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Job Summary And Responsibilities
Under general supervision, performs front office processes associated with patient check-in, check-out, scheduling, referrals, and electronic medical records. Administers and supports the clinic’s billing, and insurance functions, in accordance with internal standards and procedures, and regulatory requirements.
- Perform patient check-in at the time of visit; interviews patients and completes all paperwork necessary to ensure the admitting process is efficient, and all clinic and regulatory policies are in compliance.
- Copy/scan patient medical records, benefit/insurance information, and related hardcopy materials (e.g. ID, referrals, insurance cards, etc.) into the correct location in the electronic medical record system.
- Perform patient check-out including pricing services, coding of procedures performed, and diagnosis on charge, to accurately support the need and documentation for each service.
- Collect patient responsibility payments, and answer routine patient insurance and billing inquiries.
- Answer phone calls, confirm next day appointments, ensure insurance coverage, and alert patients as to what documentation is needed, including details associated with time-of-service payment schedules.
- Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
- Coordinate scheduling with that of the practitioners’ schedules to ensure proper coverage of patient appointments and out-of-office calls.
- Retrieve, file, and maintain charts and medical record documentation according to office protocol; coordinate copies of medical documentation with physician charges to support billing to third-party payers.
- Manage the flow of interdepartmental, outgoing, and incoming mail.
- Communicate requests and provide medical information to and from patient care providers in strict accordance with HIPPA and all policies and procedures.
- Follow up with patients regarding the Missed Appointment Policy and send out the appropriate communications.
- Perform other duties as assigned.
Job Requirements
Required Education and Experience
- High school diploma or equivalent required.
- 2 years related experience in a healthcare environment preferred.
Required Minimum Knowledge, Skills, Abilities And Training
- Demonstrate proficient with Microsoft Office software.
- Knowledge of the content, and application of HIPAA, federal and state regulatory requirements.
- Demonstrate the understanding of clinic procedures and regulatory requirements.
- Demonstrate the understanding of health insurance authorization/billing requirements, including medical coding.
- Ability to file and maintain patient records and reports in the Electronic Medical Records system.
- Must be detail oriented and possess excellent organizational and time management skills.
- Must possess strong customer service and communication skills.
- Possess a strong work ethic and a high level of professionalism.
- A team player who handles multiple projects simultaneously at a fast paced environment.
Where You'll Work
CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health. With more than 700 care sites across the U.S. & from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S. residents.
Pay Range
$15.71 - $22.19 /hour
Seniority level
- Entry level
Employment type
- Full-time
Job function
- Administrative
- Hospitals and Health Care