Clinic Support Specialist

NorthBay Health•Vacaville, CA

8h•$27 - $33•Onsite

About The Position

At NorthBay Heath, the Clinic Support Specialist performs a combination of duties encompassing clerical, reception, registration, scheduling, authorization and eligibility, charges and medical records management. The Clinic Support Specialist functions as part of the customer service team in support of the clinical staff and practices. With appropriate certification as a Medical Assistant (MA) this position would also be responsible for providing direct patient care in support of a provider and/or Registered Nurse (RN) in an ambulatory wound care clinic setting or inpatient setting under the direction and supervision of a licensed physician and/or RN. Under their scope of practice/certification, the MA may provide and assist with wound care upon supervision of a physician and/or Registered nurse.

Requirements

Appropriate certification as a Medical Assistant (MA) if responsible for direct patient care.
Ability to provide direct patient care under supervision of a physician and/or RN.
Ability to assist with wound care under supervision.
Proficiency in typing, filing, word processing, chart preparation, data base entry, and report writing.
Experience with maintaining department paper and electronic filing systems.
Skill in inventory management and ordering supplies.
Ability to perform daily equipment checks.
Participation in QI/ PI activities.
Ability to collect and report statistical data.
Timely input of patient data into a database.
Experience operating photography equipment and maintaining photographic files.
Ability to generate and disseminate registration and scheduling reports.
Proficiency in reconciling and processing charges.
Ability to prioritize referrals and manage wait lists.
Skill in initiating, verifying, and documenting eligibility and benefits for all payers.
Experience resolving managed care and third-party requirements.
Proficiency in using telephone and internet eligibility sources.
Ability to schedule appointments and register patients.
Experience placing confirmation or rescheduling calls.
Ability to check in patients, verifying and updating demographic and insurance information.
Skill in reviewing schedules for pre-registration.
Ability to determine insurance type and initiate authorization and eligibility processes.
Experience processing billing forms (e.g., TAR, Medicare forms, Workers Comp forms).
Ability to gather, update, and verify patient registration, demographic, and insurance information.
Skill in ensuring accurate data entry into the system.
Ability to communicate patient financial liability.
Experience researching and answering inquiries related to referrals, authorization, eligibility, charges, EOBs, and denied claims.
Ability to collect co-payments, share of cost, deductibles, and fees.
Proficiency in maintaining and reconciling a daily cash journal.

Responsibilities

Presents a professional demeanor in appearance and attitude.
Ensures smooth operation of the clinic /office practice.
Performs secretarial/receptionist duties and general office work including typing, filing, word processing, chart preparation, data base entry and report writing, and maintains department paper and electronic filing systems.
Maintains inventory and ordering of appropriate department supplies.
Maintains department equipment daily checks as directed.
Actively participates in QI/ PI activities.
Assists in collection and reporting of statistical data as requested. Maintains timely input of patient data into data base.
Operates department photography equipment and maintains patients’ photographic file and medical records.
Generates registration and scheduling reports from the appropriate system and disseminates as appropriate.
Charges are reconciled and processed for accuracy, statistics etc. and/or entered per department policy.
Prioritizes referrals and effectively maintains and handles wait lists according to established criteria and communicates immediately with CN IV / Manager when unable to offer patient an appointment within department defined timeframes.
Initiates, verifies and documents eligibility and benefits for all payers including identifying and resolving all managed care and third party requirements prior to first visit for all responsible departments. Utilizes telephone and Internet eligibility sources appropriately. Informs CN IV / Manager of all authorizations that are denied.
Schedules appointments and registers patients for wound care, hyperbaric oxygen and infusion services on the phone or in person in accordance with approved department scheduling policies and procedures.
Places confirmation or rescheduling calls as appropriate.
Checks in the patient for each appointment including verifying and updating patient demographic and insurance/ eligibility information.
Reviews the schedule to initiate the pre-registration process. Determines insurance type, initiates authorization and eligibility processes as appropriate.
Assists in processing appropriate forms required for billing (e.g. TAR, Medicare forms, Workers Comp forms).
Gathers updates and verifies a comprehensive package of registration, demographic and insurance/payer information and ensures accurate entry in to the system for new and existing patients. Communicates patient financial liability regarding co-payments, share of cost, deductibles, and other financial responsibilities as appropriate.
Researches and answers inquiries related to referrals, authorization and eligibility, charges, eligibility of benefits (EOB) and denied claims.
Collects co-payments, share of cost, deductibles and fees as appropriate, documenting information in system.
Maintains and reconciles cash journal on a daily basis. Distributes to appropriate departments according to established timeframes.
Performs other duties as assigned.