Clerical Assistant/Medical Practice Business Associate - Call Center

Employment Type:

Shift:

Description:

POSITION PURPOSE

Under general supervision, performs various duties including but not limited to: registration of patients, obtains insurance information, identifies the need for and obtains authorizations and re-certifications from insurance carriers and physicians' offices. Verifies assignments of patient benefits, co-pays and self- responsible portion of charges and collects same.  Balances daily transactions at  the close of each day and handles cash deposits according to established procedures.  Schedules patient appointments as directed by physicians. Must be knowledgeable of managed care plans and the associated plan requirements. 

ESSENTIAL FUNCTIONS AND RESPONSIBILITIES

Checks patients in for a variety of all appointment types following the proper guidelines.

Scans insurance/photo ID and Update annual Acknowledgement Form Maintains proper patient demographics in the EPR/EPM.

Maintains proper information on insurance par lists.

Knowledge of when an insurance authorization is needed and where to get it.

Able to schedule/reschedule all types of appointments, gathering the proper information needed to complete it.

Compliant with HIPAA regulations at all times. (During working hours as well as outside your working environment.)

Collects patient co-pay & balances, posting correctly to patients account. Able to explain to patients if necessary.

Able to perform daily batch & maintain cash box.

Checks patients out when necessary.  Making sure that future needs as meet (appointments, procedures, labs, etc.).

Performs other daily tasks as requested by manager/management. Balances financial collections each day.

Dispatches issues to the Triage Team for walk-in matters.

Answers and processes telephone calls using a multi-line phone system Processes physician consult and referral calls for providers

Responsible for processing/distributing incoming faxes to the appropriate department Maintains good rapport and cooperative relationships. 

Approaches conflict in a constructive manner. 

Helps to identify problems, offer solutions, and participate in their resolution.

REQUIRED EDUCATION, EXPERIENCE AND CERTIFICATION/LICENSURE

 EDUCATION: 

High School diploma, GED, or equivalent combination of experience and education.

EXPERIENCE:

One to two years' experience in physician office setting performing comparable duties – Required

Knowledge of third-party payers and managed care guidelines - Preferred Experience with a computerized patient management system – Preferred Experience with online third-party payor systems – Preferred

Experience on business machines such as: FAX machines, multi-line telephones, copy machines, and computers - Preferred

REQUIRED SKILLS AND ABILITIES

Effective oral communication skills - Required

Ability to type 35 w.p.m. and/or computer keyboard efficiency - Required

Basic math skills required for counting/balancing money and charges - Required Must satisfactorily complete central offices' training - Required

Ability to work under pressure and to consistently prioritize multiple tasks (demonstrates adaptability/flexibility) - Required

Ability to concentrate and pay close attention to detail while performing tasks - Required

Ability to demonstrate poise during stressful situations - Required

Has the skill and desire to work as a team member - Required

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.