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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.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

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This institution is an Equal Opportunity Provider and Employer

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