Front Office Specialist II - TCP Pearland

Texas Children's Medical Center•Pearland, TX

10h

About The Position

We are searching for a Front Office Specialist II - TCP Pearland - someone to coordinate and perform the scheduling of patients, receive and greet visitors, answer and handle incoming calls, coordinate the referral process, enter accurate billing information into system and transmit accurate claims while working collaboratively with other members of the Healthcare Team. Think you’ve got what it takes? Team lead experience Knowledge of general office tasks, confidentiality, medical terminology and managed care referral processes. As part of our commitment to maintaining a safe and healthy workplace, all successful candidates will be required to undergo respiratory fit testing in compliance with occupational health and safety standards. Demonstrates SMILES and AIDET philosophies to patients, families and coworkers Acknowledges the customer Identifies self Gives customer a time expectation Keeps customers informed by explaining all tasks, processes and procedures Thank the customer Adheres to Standards of Behavior Tasks are measured by observation of evaluator

Requirements

HS diploma or GED
2 years related experience in an office like setting
Team lead experience
Knowledge of general office tasks, confidentiality, medical terminology and managed care referral processes.

Responsibilities

Greets patients and visitors upon arrival utilizing Creating SMILES philosophies and AIDET principles.
Assists patients with check in/check out.
Schedule appointments
Verifies accurate patient demographic information with each visit
Enters data into electronic health record and electronic billing system
Answers telephone within three (3) rings and directs calls per practice protocol.
Enters hospital charges into electronic billing system with 100% accuracy and within timelines established
Balances payments received daily.
Assesses patient’s eligibility for referral by verifying coverage with payer prior to initiating referral.
Documents eligibility in the electronic health record per practice protocol.
Identifies and documents network providers for appropriate referral.
Notifies provider when no provider in network is available.
Completes paperwork and documentation for authorized referrals within two (2) business days.
Enters referrals into electronic health record within two (2) business days of receiving request from provider.
Assists patients, per practice protocol, in setting appointments for referred services.
Assists patients, per practice protocol, who have emergencies or have self-referred without prior authorization.