Verification Specialist
Phoenix Group Home, LLC
If you are unable to complete this application due to a disability, contact this employer to ask for an accommodation or an alternative application process. Verification Specialist RESPONSIBLE TO: Office Administrator WORK AREA: Louisiana 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. 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) 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 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. 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. #J-18808-Ljbffr
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