Medical Administrative Specialist; Pooling

Position: Medical Administrative Specialist (For Pooling)
Position title

Medical Administrative Specialist (For Pooling)
Description This position is responsible for the timely patient flow of the clinic in a pleasant, professional manner. This individual is responsible for sign-in of patient, accurate registration, and appropriate wait time before patient receives services. Requires awareness of customer service expectations, desire to deal with the public and good communication skills.

Responsibilities
* Completes sign-in of patients documenting arrival time, updating patient demographics and insurance carrier, printing encounter and racking chart.
* Gathers data for patient registration, obtains consent for treatment, insurance and identification cards and files all documentation in medical record.
* Verifies coverage and eligibility on new patients by calling third party payors.
* Communicates with patient about correct co-pays and deductibles with expectation of payment at the time of service.
* Verifies enrollment eligibility and obtains PCP /specialty authorization as needed.
* Updates sliding fee scale applications and/or assists patient in completion of new application and documents in off-bill comments.
* Processes cancellation and no-show charts according to protocols.
* Answers incoming calls for adding or canceling appointments to provider schedules.
* Verifies phone number, date of birth and insurance information.
* Verifies and reviews next day provider schedules for errors in scheduling.
* Prepares and and notifies patients of schedule changes according to protocols.
* Updates and distributes provider schedules daily.
* Prepares provider monthly manual productivity reports indicating encounters, cancellations and no-shows.
* Outreach to patients for weekly patient register.
* Outreach to providers on their schedules and follow ups for patient scheduling
* Assists patients with requests for their medical records following release of medical record policy and procedure.
* Follow up on provider credentialing
* Performs other duties as assigned.
* Patient Redesign
* Responds to Care Team needs; process authorization and referrals.
* Update demographics, register patients, and schedule follow-up appointments
* Communicates with team members and follows directions of Greeter and Facilitator specific to patient process.

Qualifications
* Strong verbal and written communication skills in English.
* With Active PHRN or USRN License.
* Experience working with US Healthcare Accounts.
* Experience with Insurance Verification, Benefits and Eligibility and Prior Authorization.
* Experience in scheduling of appointments
* Ability to work in a fast-paced environment, completing multiple tasks.
* Experience working with EHR/EMR Tools.
* Excellent critical and analytical thinking skills.
* Excellent listening and presentation abilities.
* Strong facilitation/clinical education skills.
* Familiarity with medical terminology and clinical decision support.
* Can start ASAPJob Location
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