Fiscal Accounts Clerk II

Howard County•Howard, MD

About The Position

The Fiscal Accounts Clerk II provides diverse clerical support and completion of financial transactions for the health centers of the Howard County Health Department. This position performs all duties in English and Spanish and assists with interpretation as needed.

Requirements

Graduation from an accredited high school or possession of a high school equivalency certificate.
Two years of experience reviewing, verifying, recording, adjusting and balancing financial transactions.

Nice To Haves

Bilingual in Spanish.
Experience providing and managing consumer cases/services using an Electronic Health Records (EHR) and/or Electronic Medical Records (EMR).
Experience with Medical Billing processes.
Experience with Medical office check-in and check-out procedures.

Responsibilities

Clinical Front Desk Support – Check In & Check Out
Staffs the clinical reception desk to register clients, update client demographic information, copy/scan records, and provide return appointments
Assists clinic clients registering utilizing EHR Kiosk, updating and verifying client demographics, income information and insurance eligibility, scanning identification cards and insurance cards for all clients.
Responds to inquiries, makes determinations and resolves problems relative to inaccuracies and discrepancies in client records and documents being processed
Interviews clients to determine fee scale eligibility by obtaining proof of income
Enter all financial information obtained during the fee determination into EHR (fee determination documents, client family and/or individual income and number of dependents to determine fees)
Screens clients for insurance eligibility using EHR, EVS or various insurance portals, obtains authorization and pre-authorization.
Verifies if there is a deductible and if it has been met
Reviews superbill for self-pay clients to verify codes/charges and ensure fee scale has been applied.
Creates charges for clients at the end of each client visit in accordance with both Medical Assistance and Fee for Service standards
Provides return appointments for clients at end of client visits
Performs a variety of financial tasks including processing checks, processing credit card payments, and cashiering
Maintains accurate accounts receivable receipts for clinic services
Reconciles collections along with supporting documentation and delivers to the fiscal department according to protocol to ensure compliance with auditing procedures
Refers clients to Access to HealthCare to apply for insurance benefits
Monitors and follows up with client visits pending for MA approvals and directs clients to Access to HealthCare regarding eligibility and processing
Receives mail, date stamps mail and labs; sorts and distributes to appropriate staff or sites according to protocol; checks related sources for updated client information
Collects and combines outgoing mail and takes to drop box
Directs laboratory pick-up for various couriers
Faxes, client records and receives faxes through fax server; assist staff in scanning and faxing of materials related to clinical services
Performs data corrections of Clinic Visit Records (CVRs) to client accounts in EHR to meet Healthstat and MCH/Ahler’s for MCH/FPAR report
Receives and screens telephone calls to appropriate staff; completes telephone triage process and forwards messages to the assigned staff
Bilingual (Spanish) communication with clients for check in and check out procedures. When clients speak a language besides Spanish/English, uses Language Line to facilitate conversation.
Schedules clients for all available clinical activities at the health centers through EHR system. Reschedules clients as appropriate for missed appointments.
Calls clients for appointment reminders
Practices confidentiality and follows agency policies regarding client’s rights, uses appropriate lines of communication within the agency
Reports to charge nurse or supervisor problems related to the registering or fee scaling of clients. Seeks assistance when needed
Directs walk-in request for service or information and refers to the appropriate staff in order to provide timely service to the public
Provides positive, solution-centered customer service
Understands the operations of the program and can answer questions accurately.
Understands basics of the HCHD and can refer and transfer clients to appropriate program(s).
Knows how to use language line for clients who need language assistance.
Directs walk-in services requests to appropriate staff or program
Recommends changes in office procedures to improve efficiency
Review, verify and interpret information in records, referrals and other documents by utilizing knowledge of policies and procedures
Responds to inquiries, makes determinations and resolves problems relative to inaccuracies and discrepancies in client records and documents being processed
Possesses a broad understanding of HCHD services and can refer to other programs.
Participates in necessary drills and exercises, responds to emergencies as appropriate, keeps abreast of policies and procedures in the program, bureau and department.
Completes all required trainings.
Provides assistance as needed with minor written or oral Spanish translation needs for other staff members.
Accepts responsibility for special projects as assigned
Participates in community clinics as needed