Overview: CommonSpirit Health was formed by the alignment of Catholic Health Initiatives (CHI) and Dignity Health.
With more than 700 care sites across the U.S.
& from clinics and hospitals to home-based care and virtual care services CommonSpirit is accessible to nearly one out of every four U.S.
residents.
Our world needs compassion like never before.
Our communities need caring and our families need protection.
With our combined resources CommonSpirit is committed to building healthy communities advocating for those who are poor and vulnerable and innovating how and where healing can happen both inside our hospitals and out in the community.
Responsibilities: Under general supervision, performs front office processes associated with patient check-in, check-out, scheduling, referrals, and electronic medical records.
Administers and supports the clinic’s billing, and insurance functions, in accordance with internal standards and procedures, and regulatory requirements.
1.
Perform patient check-in at the time of visit; interviews patients and completes all paperwork necessary to ensure the admitting process is efficient, and all clinic and regulatory policies are in compliance.
2.
Copy/scan patient medical records, benefit/insurance information, and related hardcopy materials (e.g.
ID, referrals, insurance cards, etc.) into the correct location in the electronic medical record system.
3.
Perform patient check-out including pricing services, coding of procedures performed, and diagnosis on charge, to accurately support the need and documentation for each service.
4.
Collect patient responsibility payments, and answer routine patient insurance and billing inquiries.
5.
Answer phone calls, confirm next day appointments, ensure insurance coverage, and alert patients as to what documentation is needed, including details associated with time-of-service payment schedules.
6.
Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
7.
Coordinate scheduling with that of the practitioners’ schedules to ensure proper coverage of patient appointments and out-of-office calls.
8.
Retrieve, file, and maintain charts and medical record documentation according to office protocol; coordinate copies of medical documentation with physician charges to support billing to third-party payers.
9.
Manage the flow of interdepartmental, outgoing, and incoming mail.
10.
Communicate requests and provide medical information to and from patient care providers in strict accordance with HIPPA and all policies and procedures.
11.
Follow up with patients regarding the Missed Appointment Policy and send out the appropriate communications.
12.
Perform other duties as assigned.
Qualifications: Education and Licensure High school diploma or equivalent required.
Minimum Experience 2 years related experience in a healthcare environment preferred.
Minimum Knowledge, Skills, and Abilities Demonstrate proficient with Microsoft Office software.
Knowledge of the content, and application of HIPAA, federal and state regulatory requirements.
Demonstrate the understanding of clinic procedures and regulatory requirements.
Demonstrate the understanding of health insurance authorization/billing requirements, including medical coding.
Ability to file and maintain patient records and reports in the Electronic Medical Records system.
Must be detail oriented and possess excellent organizational and time management skills.
Must possess strong customer service and communication skills.
Possess a strong work ethic and a high level of professionalism.
A team player who handles multiple projects simultaneously in a fast paced environment.
DISCLOSURE STATEMENT:The above statements reflect the general details considered necessary to describe the essential functions of the job as identified, and shall not be considered a detailed description of all work requirements that may be inherent in position.