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Medical Receptionist

Medical Claims Billing Specialist

Medical Receptionist

General Summary: The primary purpose of your job position is to greet, accurately register, and schedule patients of our Rural Health Clinic in accordance with current federal, state, and local standards, guidelines, and regulations that govern our facility, and as may be directed by the Office Manager, to ensure that the highest degree of quality care and customer service is maintained at all times.

1 year experience in Medical Reception preferred. Medical Terminology preferred.

Hours of Operation: Monday through Friday 0730 - 1730

Essential Job Functions: The Receptionist will perform but not be limited to the following:

Answer the telephone, direct phone calls, take accurate written messages, and respond to caller questions
Schedule patient appointments, consistent with practitioner preferences/schedule, insurance carrier requirements, and Clinic policy
Register patients for Clinic visits, ensuring accurate and complete data entry
Obtain copies of patient photo identification and insurance cards, as directed by Clinic policy
Participate in daily cash drawer audit, at the start and end of the business day, in cooperation with a colleague
Accept patient payments for co-pays, services rendered, and accounts receivable using approved forms on payment and issuing receipts as directed by Clinic policy
Inventory and place orders for office supplies, as requested by the Office Manager
Make written and oral reports/recommendation to the Office Manager, as necessary/required, concerning the operation of the Rural Health Clinic
Participate, as requested, in Performance Improvement and Quality Assurance project for the Clinic
Participate in preparation for and execution of facility, program, and/or site surveys, as requested
Perform administrative duties such as completing forms, reports, evaluations, studies, etc, as requested
Demonstrate the highest standard of courtesy and customer service toward patients, guests, and colleagues
Send and receive documents via facsimile and scanner
Participate in Clinic-specific committees, as requested by the Office Manager
Function as a Training Mentor to new colleagues and/or non-receptionist colleagues who are completing cross-training
Participate in the development of the Receptionist schedule, if requested
Assist the Office Manager to maintain safety standards in the Clinic
Be familiar with the policy and procedure manual safety precautions and equipment to use when performing tasks that could result in bodily injury
Follow established safety regulations in the use of equipment and supplies
Ensure that all work areas are maintained in a clean, safe, and sanitary manner
Report hazardous conditions or equipment to the Office Manager
Recommend to the Office manager the equipment and supply needs of the department
Ensure that a stock level of office supplies is maintained on premises at all times to adequately meet the needs of the Clinic
Ensure that only trained and authorized personnel operate the Clinic's equipment, and only in a safe manner
Maintain the confidentiality of all patient care information including protected health information.Report known or suspected incident of unauthorized access to and/or disclosure of such information
Monitor patient interaction to ensure that all patients are treated fairly, and with kindness, dignity, and respect
Understand patient responsibilities and rights including the right to refuse treatment
Respond to patient complaints and grievances by making a written and/or oral report to the Office Manager indicating what occurred
Follow Clinic's established procedures
Attend classes, trainings, and in-services to keep skills and knowledge current
Any other duties as assigned by the Clinic Manager

Knowledge, Skills and Abilities:

Active listening-giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.
Speaking-Talking to others to convey information effectively.
Social Perceptiveness-Being aware of others' reactions and understanding why they react as they do.
Instructing-Teaching others in a way they are able to learn.
Reading Comprehension-Understanding written sentences and paragraphs in worked related systems and documents.
Active Learning-Understanding the implications of new information for both current and future problems-solving and decision making.
Service orientation-Actively looking for way to help people.
Time Management-Managing one's own time and time of others.
Learning Strategies-Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.
Writing-Communicating effectively in writing as appropriate for the needs of the audience.
Monitoring-Monitoring/Assessing performance of yourself, other individuals or organizations to make improvements or take corrective action.
Coordination-Adjusting actions in relation to others' actions.
Troubleshooting-Determining causes of operating errors and following policies and procedures to correct the problem.
Operation Monitoring-Watching gauges, dials, indicators and performing quality/performance testing to make sure equipment is in working condition.
Mathematics-Using mathematics to solve problems.
Clerical-Knowledge of administrative and clerical procedures, office procedures and office equipment and basic computer skills.
Critical Thinking-Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.
Communicating with Supervisors, Administrators, Peers and Physician staff-Providing information in person, telephone, written form and email.
Updating and using Relevant Knowledge-Keeping up-to-date technically and applying knowledge to your job.
Evaluating Information to Determine Compliance with Standards-Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations and standards.
Service Orientation-Actively looking for ways to help people.

Education and Experience:

High school diploma or a GED certificate
1 year medical reception experience preferred.
Medical Terminology preferred

Medical Claims Billing Specialist

The Valley Springs Health & Wellness Center is taking applications for a medical claims billing specialist. This is a full-time position which includes benefits and a competitive wage. The billing software is AthenaOne. Prior billing and coding experience is required. Rural Health Clinic billing experience is desirable. Please contact (209) 754-4468 for more information.

General Summary: Work directly with the Clinic Manager in support of Clinic operations including but not limited to medical claims management and EMR Super User.

Hours of Operation: Monday through Friday 0800 - 1700

Essential Job Functions:

The Medical Billing Specialist will perform but not be limited to the following:

Ensuring all medical claims are opened and submitted timely and accurately

Investigate claims on hold and resolve open claims issues

Run daily, weekly, monthly reports regarding patient census, billing issues, quality of care, patient outcomes as assigned by the Clinic Manager

Maintain the Clinic chargemaster (fee schedule)

Function as an EMR Super User, troubleshooting as required.

Review Accounts Receivable and ensure credit balances are audited and processed promptly and in keeping with Clinic policy

Review Accounts Receivable and ensure self-pay balances are addressed promptly using the approved correspondence and other patient outreach

Correspond with insurance companies, third party payers, and patients, collecting information, money or settling discrepancies and filing appeals.

Maintain a current claims status in the EMR using the Workflow Dashboard, Claims Worklist and other EMR resources for tracking of denials and fully-worked claims

Maintain a current status in the Enrollment Tasks (credentialing-related issues) as documented in the EMR using the Workflow Dashboard

Ability to bill private insurance, Medi-Cal, Medicare, Medicare/Medi-Cal crossovers, and private paying patients, billing primary and secondary payers.

Meet deadlines for processing daily billings, contact related medical departments for clarification, receiving updates on Medi-Care, Medi-Cal and related providers for compliance.

Continue improvement of duties to streamline processing.

Responsible for the correction of monetary amounts posted incorrectly to patients' accounts or over payments as they appear on patients' accounts. When possible, the credit amounts are reapplied to the account; refunds are issued where necessary.

Meet regularly with the manager and/or CEO to review billing/trends/system issues, etc.

Notify the manager ASAP verbally if there are any time-critical issues that need to be addressed.

Maintain confidentiality/HIPAA protocol with patient information at all times.

Other duties as assigned.

Knowledge, Skills and Abilities:

Active listening-giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Speaking-Talking to others to convey information effectively.

Social Perceptiveness-Being aware of others' reactions and understanding why they react as they do.

Instructing-Teaching others in a way they are able to learn.

Reading Comprehension-Understanding written sentences and paragraphs in worked related systems and documents.

Active Learning-Understanding the implications of new information for both current and future problems-solving and decision making.

Service orientation-Actively looking for way to help people.

Time Management-Managing one's own time and time of others.

Learning Strategies-Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

Writing-Communicating effectively in writing as appropriate for the needs of the audience.

Monitoring-Monitoring/Assessing performance of yourself, other individuals or organizations to make improvements or take corrective action.

Coordination-Adjusting actions in relation to others' actions.

Troubleshooting-Determining causes of operating errors and following policies and procedures to correct the problem.

Operation Monitoring-Watching gauges, dials, indicators and performing quality/performance testing to make sure equipment is in working condition.

Mathematics-Using mathematics to solve problems.

Clerical-Knowledge of administrative and clerical procedures, office procedures and office equipment and basic computer skills.

Critical Thinking-Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Communicating with Supervisors, Administrators, Peers and Physician staff-Providing information in person, telephone, written form and email.

Updating and using Relevant Knowledge-Keeping up-to-date technically and applying knowledge to your job.

Evaluating Information to Determine Compliance with Standards-Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations and standards.

Service Orientation-Actively looking for ways to help people.

Education and Experience:

High school diploma or GED certificate

Must have medical billing/coder experience. Medical office experience preferred.

Rural Health Care Clinic Billing experience preferred.

This institution is an Equal Opportunity Provider and Employer

Medical Claims Billing Specialist

Medical Receptionist

1 year experience in Medical Reception preferred. Medical Terminology preferred.

Hours of Operation: Monday through Friday 0730 - 1730

Essential Job Functions: The Receptionist will perform but not be limited to the following:

Answer the telephone, direct phone calls, take accurate written messages, and respond to caller questions

Schedule patient appointments, consistent with practitioner preferences/schedule, insurance carrier requirements, and Clinic policy

Register patients for Clinic visits, ensuring accurate and complete data entry

Obtain copies of patient photo identification and insurance cards, as directed by Clinic policy

Participate in daily cash drawer audit, at the start and end of the business day, in cooperation with a colleague

Accept patient payments for co-pays, services rendered, and accounts receivable using approved forms on payment and issuing receipts as directed by Clinic policy

Inventory and place orders for office supplies, as requested by the Office Manager

Make written and oral reports/recommendation to the Office Manager, as necessary/required, concerning the operation of the Rural Health Clinic

Participate, as requested, in Performance Improvement and Quality Assurance project for the Clinic

Participate in preparation for and execution of facility, program, and/or site surveys, as requested

Perform administrative duties such as completing forms, reports, evaluations, studies, etc, as requested

Demonstrate the highest standard of courtesy and customer service toward patients, guests, and colleagues

Send and receive documents via facsimile and scanner

Participate in Clinic-specific committees, as requested by the Office Manager

Function as a Training Mentor to new colleagues and/or non-receptionist colleagues who are completing cross-training

Participate in the development of the Receptionist schedule, if requested

Assist the Office Manager to maintain safety standards in the Clinic

Be familiar with the policy and procedure manual safety precautions and equipment to use when performing tasks that could result in bodily injury

Follow established safety regulations in the use of equipment and supplies

Ensure that all work areas are maintained in a clean, safe, and sanitary manner

Report hazardous conditions or equipment to the Office Manager

Recommend to the Office manager the equipment and supply needs of the department

Ensure that a stock level of office supplies is maintained on premises at all times to adequately meet the needs of the Clinic

Ensure that only trained and authorized personnel operate the Clinic's equipment, and only in a safe manner

Maintain the confidentiality of all patient care information including protected health information.Report known or suspected incident of unauthorized access to and/or disclosure of such information

Monitor patient interaction to ensure that all patients are treated fairly, and with kindness, dignity, and respect

Understand patient responsibilities and rights including the right to refuse treatment

Respond to patient complaints and grievances by making a written and/or oral report to the Office Manager indicating what occurred

Follow Clinic's established procedures

Attend classes, trainings, and in-services to keep skills and knowledge current

Any other duties as assigned by the Clinic Manager

Knowledge, Skills and Abilities:

Active listening-giving full attention to what other people are saying, taking time to understand the points being made, asking questions as appropriate, and not interrupting at inappropriate times.

Speaking-Talking to others to convey information effectively.

Social Perceptiveness-Being aware of others' reactions and understanding why they react as they do.

Instructing-Teaching others in a way they are able to learn.

Reading Comprehension-Understanding written sentences and paragraphs in worked related systems and documents.

Active Learning-Understanding the implications of new information for both current and future problems-solving and decision making.

Service orientation-Actively looking for way to help people.

Time Management-Managing one's own time and time of others.

Learning Strategies-Selecting and using training/instructional methods and procedures appropriate for the situation when learning or teaching new things.

Writing-Communicating effectively in writing as appropriate for the needs of the audience.

Monitoring-Monitoring/Assessing performance of yourself, other individuals or organizations to make improvements or take corrective action.

Coordination-Adjusting actions in relation to others' actions.

Troubleshooting-Determining causes of operating errors and following policies and procedures to correct the problem.

Operation Monitoring-Watching gauges, dials, indicators and performing quality/performance testing to make sure equipment is in working condition.

Mathematics-Using mathematics to solve problems.

Clerical-Knowledge of administrative and clerical procedures, office procedures and office equipment and basic computer skills.

Critical Thinking-Using logic and reasoning to identify the strengths and weaknesses of alternative solutions, conclusions or approaches to problems.

Communicating with Supervisors, Administrators, Peers and Physician staff-Providing information in person, telephone, written form and email.

Updating and using Relevant Knowledge-Keeping up-to-date technically and applying knowledge to your job.

Evaluating Information to Determine Compliance with Standards-Using relevant information and individual judgment to determine whether events or processes comply with laws, regulations and standards.

Service Orientation-Actively looking for ways to help people.

Education and Experience:

High school diploma or a GED certificate

1 year medical reception experience preferred.

Medical Terminology preferred

Medical Claims Billing Specialist

General Summary: Work directly with the Clinic Manager in support of Clinic operations including but not limited to medical claims management and EMR Super User.

Hours of Operation: Monday through Friday 0800 - 1700

Essential Job Functions:

The Medical Billing Specialist will perform but not be limited to the following:

Ensuring all medical claims are opened and submitted timely and accurately

Investigate claims on hold and resolve open claims issues

Run daily, weekly, monthly reports regarding patient census, billing issues, quality of care, patient outcomes as assigned by the Clinic Manager

Maintain the Clinic chargemaster (fee schedule)

Function as an EMR Super User, troubleshooting as required.

Review Accounts Receivable and ensure credit balances are audited and processed promptly and in keeping with Clinic policy

Review Accounts Receivable and ensure self-pay balances are addressed promptly using the approved correspondence and other patient outreach

Correspond with insurance companies, third party payers, and patients, collecting information, money or settling discrepancies and filing appeals.

Maintain a current claims status in the EMR using the Workflow Dashboard, Claims Worklist and other EMR resources for tracking of denials and fully-worked claims

Maintain a current status in the Enrollment Tasks (credentialing-related issues) as documented in the EMR using the Workflow Dashboard

Ability to bill private insurance, Medi-Cal, Medicare, Medicare/Medi-Cal crossovers, and private paying patients, billing primary and secondary payers.

Meet deadlines for processing daily billings, contact related medical departments for clarification, receiving updates on Medi-Care, Medi-Cal and related providers for compliance.

Continue improvement of duties to streamline processing.