Verification Specialist
Phoenix Group Home, LLC
Office ManagerUnder 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*Answers all incoming calls in an efficient, pleasant, and professional fashion. Schedules new clients for intake appointments; provides explanation to client of what to bring and what to expect at first appointment and makes reminder calls.Verifies client's insurance when scheduling.Works with clients and billing to resolve any client insurance issues that impacts client's ability 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)Welcomes and greets all clients as they arrive, orienting client to the space and providing company information, patient rights information, privacy information and other required notifications.Checks client in and scans all client-completed paperwork to the electronic health record. Notifies provider of client's arrival. (Ensure that ROIs are obtained)Schedules client's return appointment and checks client out at end of visit. Reviews and updates client's care record, submitting to billing department.Serves to gather client information to assist billing department in the event of a coding denial. Maintains professional relationship with client as the face of Path Behavioral Healthcare, impacting the client's care experiences.Requests and scans prior care records at the request of the clinical providers at the site. Follows up on requests to ensure that information is available.Manages mail, faxes, and office supply ordering for site.Identifies opportunities for marketing and business growth; prepares for and attends events when available.Communicate with staff on any information the doctor or LMHPs left for themPerform Dr. Day duties (Doctor day is the day that all dr. & nurse practitioner appointments are done.)Update Rosters, Census, Referral log, and Provider Bios.Update employee charts with new informationSet up CPR/CPI classesKeep an updated employee list and birthday listWorks with Business Development team to identify Referral Partners and communicate daily with Partners.This includes following up on clients that were referred that didn't show 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 Path Behavioral Healthcare.Fully understands and complies with all organizational processes and policiesTakes initiative to help clients and others.Consistently practices active listening and maintains a pleasant, solution-focused attitude.Collaborates with all colleagues and coworkers to communicate with transparency and drive implementation of the organization's goals, objectives and processes.Maintains an organized workspace and outpatient office & put in the service calls 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.Assist with additional clerical services as requestedAssist Nurse Practitioner (NP) with the following:Scheduling and rescheduling of patient appointmentsTake 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 of company and 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 fieldRequired: High school diploma with experience as noted below.Certification: Must hold active CPR certificationExperience/Skills: Preferred: 1-year recent clerical, customer service or marketing experience in a behavioral health officeMinimum of 2 years' experience in a clerical or customer service-related field in a healthcare environmentThorough 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 poundsInterpersonal 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.
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