Patient Services Representative II, Family Medicine

We are so glad you are interested in joining Sutter Health!

Organization

SMF-Sutter Med Foundation- Central

Position Overview

This Is a Limited Term Position - 26 Weeks

Serves as an advanced patient access resource and first point of contact for patients entering the outpatient facility.

Greets and checks in patients, verifies demographic and insurance information, schedules appointments, updates the Electronic Health Record (EHR), and supports registration, consent, financial, healthcare, and insurance documentation.

Performs advanced patient access functions including insurance verification, benefit review, referral coordination, prior authorization support, estimate preparation, and collection of patient financial responsibility.

Coordinates complex scheduling needs and collaborates with clinical teams, authorization teams, and internal departments to reduce care delays and support timely access to services.

Gains confidence and cooperation from patients, families/support persons, and healthcare providers through compassionate communication, competent job performance, and patient-centered service.

Serves as a resource to patient services staff by supporting onboarding, answering workflow questions, reinforcing standard work, and assisting with resolution of complex or escalated patient access issues.

Adheres to organizational, local, state, and federal regulations, codes, policies, and procedures to ensure privacy, safety, compliance, and optimal patient experience.

Job Description

Education

• Equivalent experience will be accepted in lieu of the required degree or diploma.
• HS Diploma or equivalent education/experience

Typical Experience

1 year of recent relevant experience.

Skills and Knowledge

Basic knowledge of insurance policies and procedures, as well as patient billing.

Ability to interpret a variety of data and instructions, furnished in written, oral, diagram, or schedule form.

Possess written and verbal communications skills to communicate with fellow team members, supervisors, patients, and other hospital personnel.

Well-developed time management and organizational skills, including the ability to prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.

General knowledge of computer applications, such as Microsoft Office Suite (Word, Excel and Outlook).

Prioritize assignments and work within standardized policies and procedures to achieve objectives and meet deadlines.

Work independently, as well as be part of the team, including accomplishing multiple tasks in an environment with interruptions.

• Identify, evaluate and resolve standard problems by selecting appropriate solutions from established options.
• Ensure the privacy of each patient’s Protected Health Information (PHI).

Build collaborate relationships with peers and other staff members to achieve departmental and corporate objectives.

Job Shift

Days

Schedule: Full Time

Shift Hours

8

Days of the Week

Monday - Friday

Weekend Requirements

None

Benefits

Yes

Unions

No

Position Status: Non-Exempt

Weekly Hours

40

Employee Status

Limited Term (Fixed Term)

Employees of Sutter Health and its entities may handle hazardous drugs in the course of their work, including patient care, which requires them to manage, store, prepare, receive, unpack, transport, dispose of, or administer drugs identified as hazardous or potentially hazardous by the National Institute for Occupational Safety and Health (NIOSH) and in accordance with the USP 800 guidelines.

• Sutter Health is an equal opportunity employer EOE/M/F/Disability/Veterans.
• Pay Range is $0.00 to $0.00 / hour

The compensation range may vary based on the geographic location where the position is filled. Total compensation considers multiple factors, including, but not limited to a candidate’s experience, education, skills, licensure, certifications, departmental equity, training, and organizational needs. Base pay is only one component of Sutter Health’s comprehensive total rewards program. Eligible positions also include a comprehensive benefits package.