Clinical Service Specialist Columbia (Part Time/Mid Shift)

Responsibilities

• Performs complete and accurate patient registration including but not limited to walk in, check-in, and or scheduled.
• Demonstrates ability to successfully adapt and perform during times of high volumes and or high patient acuity.
• Demonstrates skill to service both hospital and physician office patients, if necessary.
• Supports inbound and outbound calls to or from patients, guests, or appropriate parties as needed to provide services.
• Supports Point of Service Collections.
• Performs all necessary functions needed to collect patient obligations.
• Discusses information with the patients regarding co-pays, out of pocket expenses, pre-appointment preparation, arrival times, etc.
• E-Health Record Verification.
• Verifies patient, guarantor, coverage and hospital account information.
• Performs required referral authorization processes and enters orders for applicable tests.
• Understands insurance company coverage and referral authorization requirements of payors.
• Prepares and or releases records or orders in the e-Health record.
• Scans all necessary documents into appropriate medical record.
• Communicates with the document imaging or health information management team within established time frames.
• Completes documentation for compliance and regulatory needs and or release of orders.
• Completes patient and account work queues according to performance standards.
• Resolves work queue issues and missing registration items via electronic medical record.
• Completes cleaning tasks utilizing OSHA standards.
• Maintains appearance of patient care and public areas.
• Orders, stocks and distributes supplies to meet the needs of the unit department.
• Aware of cost containment practices and able to access need for changes in utilization.
• Greets and escorts patient and visitors to and from clinic exam room and prepares patient for visit with provider.
• Initiates patient visit follow-ups after visit when appropriate within scope and competency; following established standards.
• Prepares and assists provider with various procedures within scope and competency; following established guidelines.
• Maintains clinical skills necessary to perform duty job.
• Performs clinical functions as required, including any of the following: Phlebotomy, Pain Management, EKG’s, Holter Monitors, 24 hour Blood Pressure Monitoring, and Point of Care Testing if needed based on departmental needs.

Qualifications

• High school diploma or equivalent (Required)
• Completion of educational requirements additional formal education training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training (Required)
• One (1) year prior experience of Revenue Cycle in a Hospital/Medical Office Setting AND/OR one 1 year administrative data entry experience in a medical facility, health insurance or business setting (Required)
• One (1) year of clerical, customer service, or administrative support experience in a highly customer-oriented organization (Required)
• One (1) year of basic keyboarding, personal computer use, and other office setting equipment (Required)
• One (1) year of Epic or equivalent Electronic Medical Record experience (Preferred)
• One (1) year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release process(es) (Preferred)
• Epic or equivalent Electronic Medical Record experience (Preferred)