Su Clinica Front Desk Billing Clerk in Harlingen, Texas
Performs a variety of Administrative functions for the Behavioral Wellness/Social Services departments. Scheduling appointments for the departments. Assist in gathering data for reports as needed, types memos and correspondence. Provides information to callers, disseminates information, and maintains a filing system.
Adhere to policies and procedures in conducting all clinical charges, payments, adjustments for proper billing and collections. Handles in person traffic and answering the telephone. Route calls to the appropriate department personnel. Performs all duties which involve interaction with patients and improves patient care outcomes; all interactions with the patients will be in adherence to the PCMH principles, policies, and procedures
Patient Communication: Greets all patients and family members and answers the phone in a professional and courteous manner and directs them to appropriate personnel. Assure all patient questions are answered in a positive and cordial manner regarding their billing and or collection of fees. Communicates patients’ problems/complaints to the supervisor or designee. Communicates with patients and family members in both English and Spanish regarding charges, collections, and any other patient questions. Processes mail, faxes and inter-department mail.
Appointment/Billing and Collections Functions: Notifies patient of scheduled appointments with assigned counselor, date, and time. Reschedules appointments as requested by patients. Communicates with consulting psychiatrist (s) and their designated staff to facilitate and coordinate patient appointments. Bills and collects from patients as per policies and procedures of each specific program or grant. Efficiently addresses any discrepancies in the billing or collection process. Accurately enters data and maintains current computer files regarding patient demographics, insurance and account information. Enters payments received on accounts, applies payment to existing charges and ensures account balances are current and correct. Reconciles and balances daily. Charges are calculated based on sliding scale fee schedule. Insurance benefits are verified.
Team Communication: Works closely with behavioral wellness counselors and consulting psychiatrist (s) to coordinate appointments, relays messages to respective counselors from SC providers regarding patient care. Attends meetings as assigned as a representative to the Behavioral Wellness department.. Approaches patient care as a team involving clinical and non-clinical staff (example, Physicians, mid-levels, educators, appointments staff) to achieve patient care objectives, as needed. Adheres to all HIPAA regulations in and outside of the Clinic. Communicates patient information as requested to enhance patient services.
Management of Documentation: Assures all billing and collection documentation is accurate and current. Documents all adjustments and or refunds as needed. Assists in the annual registration renewal process. Encourages patients to sign up for patient portal. Utilize Centricity Physician Office referral process (EMR) to track status of patient appointments in EMR to reflect pending or completed appointment status to facilitate billing. Submit quick text to Medical Records indicating patient kept appointment.
Demonstration of Safe and Professional Conduct: Maintains a friendly and safe environment for self and others. Refrains from texting and speaking on cell phone while on duty. Will maintain the phone on mute to avoid hearing the ringing of personal cell phones. Refrains from informal communications with patients and others. Attends work on a regular and predictable schedule in accordance with clinic leave policy and performs other duties assigned. Responsible for their own safety as well as the safety of others and performs other duties assigned.
High school or GED. Graduate of an accredited Medical Office Specialist program with minimum of one year billing experience in a medical or hospital setting or two years billing in a medical or hospital setting. Applicants must be familiar with private insurance, Medicare and Medicaid claims filing. Experience with CPT and ICD-9 and ICD-10 coding. Must be bilingual English/Spanish.
External Company Name: Su Clinica
External Company URL: http://www.suclinica.org/