GENERAL DESCRIPTION OF POSITION:

Concentrates on integrated eligibility screening, registers new and established patients. Obtains proper documentation, information and enters all data into the computer system. Screens patients to determine eligibility in other programs.

Will perform all duties which involve interaction with a patient in a manner which ensures the patient has a pleasant and satisfactory experience. All interactions with the patients will be in adherence to the PCMH principles, policies, and procedures. Supports the vision and the mission of the Clinic at all times.

ESSENTIAL JOB FUNCTIONS: (with or without accommodations)

Patient Communication: Will greet and welcome the patient face to face or by telephone in a pleasant and culturally and linguistic manner. Assure all patient questions are answered in a positive and cordial manner regarding their sliding fee scale or other grants or programs. Communicates patient’s problem/complaint to the supervisor or designee. Communicates with patients and family members in both English and Spanish regarding registration or any other patient questions.

Performs billing/collection functions: Collects all registration data on new patients and interviews new and existing patients for integrated eligibility services. Based on information provided determines the sliding scale fee. Potential candidates are referred to appropriate agencies. Verifies all third-party coverage and enters third party data into the computer. Provides and explains consent forms to the patients. Will be cross trained in all billing clerk duties. Attends in-service training and SC educational programs.

Team Communication: Approaches patient care as a team involving clinical and non-clinical staff (eg. Physicians, mid-levels, educators, appointments staff) to achieve patient care objectives. Actively participates in team huddles to assure maximum communication among billers and gaps in the day. Will assist with front desk functions as needed to create a smoother patient flow.

Management of Documentation: Collects all registration data on new patients and interviews new and existing patients for integrated eligibility services. Assists in the annual registration renewal process. Accurately enters or scans data and maintains computer files of all patients’ demographics, insurance and account information. Assists with any statistical or special reporting required by administration.

Demonstrates safe professional conduct: Maintains a friendly and safe environment for self and others. Response to emergency situations as per training. Refrains from texting and speaking on the cell phone while on duty. Refrains from informal communication with patients and others. Fully participates in the performance improvement and follows all the Clinic policies and procedures. Attends work on a regular and predictable schedule in accordance with Clinic leave policy and performs other duties as assigned.

POSITION DIRECTLY SUPERVISED: None

KNOWLEDGE, SKILLS, AND ABILITIES: (use of equipment, job related knowledge, language, etc.)

Knowledge of ICD-10 and CPT coding

Knowledge of SC policies and procedures.

Knowledge of PCMH Model

Knowledge of medical office practices.

Knowledge of medical terminology or medical insurance.

Knowledge in providing effective Customer Service on a daily basis.

Knowledge of computer software (Microsoft Word, Excel, etc.) programs.

Knowledge in the use of electronic mail.

Skilled in the use of a computer.

Ability to read, write and spell accurately.

Ability to maintain an effective and professional working relationship with the public and co-workers.

Able to bend, stretch, stoop, push, pull and lift.

Able to lift 20 lbs.

Able to operate a keyboard, telephone, and other office equipment.

Able to record, prepare and communicate appropriate reports.

Ability to maintain a positive work environment.

Ability to work in a fast-paced environment.

Ability to maintain a flexible work schedule.

Ability to maintain client and office confidentiality.

Ability to communicate in both English and Spanish.

Ability to provide transportation to work sites and other agencies.

Must be able to attend workshops applicable to SC programs.

MINIMUM QUALIFICATIONS/CERTIFICATES/LICENSES/REGISTRATIONS REQUIRED:

High school or GED. Graduate of an accredited Medical Office Specialist program or equivalent. Minimum of 6 months of billing or registration work experience in a medical or hospital setting. MOS Certification can substitute for 6 months' work experience. Applicants must be familiar with private insurance, Medicare and Medicaid claims filing.

SPECIAL INSTRUCTIONS: This position requires travel. Employee must provide transportation. If employee operates a personal motor vehicle in the performance of their official duties, the employee must possess a current valid Texas driver’s license for the appropriate type of vehicle and Texas Liability insurance.