Job Description

CSR Bilingual English & Spanish speaking (Clinical Services)
Lexington, KY, United States of America


The Lexington-Fayette County Health Department (LFCHD) is an independent public health agency charged with helping Lexington be well since 1904 and proudly nationally accredited since 2014. Vision: We will move Lexington toward being one of the healthiest communities in the nation. Mission: Helping Lexington be well. Values: We commit to being... Caring: We will treat our clients, community and coworkers with compassion and kindness. Accountable: We will respect all individuals without bias and value their uniqueness. Respectful: We will respect all individuals without bias and value their uniqueness. Equitable: We will provide services and care equitably to all of our clients throughout the community. Service: We are here to serve our clients and community. LFCHD provides a wide range of public health services for the community, including restaurant inspections, flu shots, HANDS visits for moms and dads, diabetes prevention/management, training to licensed child care providers, nutrition through the Women, Infants and Children (WIC) program, school health, a needle exchange program to fight the spread of hepatitis C and HIV, and much more. Visit to learn more about LFCHD!

Job Skills / Requirements

We are hiring for Clinical Services Representative (bilingual fluency English & Spanish speaking), full-time, 37.5 hours per week; $13.60 per hour with comprehensive benefits package. 

Must be fluent in conversational English and Spanish speaking with clients. 

Clinical Service Representatives are expected to deliver outstanding customer service for all of our patients and internal/external customers while providing efficient and effective daily operations of the Public Health Clinic and WIC (Women, Infants, and Children) programs. If bilingual (English & Spanish speaking) required, incumbent must be able to communicate effectively in a defined non-English language with staff and clients as needed – must be fluent.

  • Performs financial screenings of pregnant women, breastfeeding women, postpartum women, infants or children up to five (5) years of age to determine eligibility for the WIC program according to State and Federal regulations. Explains the WIC program to clients as required by State and Federal regulations and documents proof of eligibility.
  • Accurately maintains patient appointment system. Verifies patient/client appointments, schedules initial and return appointments. Initiates/conducts appointment reminders and document missed appointments
  • Initiates and maintains patient/client health record according to department/division standards.
  • Registers clients for WIC and clinic services programs by obtaining and verifying required demographic and financial information including income information to determine eligibility for services/pay status based on established standards.
  • Accurately enters patient encounter forms. Demonstrate knowledge of computer-generated reports and labels. ICD-10 data entry/billing accurately to ensure correct fees billed and collected from patients.
  • Collects and processes service fees. Including:  reconciles daily cash collected with receipts issued, cash drawer, encounter forms or other billing documents, and computer-generated reports; forwards cash and receipts to Accounting on a daily basis for deposit; and processes patient billing information.  Collects past-due bills, payment plans, and processes donations.
  • Insurance processing/verification of eligibility (Private insurance, Medicare, Medicaid MCO’s). Determine appropriate policy, group and billing addresses of primary, secondary, and tertiary insurances.)

High school graduate (or GED) plus 1 year of experience or high school graduate (or GED) plus 6 months of experience and 6 months of education in business, medical related field or nutrition/health education. Must have cash handling experience.  Acceptable work experience is business or office experience in a medical, hospital or public health office environment using electronic office equipment and software. 

Education Requirements (Any)

High School Diploma/GED

Additional Information / Benefits

Lexington-Fayette County Health Department (LFCHD) offers a comprehensive benefits package to full-time and part-time eligible employees, including paid time off (annual and sick leave accruals). Employee benefits summary: Four medical plans are offered, so you can select the coverage that best meets your needs. Two plan options include an employer-funded health reimbursement account. Employees who waive medical coverage are eligible for an employer-funded health reimbursement account that receives $175 per month. Dental Insurance and Vision Insurance is available with three plan options ranging from basic to comprehensive. Additional benefits include basic life insurance and long term disability; cafeteria plans; wellness program, employee assistance program; paid holidays; paid annual leave and paid sick leave; and tuition reimbursement program. Retirement Benefits include the Kentucky Employees' Retirement System and Cash Balance plan and Kentucky Deferred Compensation which includes 401(k), 457, and IRA options.

This job reports to the Team Leader Business Services

This is a Full-Time position 1st Shift.

Number of Openings for this position: 1