Clinical Office Assistant - Internal Medicine Clinic

Hunt Regional Healthcare•Greenville, TX

About The Position

Responsible for scheduling, insurance verification, prior authorization validation and registering patient accounts with a focus on hospital reimbursement. Interpret and ensure compliance with payer guidelines for accurate input. Works in tandem with the clinical staff, checks vitals, med runner and assists with patient needs. Assist patients with drug replacement/assistance programs and insurance inquiries. Assist to resolve issues and/or concerns.

Requirements

High School or equivalent.
One year's experience in a hospital, insurance or office environment preferred.
Experience with automated systems required.
Prior experience involving public contact.
Clinical experience.
Ability to interpret and generate written correspondence utilizing proper grammar, spelling and composition skills.
Knowledge of Payer guidelines required.
Computer knowledge required.
Ability to operate office equipment, such as copy machines, fax machine and printers.
Must be able to work independently with minimal supervision.
Good communication skills essential.
Ability to pass basic job related competencies.

Nice To Haves

Medical terminology preferred.

Responsibilities

Demonstrates an understanding of and adherence to the HMHD Compliance Plan.
Conduct reflects HMHD's values and a commitment to HMHD's Code of Conduct.
Attends the required corporate integrity and compliance training and education programs.
Demonstrates proficiency in understanding the materials presented during the corporate integrity and compliance training and education program.
Complies with all HIPAA standards.
Answers phones and greets patients in a pleasant, professional manner.
Responsible for the scheduling of patients and maintaining the schedule on a daily basis for multiple service lines.
Performs a total assessment of patient accounts to determine verification of insurance and what benefits exist.
Enters complete and thorough benefit information to include obtaining required authorizations and patient estimates.
Interpret and ensure compliance with payer guidelines for accurate input.
Must maintain a minimal error rate.
Screens patient accounts and takes appropriate action when benefits are exhausted or certification is not approved.
Immediately refers to the Financial Counselor or Eligibility vendor.
Notifies patient when issues with insurance company exist or, if possible, when there will be an unexpected patient balance.
Assists patients with applying for Drug Replacement/Assistance programs.
Thorough in verifying demographic information and discussing financial obligations during the registration process.
Explains pertinent documents and hospital policies.
Works in tandem with the financial counselors, personnel from other departments, physician's and their office staff.
Handles patient and insurance inquiries.
Assist to resolve issues and/or concerns.
Responsible for maintaining clinical competencies for checking vitals and any other clinical responsibilities.
Serves as a runner to pick up medicine and other supplies.
Resolve issues and/or concerns amicably in a timely manner.
Involves PFS or Nursing Leaders when needed.
Promote and demonstrate excellent customer service at all times with internal and external customers to include patients, family members, physicians, co-workers and all other customers.
Communicates effectively and expresses ideas clearly, actively listens and follows appropriate channels of communication.
Adaptable and responsive to change.
Uses time clock accurately and is punctual on a consistent basis.
Demonstrates a positive attitude in all assigned task and towards others.
Follows "Call-In" policy by notifying PFS Leader of absence.
Absences during evaluation period: 0-6 Occurrences = Meets Requirements. 7 or more Occurrences = Does not meet requirements.
Adheres to hospital and department dress code.
Maintains a professional appearance at all times.
Consistently contributes to the achievement of excellence in healthcare through the quality and caring values of the mission and vision of Hunt Memorial Hospital District.
Attends scheduled departmental meetings.
Perform special duties and projects as assigned.