Fiscal Accounts Clerk II

The Fiscal Accounts Clerk II provides diverse clerical support and completion of financial transactions for the health centers of the Howard County Health Department. Performs all duties in English and Spanish. Assists with interpretation as needed.

• Staffs the clinical reception desk to register clients, update client demographic information, copy/scan records, and provide return appointments
• Assists clinic clients registering utilizing EHR Kiosk, updating and verifying client demographics, income information and insurance eligibility, scanning identification cards and insurance cards for all clients.
• Responds to inquiries, makes determinations and resolves problems relative to inaccuracies and discrepancies in client records and documents being processed
• Interviews clients to determine fee scale eligibility by obtaining proof of income
• Enter all financial information obtained during the fee determination into EHR (fee determination documents, client family and/or individual income and number of dependents to determine fees)
• Screens clients for insurance eligibility using EHR, EVS or various insurance portals, obtains authorization and pre-authorization. Verifies if there is a deductible and if it has been met
• Reviews superbill for self-pay clients to verify codes/charges and ensure fee scale has been applied.
• Creates charges for clients at the end of each client visit in accordance with both Medical Assistance and Fee for Service standards
  · Provides return appointments for clients at end of client visits
• Performs a variety of financial tasks including processing checks, processing credit card payments, and cashiering
• Maintains accurate accounts receivable receipts for clinic services
• Reconciles collections along with supporting documentation and delivers to the fiscal department according to protocol to ensure compliance with auditing procedures
• Refers clients to Access to Health Care to apply for insurance benefits
• Monitors and follows up with client visits pending for MA approvals and directs clients to Access to Health Care regarding eligibility and processing
• Receives mail, date stamps mail and labs; sorts and distributes to appropriate staff or sites according to protocol; checks related sources for updated client information
• Collects and combines outgoing mail and takes to drop box
• Directs laboratory pick-up for various couriers
• Faxes, client records and receives faxes through fax server; assist staff in scanning and faxing of materials related to clinical services
• Performs data corrections of Clinic Visit Records (CVRs) to client accounts in EHR to meet Healthstat and MCH/Ahler’s for MCH/FPAR report

• Receives and screens telephone calls to appropriate staff; completes telephone triage process and forwards messages to the assigned staff
• Bilingual (Spanish) communication with clients for check in and check out procedures.
• When clients speak a language besides Spanish/English, uses Language Line to facilitate conversation.
• Schedules clients for all available clinical activities at the health centers through EHR system. Reschedules clients as appropriate for missed appointments. Calls clients for appointment reminders
• Practices confidentiality and follows agency policies regarding client’s rights, uses appropriate lines of communication within the agency
• Reports to charge nurse or supervisor problems related to the registering or fee scaling of clients. Seeks assistance when needed
• Directs walk-in request for service or information and refers to the appropriate staff in order to provide timely service to the public

• Understands the operations of the program and can answer questions accurately.
• Understands basics of the HCHD and can refer and transfer clients to appropriate program(s).
• Knows how to use language line for clients who need language assistance.
• Directs walk-in services requests to appropriate staff or program

• Recommends changes in office procedures to improve efficiency
• Review, verify and interpret information in records, referrals and other documents by utilizing knowledge of policies and procedures
• Responds to inquiries, makes determinations and resolves problems relative to inaccuracies and discrepancies in client records and documents being processed

• Possesses a broad understanding of HCHD services and can refer to other programs.
• Participates in necessary drills and exercises, responds to emergencies as appropriate, keeps abreast of policies and procedures in the program, bureau and department.
• Completes all required trainings.
• Provides assistance as needed with minor written or oral Spanish translation needs for other staff members.
• Accepts responsibility for special projects as assigned
• Participates in community clinics as needed