Front Desk Receptionist
4 days ago
About UsWe're a clinician-led adult outpatient psychiatry practice focused on mood/anxiety disorders and ADHD. We keep operations clean and patient-first with eClinicalWorks (ECW), smart templates, and tight RCM controls.What you'll doFront Desk & Patient Experience (40%)Answer/return calls, manage voicemail, and triage portal messages with a warm, professional tone.Schedule/reschedule; maintain waitlist; send reminders (SMS/email/phone).Send/collect new-patient packets, consents, PHQ-9/GAD-7/ASRS; ensure completion pre-visit.Manage e-fax: route docs, scan/upload to charts; process ROI requests per SOP.Verify eligibility/benefits (telehealth coverage, copay/coins/deductible, OON risk) and record in ECW before visits.Time-of-service collections: maintain card-on-file, collect copays/coinsurance politely.Medical Billing / RCM (40%)Charge flow: ensure notes are signed and visits closed so charges drop same day.Build/submit clean claims; confirm telehealth flags (POS 10 + modifier 95) per payer; validate rendering/billing NPI and taxonomy.Clear front-end edits and clearinghouse rejections same day.Work denials/appeals (assemble packets, corrected claims frequency 7, secondaries/COB).ERA/EOB posting; manage PLB takebacks; keep Unapplied Cash near zero.Produce the monthly 5-tab RCM pack: patient ledger, deposit log, A/R aging by payer/bucket, denial dashboard, no-response worklist.Bookkeeping / Finance (20%)Maintain the Daily Deposit Log: tie bank deposit ERA trace # ECW batch; document differences (fees/PLB).Reconcile merchant (card) settlements and patient payments to bank; track refunds/chargebacks.Light AP/expense entry and month-end close prep (export reports, organize support) in QuickBooks Online (or similar).Create simple monthly dashboards (collections, A/R, denials, unapplied cash, cash-to-ERA tie-out).What success looks like (KPIs)Clean-claim rate ≥ 95%; first-pass payment ≥ 92%Days in A/R ≤ 45; A/R > 60 days ≤ 20%; >90 days ≤ 10%Daily bank ERA ECW tie-out = 100%; unapplied cash cleared ≤ 3 business daysEligibility verified before 100% of visits; copays/coins collected same dayMonth-end RCM pack & cash reconciliation delivered by the 5th business dayMust-haveHands-on ECW (scheduling, eligibility, charge/claim flow) and clearinghouse/payer portals (e.g., Availity/Optum).Solid medical billing knowledge (telehealth POS 10, modifier 95, corrected claims freq 7, secondaries).Bookkeeping basics (bank recs, deposits, card settlements; QBO or similar).HIPAA-savvy; detail-oriented; friendly phone presence; excellent written communication.Comfort with spreadsheets (Google Sheets/Excel) for trackers and KPI tables.Nice-to-havePsychiatry or primary-care clinic experience; Spanish bilingual.Prior work with denial analytics, underpayment detection, or simple month-end close.Tools we useeClinicalWorks (ECW), clearinghouse/payer portals, secure e-fax/phoneQuickBooks Online (or similar), Google Workspace, basic dashboardsCompensation & detailsHourly DOE (commensurate with experience); 1099 or W-2 considered based on fit and hours.Remote-first within Texas; may be occasional on-site days (optional).HIPAA training required (we'll provide if needed).Job Types: Full-time, Part-time, ContractPay: $ $19.00 per hourExpected hours: 20 – 40 per weekWork Location: Remote
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