Assistant, Clinical Administrative

About the Role

The Clinical Administrative Assistant (CAA) serves as the initial point of contact for patients and visitors, delivering a high standard of customer service to maintain the overall patient experience. This role involves various front-office administrative responsibilities in a high-intensity, fast-paced environment with a critical impact on health center efficiency.

Responsibilities

• Understand the roles and responsibilities of a Federally Qualified Healthcare Center Look-Alike (FQLA), Patient Centered Medical Home (PCMH), NCQA participant, and Accountable Care Organization (ACO).
• Schedule patient appointments and follow-up visits.
• Register patients and capture demographic information needed for the annual UDS report.
• Comply with Red Flag Rules for photo identification.
• Manage patient intake and checkout processes.
• Handle patient information in the Electronic Health Records (EHR) system.
• Understand multiple insurance dynamics, including copays, coverage, and navigation.
• Verify insurance information and comply with commercial and Medicaid insurance plan rules for services requiring prior authorization.
• Ensure copays are collected at the time of visit.
• Perform cash account management activities.
• Provide self-pay patients with payment options.
• Obtain Medicare ABN for non-covered services.
• Ensure patients understand health center resources and available programs, such as:
  • Sliding fee discount program
  • Good Faith Estimate (GFE)
  • Outreach & Enrollment programs
  • Language services
  • After-hours coverage
• Ensure compliance with the availability and location of SDS and 990 binders for all TWC entities.
• Understand emergency roles and responsibilities to assist coworkers and patients.
• Scan patient records into the EMR and create triages within the system.
• Mail and receive new patient information packets.
• Answer and return phone calls, and switch phones to night/weekend service.
• Adhere to all HIPAA rules and regulations.
• Participate in rotation of extended access hours, including late nights, weekends, and holidays.
• Provide cross-coverage at other locations and service lines for continued patient support.
• Perform other duties as assigned.

Requirements

• Meet The Wright Center for Community Health and its affiliated Enterprise entities’ EOS People Analyzer Tool.
• Buy-in and experience working in the EOS® model (strongly preferred).
• Mission-oriented with professional representation of the enterprise and organizational pride.
• High School Diploma or GED.
• Previous front-office experience (1-2 years) in a high-volume medical practice (desirable).
• Bilingual skills (highly desired).
• Ability to adapt to changing priorities and maintain accuracy with detailed-oriented responsibilities.
• Ability to maintain strict confidentiality.
• Proficient computer skills and proven proficiency in technology and EMR workflows by the end of orientation.
• Reliability and punctuality.
• Attention to detail.
• Ability to perform effectively in a fast-paced environment with changing priorities.
• Professional and customer service-oriented to deliver quality care.
• Ability to work independently and as part of a team.
• Strong written and verbal communication and interpersonal skills.
• Willingness to work a flexible schedule.