Clinical Admin Specialist - Immunizations

Adams County•Westminster, CO

1d•Hybrid

About The Position

The Clinical Administrative Specialist is an administrative position performing basic to intermediate-level paraprofessional, clerical, and customer service work in public health within Nursing Services at the Adams County Health Department. This role involves a variety of duties including clinic support, administrative services, and call center reception. The position requires maintaining sensitive client information according to HIPAA and Title X confidentiality requirements and participating in emergency preparedness and response duties. The work environment is an office building with no adverse environmental conditions.

Requirements

High school diploma or equivalent is required.
One year of previous customer service experience is required.
Must demonstrate proficiency in using PPE, computer use including internet, email, Microsoft Office products (or equivalent).
Must have a knowledge of various tablet devices and services to download.
Must be able to learn and become proficient with equipment and software programs as required to effectively and efficiently perform assigned duties.
Knowledge of appointment scheduling software and the ability to manage appointments efficiently.
Knowledge of insurance policies and procedures, including claim submission and processing.
Knowledge of the fundamental principles of healthcare billing, including coding, claims submission, and reimbursement processes.
Knowledge of data management and record-keeping to ensure accurate billing records.
Ability to proactively gather informal information and create a warm, customer-focused environment.
Ability to gain trust and respect from both internal and external customers.
Ability to act with customers in mind and maintain effective relationships.
Ability to deliver exceptional service and achieve customer loyalty.
Requires constant physical mobility to prepare, sterilize, and clean clinic areas, assist patients in the reception and treatment areas, and to negotiate around equipment and chairs in the examination room.
Constantly communicates with others to exchange information by speaking, listening, and writing in English and Spanish.
This position requires a valid drivers license and reliable transportation to a variety of clinics in the Metro Denver Area.

Nice To Haves

Fluent bilingual (English/Spanish) language speakers preferred.

Responsibilities

Meets with patient and/or patient's caregiver to exchange necessary information and documentation and confirms provider and appointment.
Accurately updates patient records.
Verifies insurance benefits and performs eligibility screening during the registration process.
Maintains proficient knowledge of department programs to appropriately guide clients toward necessary service areas.
Determines and accepts required payments for service remittance.
Review and verify Electronic Submission of Bills (ESB) to ensure accuracy and completeness.
Ensure that the billing process advances to the next stage once ESB reconciliation is complete, which may include generating invoices, sending claims to insurance providers, and other related activities.
Identify and rectify errors or discrepancies found during ESB reconciliation, such as coding errors, patient information updates, and other issues impacting billing accuracy.
Offer guidance and support to clinical staff regarding billing-related matters, ensuring they have the necessary resources and information to assist in the billing process effectively.
Ensures that all necessary demographic, billing, and clinical information is obtained and entered in the registration system with timeliness and accuracy.
Uses active listening skills to deescalate conflict or remedy upset customers.
Escalates difficult situations to Clinic Lead.
Collaboratively works with Clinic team.
Appropriately access patient’s preferred language to provide interpretation services for clients.
Documents and balances cash drawer.
Completes cash drawer report.
Lead cashier deposits payments.
Ensure appropriate clinic forms and supplies are stocked before clinic opens and throughout the day.
Complete reminder phone calls to confirm scheduled appointments with clients daily.
Effectively performs administrative tasks including word processing, data entry, mailings, and other clerical duties in support of clinic operations.
May assist with community off-site events as needed.
Perform other duties as assigned.
Using friendly voice, promptly answers phone calls and provide excellent customer service to callers.
Maintains prompt, regular attendance to open phone on time as scheduled.
Uses active listening skills to screen caller’s medical needs.
May triage clients to nurse support as necessary.
Accurately enter client’s demographics and insurance information into computer system.
Accurately schedule appointments at five clinics with multiple providers efficiently.
Review insurance eligibility with callers to confirm services provided under their plans.
Determine caller's requests and provide information about additional services and other ACHD programs.
Maintain sensitive & confidential client information according to the HIPAA policy and Title X confidentiality requirements.
Completes trainings identified as appropriate for this level employee.
Employee participates in all exercises and drills on emergency preparedness and response, as required.
Employee responds, as required, to support emergencies, incidents and events with a public health and medical impact.