Health Services Specialist
CommuniCare Health Centers
Health Services Specialist
Responsible to provide excellent customer service to all members of the Center. Maintain confidentiality of all information and provide flexibility in practice staffing arrangements.
DUTIES AND RESPONSIBILITIES:
- Performs new patient registration, updates patient information, data entry of demographics, and any other required information. Verifies and activates appropriate patient insurance plan on electronic practice management system. Manages member account balances to include cash collection, old balances, and same-day service balances. Regularly monitors and ensures assigned providers' schedules are filled at capacity via walk-ins and call reminders to members with next day appointments.
- Refers patients for screening to determine eligibility for special funding and refers patients with high account balances for consultation. Oversees the general waiting area, ensuring member check-in process is efficient, and reporting problems or irregularities to appropriate authorities.
- Prepares for next day clinic session to include printing of appointment list, confirming appointments, noting alerts for payments and balances, obtaining current insurance information, updating proof of income, pre-registering patients, and screening patients for program eligibility. Performs patient dismissal to include scheduling of follow up appointments and collects remainder of patient portion of current charges.
- Completes end-of-day reconciliation report; ensures that cash collection and credit card payments reconcile with practice management report; ensures that cash is secured and deposited into a safe at the end of the day.
- Provides exceptional internal and external customer service. Greets each customer with appropriate introduction and is attentive to patients during peak wait times. Addresses concerns prior to end of interaction. Assists other departments as appropriate.
- Performs other related duties as assigned.
JOB QUALIFICATIONS:
- High School graduate or equivalent required
- Minimum one year experience in front office duties
- Medical Assistant or Dental Assistant training preferred
- Demonstrates good verbal and written communications, with good interpersonal and organizational skills
- Experience with insurance verification and referrals preferred
- Possesses computer skills with proficiency in data entry and keyboarding skills
- Has knowledge in healthcare billing, to include Medicaid, Medicare, and Private Insurance
- Ability to handle multiple tasks ensuring completion with minimal supervision
- Bilingual (English/Spanish) preferred
- Must have good attention to detail
- Scheduled hours and/or work locations are subject to change
PHYSICAL ACTIVITIES AND REQUIREMENTS:
- Finger Dexterity: Using fingers to make small movements such as typing or picking up small objects.
- Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly.
- Hearing: Able to hear average or normal conversations and receive ordinary information.
- Repetitive Motions: Frequently and regularly using the wrists, hands, and fingers.
- Visual: Average, ordinary, visual acuity necessary to prepare or inspect documents or other materials.
- Physical: Sedentary work; sitting most of the time. May have to lift folders, files, papers, audio/video equipment, and other such items weighing up to approximately 25 lbs.
Qualifications
Education
Required High School/GED or better in General Business.
Equal Opportunity Employer This employer is required to notify all applicants of their rights pursuant to federal employment laws. For further information, please review the Know Your Rights notice from the Department of Labor.
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