GENERAL DESCRIPTION OF POSITION:
Performs all duties which involve active interaction with the patient, over the phone or in person, in a manner which ensures the patient has a pleasant and satisfactory experience. Answers all inbound calls on inquiries regarding appointments, billing or general information. All interaction with the patient is in adherence to the primary care team by providing excellent customer service, accurate and timely appointment information and working with the team to assure same day access is available for patients wanting to see their primary care provider and to assure continuity of care as their schedule allows. Follows SC policies and procedure that are essential in carrying out the patient health care plan. Responsible for insurance verification, entering all pertinent Patient information into the system, collecting and posting payments to the practice management system under the supervision of the Billing Supervisor.
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.
Working hours are the hours designated by the clinic.
ESSENTIAL JOB FUNCTIONS: (with or without accommodations)
Duties may include but not necessarily be limited to the following:
Accurately enters data and maintains current computer files of all patient demographics, insurance and account information. Accurately enters payments received on accounts, applying payments to existing charges and appropriately ensures account balances are paid currently and correctly through third party payers as well as patient payments.
Reconciles and balances daily Deposit Slip Report. Verifies insurance benefits on new and established patients, documenting coverage, deductible and contractual conditions for billing and collection purposes. Scans in insurance cards on every visit. At every visit verifies coverage through TMHP for all Indigent and Sliding Fee Scale patients. Sets tickets to correct payer source.
Communicates with patients and family members in both English and Spanish regarding projected charges, office polices, collection procedures, all available programs as necessary.
Closely monitors accounts with pending Medicaid or other funding sources. Reviews aging patient tickets and makes collection efforts and documents accordingly.
Reviews credit balance tickets assigned and refers tickets to Supervisor if adjustments and or refund requests are needed.
Assists with any statistical or special reporting required by Supervisor or Administration. Obtains required signatures on all consent forms. Ensures all patients are given a receipt for payment. Provides and documents payment arrangements for outstanding balances and follows up on payment arrangements that have been made.
Will be crossed trained in all registration all billing departments i.e. Internal Medicine, Pediatrics and WHC duties which ever applies. Will attend in-service training and SCF educational programs. Responsible for their own safety as well as the safety of others.
SPECIAL INSTRUCTIONS: This position requires handling of cash, collections, payments and billing and as such will require taking no less than five(5) consecutive days of accrued annual leave days per year. Therefore, five (5) of the accrued annual leave days will be reserved for this purpose.
Position directly supervised: None
