Patient Care Coordinator/Billing Specialist

Location: Arlington, WA,None,None

Position Summary

 The primary function of this position is to greet and check in patients, schedule appointments, referrals and imaging; as well as answer and route incoming calls.  The position will also be responsible for billing for the Wellness Clinic.

Essential Duties and Responsibilities

·       Preform opening duties for the clinic to include: Unlocking the office, alarm shut-off, setting up and preparing the front office for the day, complete any incoming faxes and missed calls received after hours.

·        Warmly greet patients, family members, vendors and other visitors to the clinic.

·     Check-in patients for appointments, verify current demographics (updating as needed) and complete necessary paperwork/registration process in EHR.

o   Ensure appropriate paperwork is up-to-date and copies are obtained/uploaded into EHR appropriately to include: Photo ID, Tribal enrollment card, insurance card, PRC paperwork and all other qualifying information as outlined in our policy.

o   Collect any co-pays and provide a receipt

·    Facilitates patient registration flow and communicates delays/messages for patients to    appropriate staff.

o   Communicates with patients regarding provider delays.

·         Promptly and professionally, answer telephone calls and provide appropriate responses that fall within the scope of a patient care coordinator.

o   Route/triage calls appropriately, offering voicemail or messaging to staff depending on availability.

·    Appropriately screens solicitors for relevance to organizational needs and follows sign-in protocol.

·         Maintain a smooth flow of communication between patient, provider and other clinic staff.

·         Completes daily scanning into the EHR and indexes documents properly.

·     Process medical records requests promptly, efficiently and within HIPAA guidelines/ clinic policy.

·    Assist with physician requests and outgoing paperwork to ensure care for patients is    completed.

·     Follows through with referrals to other clinics and/or specialists and assist patient with   scheduling as needed to completion.

·         Enter prescription refills into the EHR as requested by patient, pharmacy, etc.

·         Completes and maintains filing-both within EHR and paper files as needed.

·         Assume the responsibility of receiving and sorting incoming payments for insurance claims

·         Manage the status of accounts and balances while identifying any inconsistencies

·         Issue and post bills, receipts and invoices

·         Update accounts receivable WQ’s

·         Maintains waiting area to ensure it is clean and organized.

·         Follow HIPPA standards and maintain strict confidentiality of patient information.

·         Closing duties to include: locking up all doors and windows, emptying shred bins, turn off lights and alarm setting.

·         Verifies patient benefits eligibility and coverage.

·         Enters information necessary for insurance claims into the EHR, such as client insurance ID, modifiers, and provider information. Ensures claim information is complete and accurate.

·         Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.

       ·         Posts insurance a