OPS FINANCIAL COUNSELOR - 64956562

State of Florida • Indian River Estates, FL

4d • Onsite

About The Position

This is a full-time, in-office position where the employee will promote a "patient first" approach by providing excellent customer service. Emphasis is placed on answering all incoming calls promptly and courteously. Effective listening skills and knowledge of how to handle customer complaints and address concerns are of the utmost importance. The role requires understanding the process for securing translation assistance for clients or providing translation if bilingual. Primary duties include answering the telephone, scheduling and rescheduling clients’ appointments while verifying payer source, and explaining the no-show policy. The employee will monitor the schedule to minimize patient wait times and attempt to fill available appointments. Experience with Medicaid HMO or third-party insurance billing is a plus. The employee will register and maintain client records in the HMS system and Electronic Records in the dental software with accuracy and within compliance. This includes researching client demographic information, updating their information for each visit, interviewing and verifying eligibility requirements for client services, and educating clients on how fee schedules are computed. The role also involves verifying authorizations for Medicaid reimbursement, determining financial eligibility, collecting payments, and documenting all client third-party insurance into the financial data file to maximize revenue collections. All data will be reviewed for accuracy and completeness. The employee will also organize and maintain records, filing systems, and inventories.

Requirements

• Adheres to all administrative and clerical policies and procedures set forth within the department.
• Knowledge of EARS, HMS, Microsoft Office: Word, Email, People First System and TRAIN.
• Ability to prioritize work assignments.
• Basic math skills including, addition, subtraction, multiplication, division.
• Customer service experience in an office setting.
• Ability to learn and communicate effectively, orally and in writing, in English.

Nice To Haves

• Medicaid HMO or third-party insurance billing recent experience a plus.
• Bilingual
• Experience working at a dental office in reception/scheduling
• Trains other employees as needed.

Responsibilities

• Promotes “patient first” by providing excellent customer service.
• Answers incoming calls promptly and courteously.
• Handles customer complaints and addresses their concerns.
• Secures translation assistance for clients or provides translation if bilingual.
• Answers telephone.
• Schedules and reschedules clients’ appointments while verifying payer source.
• Explains the no show policy if clients miss appointments.
• Monitors the schedule to ensure the patient’s wait time is minimized whenever possible and attempts to fill appointments available on the schedule.
• Registers and maintains client records in HMS system and Electronic Records in the dental software with accuracy and within compliance.
• Researches client demographic information and updates their information for each visit.
• Interviews and verifies eligibility requirements for client services.
• Educates clients on how all established and calculated fee schedules are computed.
• Verifies authorizations for Medicaid reimbursement.
• Determines financial eligibility and collects payments.
• Documents all client’s third-party insurance into the financial data file, maximizing revenue collections.
• Organizes and maintains records, filing systems and inventories.
• Completes all reports: employee activity records, timesheets, and all required reports according to policy and procedure within their required timeframe.
• Calculates and verifies daily/monthly reports for Business Office/Administration.
• Maintains HIPAA and client confidentiality and security of medical records.
• Operates photocopying machines, calculators, scanners, computers, printers, and any other related equipment within stated guidelines.
• Submits travel, invoices or receives in MFMP in accordance to FS 215.422 prompt payment statute.

Benefits

• State of Florida 401(a) FICA Alternative Plan (mandatory)
• Participation in state group insurance (upon meeting eligibility requirements. Consult with People First and/or the serving HR office)
• Workers’ Compensation (mandatory, if needed)
• Reemployment Assistance (Unemployment Compensation) (mandatory, if needed)
• Deferred Compensation (voluntary)
• Employee Assistance Program (voluntary)

What This Job Offers

• Job Type: Full-time
• Career Level: Entry Level
• Education Level: No Education Listed