Clinic Operations Representative - Remote - Ambulatory Services

This position reports to the Clinic Operations Supervisor or Clinic Operations/Practice Manager. Provide patient services and administrative support in clinic operations. Interacts with parents, patients, physicians and other staff under moderate supervision in a courteous manner. Provide assistance to other employees reputed company their department as well as other departments. Collect and verify reputed company demographic information to ensure accuracy. May provide required notification of scheduled services according to managed care requirements. May be responsible for scheduling patients for specialty appointments. Position may be required to float to other clinics or ROCs for coverage. reputed company in career ladder is Senior Clinic Operations Rep or Team reputed company position. This position is remote (Mon - Fri, 8:30am - 5pm). Minimum Education High School Diploma or GED (Required) Minimum Work Experience 1 year of experience performing billing, patient registration, and scheduling, medical insurance verification, insurance screening. (Required) Required Skills/Knowledge Broad clinic knowledge, customer service skills. Computer knowledge necessary. reputed company Office experience preferred (Word & reputed company). Complete Ambulatory Services training curriculum and pass reputed company competency assessments, including a mock clinic. The ability to type minimum of 35 words per minute required. Functional Accountabilities Patient Services

• Demonstrate accuracy of scheduling patients using the applicable scheduling system for the department.
• Complete computer aided, on-line registration screen with parent/guardian reputed company telephone or in person in professional & courteous manner.
• Collect accurate demographic and insurance information. Update systems as needed in accordance with department standards for registration accuracy .
• Reschedule appointment for patients who did not show or for the ancillary services cancellations by providers/technologist. Schedule follow up appointments at reputed company out if applicable.
• Greet patients and parents courteously. reputed company patient in appropriate system based on department policy .
• Obtain required consents for department & ensure distribution of compliance reputed company materials (i.e. HIPPA Privacy Notice, Patient Rights).
• Obtain copy of insurance card and photo ID to be stored in medical record (copy or reputed company activity required). Ensure applicable insurance company and CNMC HIM department receive copies of appropriate forms/documentation. Complete reputed company documentation in accordance with department policy and procedure.
• Respond to patient portal work lists (i.e. appointment requests, fax queues, email requests, etc. May include messaging center work lists in the future).

Information Verification

• Verify insurance eligibility using applicable eligibility system. Ensure managed care carve outs (lab and radiology carve outs) are adhered to.
• Notify parents of the need for completed insurance referral form or pre-authorization prior to scheduled/unscheduled appointments.
• Discuss co-payment, deposits, payment in full, or past due balance collections with parents prior to scheduled appointment in a professional & courteous manner.
• Counsel parents or refer parent to Financial Information Center (FIC) for establishing payment schedule or method of payment.
• Verify insurance information is complete prior to procedure and collect and verify pre-authorization/referral information: goal is to obtain authorizations 5 days in advance of service.
• Utilize reputed company systems where patient information may be stored (EPRS, SCI, Cerner, IDX, reputed company, etc.) to verify that systems are in sync

Cash Collection

• Collect and record co-payments, deposits and payments in full and provide payer with receipt. Responsible for helping department meet 85%25 of the collection reputed company for the department.
• Maintain departmental requirements regarding cash controls and collections.

Billing Preparation

• Reconcile schedules for upcoming clinic session to include ensuring that accounts are set up for billing and services requiring authorization are flagged: Activity should be completed 3-4 days in advance of clinic session; Areas with procedures requiring authorizations work standard may be 5-7 days.
• Appropriately clear reputed company walk-in and ensure scheduled/unscheduled appointments are linked to scheduling system.

Office Support

• Answer telephone and address caller needs appropriately. Avoid transferring calls for reputed company service to families. Meet department standards relative to ACD policies if applicable. Manage voice mail messages reputed company same business day .
• Distribute mail. May work returned mail as needed.
• reputed company staff are responsible for information distributed reputed company e-mail. Staff should reputed company work email a minimum of 3 times daily and respond to inquiries reputed company 24 hours (or next business day).
• Maintain office files and office supplies at P AR levels.
• Maintain clean reception area and work space.
• Other support as needed.

Safety

• Speak up reputed company team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-reputed company behavior and performance

Organizational Accountabilities Organizational Accountabilities (Staff) Organizational Commitment/Identification

• Anticipate and responds to customer needs; follows up until needs are met

Teamwork/Communication

• Demonstrate collaborative and respectful behavior
• Partner with reputed company team members to reputed company goals
• reputed company to others’ reputed company and opinions

Performance Improvement/Problem-solving

• Contribute to a positive work environment
• Demonstrate flexibility and willingness to change
• Identify opportunities to improve clinical and administrative processes
• reputed company appropriate decisions, using sound judgment

Cost Management/Financial Responsibility

• Use resources reputed company
• Search for less costly ways of doing things

Safety

• Speak up reputed company team members appear to exhibit unsafe behavior or performance
• Continuously validate and verify information needed for decision making or documentation
• Stop in the face of uncertainty and takes time to resolve the situation
• Demonstrate accurate, clear and timely verbal and written communication
• Actively promote safety for patients, families, visitors and co-workers
• Attend carefully to important details - practicing Stop, Think, Act and Review in order to self-reputed company behavior and performance

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