Clinical Service Specialist/Full Time/Days

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.
• Disseminates or 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.
• Prepares and or releases records or orders in the e-Health record.
• Completes documentation for compliance and regulatory needs and or release of orders.
• Completes assigned patient scheduling and registration work queues according to performance standards.
• Completes cleaning tasks utilizing OSHA standards.
• Orders, stocks and distributes supplies to meet the needs of the unit department.
• Maintains appearance of patient care and public areas.
• Prepares and assists provider with various procedures within scope and competency; following established guidelines.
• 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.
• May require regular travel to various sites within the region to support operational needs as listed above.

Qualifications

• High school diploma or equivalent.
• Completion of educational requirements additional formal education training; maximum supervision for initial competency; high degree associated risk factors; yearly competency evaluation and training.
• 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.
• One 1 year of clerical, customer service, or administrative support experience in a highly customer-oriented organization.
• One 1 year experience with basic keyboarding, personal computer use, and other office setting equipment.
• A health care provider in good standing with Medicare, Medicaid, and other federal and state health insurance programs, i.e. not excluded from participation in Medicare, Medicaid or any other federal or state health insurance program.
• Epic or equivalent Electronic Medical Record experience.
• One 1 year of registration experience, point of service collection, insurance validation, understanding of compliance regulatory guidelines and order release process.