Three years’ experience with practice management systems; office automation skills; Minimum 3 years of extensive knowledge of CPT and ICD-10 coding and insurance reimbursement; strong interpersonal and verbal communication skills; good organizational skills. Is committed to and demonstrates excellent customer service when dealing with all types of customers.

Registers new patients and maintains current accurate up to date demographic and insurance information for all Performs according to policy regulations associated with Privacy Notification, Medicare secondary, signed demographic registrations, consent to treat minor, etc. (MSPQ).

Identifies barriers to

Verifies insurance eligibility, scans insurance card, and photo

Checks patients in and or out for visit in appropriate Accurate and appropriate use of ICD-10 and CPT codes

Accurately and accordingly to policy, posts payments

Reconciles all financial data correctly and in compliance with clinic policy, both end of day and end of month

Forward requests for Medical Records to Health Information Management Systems.

Works with patient and clinic manager to effectively manage patient accounts and performs certain financial assistance tasks as delegated and monitored by the clinic

Recognizes how fraud and abuse interplay into daily

Any other duty as assigned but within the scope of practice for a MOA by the clinic manager and or

Will contact facilities as necessary to ensure the appropriate paperwork is index in the patient’s EMR medical record prior to being seen by the provider in preparation for patient appointments – Examples: surgical reports, pathology reports, home health summary of care, etc.

Responds to the follow-up action plans sent by providers goaled at achieving maximum level of care continuity in preparation for designated patient appointments.

Preparation of invoices and claims within set deadlines, maintains and/or ensures maintenance of client records related to invoicing and bill payment and reviewing work to ensure accuracy, resolving inconsistencies as needed.

Drafts and distributes to Director and Finance team required and requested invoicing and billing metrics reports, post payments and adjusts invoices/claims accurately, take credit card payment as requested and posts payments.

Work the account receivables (A/R) to ensure payment within A/R metrics and provide customer support to customers with disputes or inquiries concerning invoices or billing process and contact customers to obtain, verify, and update account information when necessary.

Maintains work area in a neat and organized

Secures patient information in desk drawers or

Secures all receipts, cash drawer, under lock and key overnight and when away from work area. Locks computer system as needed when away from work desk to protest PHI for patients

Greets and direct patients and visitors in a courteous manner, informing them of delays or changes in patient flow

Manages appointment schedule to ensure provider efficiency and patient

Monitors the reception area to ensure patient comfort and prompt response to patient distress or concerns

Works on behalf of patient and occ health client to ensure timely appointments by asking patient to arrive early, effectively work through paperwork, history forms, etc. while making sure patients have the opportunity to re-schedule if provider is running

Monitors and manages patient and client requests for appointments.

Manages occ health no shows; monitors upcoming occ health schedules.

Uses equipment/supplies correctly.

Maintains equipment in proper working Follow manufacturers’ manuals for care of office equipment. Notify manager of equipment failure.

Maintains adequate supply of materials and Use supplies conservatively

Keeps a neat orderly and safe work

Communicates clearly with providers, manager and co-workers and patients.

Educates and inform patients about clinic policies, procedures and processes using basic simple language and principles of adult

Involves clinic manager in all patient concerns/complaints in a timely fashion after first trying to diffuse the situation.

Accurately collects co-pays and deductibles; provides patients with necessary information about their insurance policy (when information is available) as needed and directed by the situation.

Advises patients in need of insurance pre-certifications or authorization for clinic visits (i.e., managed care and VA).

Knowledge of managed care plans.

Adheres to FirstHealth’s Customer Service Standards.

Uses approved format for recording and reporting i.e., telephone encounter, etc.

Maintains written reports of all situations requiring manager’s attention

Reconciles cash receipts and reports as instructed by policy when MOA must leave money drawer for an extended period

Utilizes the EHR/EMR system if in place to facilitate role as it related to referrals, follow-up patient instructions or other activities required in a clinic setting to augment quality for patient care and coordination.

High school graduate. One-year Technical College or certification preferred.

Three years' experience in physician office with medical billing experience may be accepted in lieu of formal training.

Required Certifications if approved by Convenient Care and Occupational Health Directors:

Certified Occupational Hearing Conservationist

Certified National Institute for Occupational Safety and Health Spirometry

Certified Federal DOT Urine and Drug Screen

Certified Federal Breath Alcohol

Required Certifications shall be completed by 90 days’ probationary date.