First Health of the Carolinas
Overview Answers phones, routes calls and or takes accurate Demonstrates a sense of urgency relating to patient’s level of distress. Triages basic patient care needs generating a telephone encounter depending upon the situation.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 photoChecks patients in and or out for visit in appropriate Accurate and appropriate use of ICD-10 and CPT codesAccurately and accordingly to policy, posts paymentsReconciles all financial data correctly and in compliance with clinic policy, both end of day and end of monthForward 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 clinicRecognizes how fraud and abuse interplay into dailyAny other duty as assigned but within the scope of practice for a MOA by the clinic manager and orWill 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.
Examples: Remind patient to bring blood pressure log to appointment.
MOA will also monitor the Quality Panel Metrics Health Maintenance Tab to facilitate proactive management of patient care and close care gaps.
Qualifications
Education/formal training/licensure/certifications/experience:
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.
Additional Skills:
Experience with practice management systems; office automation skills; 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.
Working Conditions:
Clinic environment and during regularly scheduled clinic hours Potential for exposure to communicable diseases
Fast moving, frequent interruptions
Physical Requirements:
Ability to access all areas of the facility; ability to sit for extended periods of time; visual and hearing acuity; ability to communicate effectively with co-workers, patients, and physicians both verbally
and written.