Billing & Patient Care Specialist

3 weeks ago

Chambersburg, United States Laurel Life Full time

**Job Title**: Billing and Patient Care Specialist

**FLSA**: Non-Exempt

**Reports To**:Michelle Mong, CFO

**Department**:Billing

**Summary**:
The Billing and Patient Care Specialist is responsible for greeting visitors and patients; determining the reason for the visit; securing patient information and signatures on required documents; scheduling appointments; and establishing methods of payment for services. This person also asks, receives, and accounts for payments, handles incoming calls, and performs other office duties as directed. This position requires confidential handling of clinical and protected health information and high levels of organization, interpersonal skills, and professional attire.

The Billing and Patient Care Specialist contributes to customer satisfaction at Laurel Life. By properly handling the registration procedures, this person sets the stage for a smoothly executed patient experience. This person interacts directly with patients, visitors, management, counseling, and medical staff. The position contributes to meeting budget goals, which impacts both delivery of essential services and achieving the Mission.

In addition to the details and requirements for the employee listed below, Laurel Life expects the employee to be committed to incorporating principles of trauma-informed care in all areas of service delivery. Commitment to these principles in trauma treatment will be required through attendance in training and the use of identified evidence-based practices. Trauma-informed care includes cultural sensitivity and emphasizes a safe and respectful environment for all clients and staff.

This position also assists with the billing, payment and collection process for the Community Wellness services division. The person will help with billing, posting payments, prepare secondary claims and help with the collection process in addition to Patient Care Coordinator duties within the Outpatient Clinic.

**Duties and Responsibilities**:
The Billing and Patient Care Specialist should be prepared to perform the following duties and responsibilities:

- Customer Care - answer the telephone, take messages, greet the public, answer inquiries in a professional manner and transfer to the appropriate staff when necessary.
- Assist with completing paperwork and by answering or seeking answers to questions they may have.

i. Eases any concerns or distress patients may exhibit.
- Determines the patient's method of payment and secures insurance information, as needed.

i. Record changes in insurance coverage, when necessary.

ii. Ensure each card is scanned into the software

iii. Communicate with billing staff regarding the change.
- Asks, receives, and accounts for payments. Collect and accurately record monies due from the individuals we serve, including amounts required for co-pay, co-insurance, or deductible. Record payments accurately and store cash securely.
- Complies with HIPAA and other regulations and requirements. Efficient and accurate record-keeping of details related to individuals seeking counseling services.
- Accurate data entry of protected health information
- Maintain organized and complete health files.
- Data entry for services required by the agency.
- Contacts referral sources and/or families to schedule an intake.
- Check Medical Assistance eligibility monthly.
- Answers and redirects incoming calls, as appropriate.
- Ensures smooth patient flow at the front desk by checking patients in and out, ensuring all forms are completed, and collecting payment;
- Marks appointment statuses appropriately dependent on clinic flow and calls patients daily to confirm, cancel, or reschedule appointments;
- Registers patients in EHR software and obtains required documentation;
- Verifies patients' insurances (EVS eligibility verification services); collects payments for visits and issues receipts to the patient; print patient insurance log from EHR; double checks co-pay logs
- Complies with agency policies and state and federal regulations governing confidential information, including HIPAA.
- Coordinates with psychiatrist and OP supervisor on medication management questions, psychiatric scheduling and authorization of medication management refills.
- Prepares deposits and review with supervisor. Take deposits to the bank or designated staff.
- Fax or mail Care Coordination's
- Scanning records, paperwork, intake packets into the EHR system
- Prepping for doctor day
- Assist OP supervisor in tracking treatment plans per therapist into a spreadsheet.
- Operate several types of standard office equipment, including: word processor, copying machine, fax machine, and computer. Order and requisition all office supplies.
- Checks figures, posting and documents for correct entry, mathematical accuracy, and proper coding.
- Assists with Posting payments from insurances, school districts, patients and other guarantors. Balance totals from billing system to the bank deposit records.
- Codes doc

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