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Patient Services Representative 3 Lead

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University of California - Office of the President

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Location:
United States , Rancho Cordova

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Contract Type:
Employment contract

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Salary:

30.65 - 38.10 USD / Hour
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Job Description:

The incumbent will be working in a Call Center Environment and responsible for sustaining an environment of intrinsic good will for the practices while providing optimum services to patients. The position will perform lead responsibilities and serve as a resource and support to front office functions and workflows of the department/clinical team to which assigned. Providing excellent and compassionate health-based customer service is our top priority. Employees are trained to be courteous, empathetic, and efficient in resolving issues. Our contact center has a strong sense of teamwork and collaboration. Team members support each other and share best practices. We rely heavily on technology, including phone systems, customer relationship management (CRM) software, and other tools to manage calls and track customer interactions.

Job Responsibility:

  • 50% - Lead Responsibilities
  • 50% - Additional Job Functions

Requirements:

  • High School / GED equivalent or related work experience
  • Experience with practices and protocols related to medical office and/or health care scheduling or insurance procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
  • Demonstrated leadership skills that reflect the ability to serve as the coordinator of a specified unit of workers
  • Must be able to represent assigned unit serving as subject matter expert and resource person for the staff
  • Ability to accomplish a variety of concurrent assignments in an effective and efficient manner, demonstrating ability to organize, prioritize and complete assignments in a designated time frame
  • Ability to adjust to changing workload or assignments and pressures of increased workload or deadlines
  • Problem solving skills to independently define a problem identify the resources available to help solve the problem, create viable solutions and take the necessary action to implement problem resolution and ensure prompt and satisfactory resolution
  • Decision making skills to independently exercise delegated authority to take action and to appropriately seek assistance from others when limits of delegated authority have been reached
  • Interpersonal skills to establish and maintain effective working relationships with all co-workers
  • to consistently interact with patients and other members of the public with patience, courtesy and professionalism, both in person and on the telephone
  • and to effectively respond to individuals who may be angry or upset
  • Ability to efficiently use computer system applications for all functions required for this position, including electronic mail, spreadsheets, word processing, and medical office management, (i.e. scheduling, template maintenance, maintenance of demographic and insurance information)
  • Typing skills sufficient to use computer keyboard for timely and accurate input and production
  • Writing skills, using proper English grammar, spelling and punctuation, sufficient to compose messages and/or routine correspondence, which is clear, concise and easy to understand
  • Organizing skills to establish priorities for own work within stated guidelines
  • respond flexibly to changes in priorities
  • and maintain work effectiveness in a setting with a high volume of patient activity and frequent interruptions
  • Knowledge of practices and protocols related to medical office procedures, (i.e. medical terminology, appointments, medical records, insurance verification, cashiering, billing, etc.)
  • Filing skills to maintain logs and files of information in alphabetical, chronological and/or numerical order, such that it is current and easily retrievable
  • Knowledge of all pertinent laws, regulations, and guidelines governing medical records
  • confidentiality, privacy, and provision to others, including HIPAA
  • Knowledge of health care insurance systems, which may include Medi-Cal, MediCare, HMO, PPO, fee-for-service, county funded coverage, and worker's compensation, sufficient to properly obtain and track authorizations, appoint patients, make referrals for consults, diagnostics and ancillary services, coordinate hospital services, complete and submit billing documentation, and explain provisions and requirements to patients
  • Knowledge of ICD-10, CPT and HCPCS coding sufficient to identify services performed
  • including diagnoses, procedures, and supplies.

Nice to have:

  • Associate degree or related work experience
  • At least three (3) years of customer service and/or call center experience
  • At least one (1) year of recent UC Davis Referral Processing
  • At least one (1) year of recent experience with EPIC, including In Basket and Work Queues
  • At least one (1) year of recent experience in billing, authorizations, referrals, medical terminology, comprehensive insurance plans, products and eligibility
  • Demonstrated knowledge of Health System and UCD policies and procedures, or ability to learn
  • Comprehension of University requisition systems, including those needed for ordering medical records.
What we offer:
  • High quality and low-cost medical plans
  • UC pays for Dental and Vision insurance premiums for you and your family
  • Extensive leave benefits including Pregnancy and Parental Leave, Family & Medical Leave
  • Paid Holidays
  • Paid Time Off/Vacation/Sick Time
  • Continuing Education (CE) allowance and Education Reimbursement Program
  • Access to free professional development courses and learning opportunities
  • WorkLife and Wellness programs and resources
  • On-site Employee Assistance Program including access to free mental health services
  • Supplemental insurance offered including additional life, short/long term disability, pet insurance and legal coverage
  • Public Service Loan Forgiveness (PSFL) Qualified Employer & Student Loan Repayment Assistance Program
  • Retirement benefit options including Pension and other Retirement Saving Plans.

Additional Information:

Job Posted:
May 09, 2026

Expiration:
May 13, 2026

Employment Type:
Fulltime
Work Type:
On-site work
Job Link Share:

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