MEDICAL PATIENT SERVICES REPRESENTATIVE - EVENING CLINIC - #1688727

Seeking part-time employees to work Evening Clinic shifts

POSITION SUMMARY:

The Patient Services Representative will provide patients and staff with necessary assistance in fulfilling the needs of the center. They are responsible for patient check in/out, verifying and updating all demographics and insurances, collecting payments, identifying/enrolling patients on the Sliding Fee Scale, processing various forms and documents, and notifying appropriate persons of messages and information as required. Responsible for recording all necessary personal information, securing required signatures, preparing and supplying data to various departments. Will assist with efficient and effective coverage for the Patient Services Department. Provides service internally and externally consistent with ANHC mission, vision and values: Respect, Compassion, Personal Integrity, Excellence & Collaborative Spirit.

ESSENTIAL DUTIES AND RESPONSIBILITIES:

• Performs night clinic procedures.
• Answers and accurately processes multi-line phone calls to individual extensions or operator, medical, or billing queues regarding patient billing, appointments, and general inquiries.
• Responsible for scheduling, cancelling, or rescheduling appointments.
• Responsible for check in/out processes of each patient. Verifies and updates patient demographics, insurance and eligibility, unapplied credits, and guarantor due balances for all new and established patients.
• Collection of appropriate payment based on estimated charge, proper co-pay, deductible, discounted self-pay amount, or past due account balances.
• Responsible for cash management and daily reconciliation of all financial transactions performed.
• Patient accounts analysis including a general understanding of medical, dental, laboratory, radiology coding and billing standards. This includes ICD 10, diagnosis, patient rights and responsibilities, third party reimbursement, in/out network, contractual allowances, co-pays and deductibles.
• Verifies/updates insurance eligibility and reviews co-pays, co-insurance, deductibles, non-covered charges, and prior authorizations.
• Accurately prepares various medical forms requiring knowledge of ICD 10 codes diagnosis including but not limited to New Patient paperwork, Sliding Fee applications, Verification of Diagnosis (VOD), and Qualifying Diagnosis Certification (QDC).
• Effectively communicates with staff and patients.
• Various intermittent, periodic and systematic report completion including unapplied, accounts receivable, credit analysis and communication log.
• Prepares adjustments for authorization to adjust patient account balances for identified mistakes and bad debt write-offs.
• Cross-trained to provide backup for any vacancy within the department.
• Promotes and provides service excellence to internal and external customers.
• Works collaboratively with all members of the Patient Services department as well as other ANHC departments to ensure all daily work is completed and enhancing the patient experience.
• Other duties as assigned.

SUPPORTING DUTIES AND RESPONSIBILITIES:

• Maintains a clean and orderly work area.
• Performs translation services if staff member is bilingual.
• Attends required meetings/trainings and participates in committees as requested.
• Monitors the waiting and front desk areas for cleanliness and straightens up area as needed.

QUALIFICATIONS:

To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.

Work Experience: One to three years’ experience in a medical office setting. One-year experience in the medical billing field, preferred. Must possess experience in healthcare administration, financial intake, customer service, and answering telephones.

Education, Certification and Licensure: High school diploma or the equivalent. AAPC, NCICS, CHCS or CPC certification may be substituted in lieu of required experience.

Additional Skills & Knowledge: Must be able to use a ten-key and balance large columns of numbers. Must be detail oriented and proof own work for accuracy. Consistent attendance is required for this position. Skill and ability to fluently read, write, and speak English. Bilingual preferred.

PHYSICAL, SENSORY, ENVIRONMENTAL QUALIFICATIONS:

The work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.

Duties of this job require frequent sitting, writing, typing, grasping, seeing, hearing and speaking for long periods of time. Frequent use of computer, keyboard, copy and fax machine and phone. Occasional standing, walking, reaching, bending, stooping, lifting and carrying. Lifting, carrying, pushing and pulling up to 25 pounds. Must be able to work evenings and weekends as scheduled.

Work is performed in a healthcare clinic and office setting. ANHC is a tobacco-free campus.

EQUAL EMPLOYMENT OPPORTUNITY STATEMENT:

Anchorage Neighborhood Health Center provides equal employment opportunities (EEO) to all employees and applicants for employment without regard to race, color, religion, gender, sexual orientation, national origin, age, disability, marital status, amnesty, or status as a covered veteran in accordance with applicable federal, state and local laws. Anchorage Neighborhood Health Center complies with applicable state and local laws governing non-discrimination in employment in every location in which the organization has facilities. This policy applies to all terms and conditions of employment, including, but not limited to, hiring, placement, promotion, termination, layoff, recall, transfer, leaves of absence, compensation, and training. Persons alleging unequal treatment should contact the Chief Human Resources Officer.

The undersigned have read this job description and agree that it defines the position as it currently exists. The undersigned also understands that the above is intended to describe the general content of and requirements for this job. It is not to be considered as an exhaustive statement of duties, responsibilities, or requirements and does not limit the assignment of additional duties at the discretion of the supervisor.