • Responsible for completing worker’s compensation reports and status reports

  • Responsible for reporting status of diagnostic/specialty services ordered by rendering physician at the site in a timely manner, as specified by supervisor

  • Responsible for maintaining and documenting an appropriate inventory of front office supplies

  • Utilize MIS systems according to policy and procedure. Appropriate care and maintenance of MIS system needs to be observed at all times

  • Keeps abreast of department policies and procedures by positively participating in staff meetings and inservices (minimum of 8/year)

  • Participate in CQI and/or quality management activities as identified by supervisor

  • Responsible to use equipment and supplies efficiently and to make suggestions for cost cutting initiatives to supervisor


Required qualifications for this position include:

  • 2 years experience in medical office

  • Knowledge of ICD-9 / CPT Coding

  • Able to use Microsoft Office Suite

Preferred Qualifications for this Position:

  • Typing / keyboarding skills of 45 WPM

About the ministry you will serve:

Providence Health & Services Southern California is further developing its physician integration strategy. Historically, the largest asset has been Providence Medical Institute, a medical foundation that provides administrative and other support services to affiliated medical groups. Providence Medical Institute is expected to grow significantly in the next several years, bringing with it facilities, staff and physician growth to support that objective.

We offer a full comprehensive range of benefits - see our website for details

Our Mission

As expressions of God’s healing love, witnessed through the ministry of Jesus, we are steadfast in serving all, especially those who are poor and vulnerable.

About Us

Providence Health & Services is a not-for-profit Catholic network of hospitals, care centers, health plans, physicians, clinics, home health care and services guided by a Mission of caring the Sisters of Providence began over 160 years ago. Providence is proud to be an Equal Opportunity Employer. Providence does not discriminate on the basis of race, color, gender, disability, veteran, military status, religion, age, creed, national origin, sexual identity or expression, sexual orientation, marital status, genetic information, or any other basis prohibited by local, state, or federal law.

Schedule: Full-time

Shift: Day

Job Category: Patient Services

Location: California-San Pedro

Req ID: 251693