Verification Specialist

Job Description

Job Description

RESPONSIBLE TO: Office Administrator

WORK AREA: Louisiana

Outpatient Behavioral Health Office

SUMMARY: Under the supervision of the Office Administrator, the Office Manager will answer telephones, schedule client services, perform insurance verification, reschedule, and confirm client appointments, greet and check-in clients, obtain client documentation and intake paperwork and scan to the system, and move clients through a pre-determined schedule of appointments at the office. Employee will also submit completed care charges to billing and make follow-up appointments.

BLOODBORNE PATHOGEN CATEGORY I: Tasks with actual blood/body fluid exposure are not included in this position’s duties.

1. Day-To-Day Responsibilities*

• Answersall incoming calls in an efficient, pleasant, andprofessionalfashion. Schedules new clientsfor intakeappointments; provides explanation toclientofwhat to bring and what to expect at first appointmentand makes reminder calls.
• Verifies client’s insurance when scheduling.
• Works with clients and billing to resolve any client insurance issues thatimpactsclient’sability to receive treatment.
• Confirms client’s appointment and information; updates systems to reflect any changes.
• Create and organize client charts (Physical and electronic into EHR)

• Welcomesandgreetsall clients as they arrive, orientingclientto the space and providingcompanyinformation, patient rights information, privacyinformationand other required notifications.
• Checks client in and scans all client-completed paperwork to the electronic health record. Notifiesproviderof client’s arrival.(Ensure that ROIs are obtained)
• Schedulesclient’sreturn appointment and checksclientout atendofvisit. Reviews andupdatesclient’ scarerecord,submittingto billing department.
• Serves to gather client information toassistbillingdepartmentin the event ofa coding denial. Maintains professionalrelationshipwithclientas the face of PathBehavioralHealthcare,impactingthe client’s care experiences.
• Requests and scans prior care records at the request of the clinical providers at the site.Followsup on requests to ensure that information is available.
• Manages mail, faxes, and officesupplyordering for site.
• Identifiesopportunities for marketing and business growth; prepares for and attends events when available.
• Communicate with staff on any information the doctor or LMHPs left for them
• Preform Dr. Day duties(Doctor dayis the day that alldr. & nurse practitioner appointments are done.)
• Update Rosters, Census, Referral log, and Provider Bios.
• Update employee charts withnew information
• Set up CPR/CPI classes
• Keep an updated employee list and birthday list
• Works withBusinessDevelopment team toidentifyReferral Partners and communicate daily with Partners.
• Thisincludesfollowing up on clients that were referred thatdidn’tshow up and need to be re-scheduled, clients who are completing treatment. (ROI must be obtained)

1. Day-To-Day Team Member Responsibilities*

• Willingly serves in a professional and collaborative capacity with all other employees and PathBehavorialHealthcare.
• Fully understands andcomplies withall organizational processes and policies
• Takes initiative to help clients and others.

• Consistently practices active listening andmaintainsa pleasant, solution-focused attitude.
• Collaborates with all colleagues and coworkers to communicate with transparency and drive implementation of the organization’s goals,objectivesand processes.
• Maintains an organized workspace and outpatient office& put inthe servicecalls for any broken things.
• Is at work on time and ready to work, and leaves work at the completion of client care responsibilities.
• Maintain strict compliance with HIPAA guidelines and confidentiality agreements.
• Maintains a demeanor of positive professionalism.
• Assistwithadditionalclerical services as requested 

1. Assist Nurse Practitioner (NP) with the following: 

• Scheduling and rescheduling of patient appointments 
• Take vitals to include height and weight. 
• Take phone messages for NP. 
• Order supplies. 

1. Professional Development/Education*

• Attends all company education seminars, seeks other opportunities to grow knowledge ofcompanyand work responsibilities.
• Participates in site team meetings, company meetings, volunteers for special projects or committees that would enhance professional growth.

QUALIFICATIONS:

Education: Preferred: Associates degree in a healthcare related field

Required: High school diploma with experience as noted below.

Certification: Must hold active CPR certification

Experience/Skills: Preferred: 1-year recent clerical, customer service or marketing experience in a behavioral health office

Minimum of 2 years’ experience in a clerical or customer service-related field in a healthcare environment

Thorough knowledge of billing and coding guidelines.

Thorough knowledge of privacy, HIPAA, and confidentiality requirements.

Physical Effort : Requires working under stressful conditions or with interruptions.

Requires sitting, viewing computer monitors and keyboarding.

Must be able to lift 25 pounds

Interpersonal Skills: Requires excellent interpersonal and time management skills and a calm, professional style of communication.

Background: Must pass all federal and state background checks. Educational and work history will be confirmed in compliance with company policies. Required to pass all pre-employment drug, alcohol and Tb testing.