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.

• Performs 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.
• 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
• 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.
• Collect patient responsibility payments, and answer routine patient insurance and billing inquiries.
• 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.
• Gather, verify, and process referrals, authorizations, and pre-certifications by working closely with physician(s), patients, and payers.
• Coordinate scheduling with that of the practitioners’ schedules to ensure proper coverage of patient appointments and out-of-office calls.
• 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.
• Manage the flow of interdepartmental, outgoing, and incoming mail.
• Communicate requests and provide medical information to and from patient care providers in strict accordance with HIPPA and all policies and procedures.
• Follow up with patients regarding the Missed Appointment Policy and send out the appropriate communications.

• Other duties as assigned by management

Demonstrate proficient with Microsoft Office Software.

Knowledge of the content, and application of HIPPA, 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 high level of professionalism.