Patient Care Specialist

Responsibilities:

• Interact with all patients, providers, co-workers and the general public in a pleasant and professional manner.
• Assist patients at reception window for check-in and/or check-out processes.
• Utilize a multiline phone system and answer all incoming calls in a timely manner.
• Assess callers need to determine appropriate action and act or direct accordingly.
• Prepare accurate and thorough messages within the electronic medical record system (EMR) and route appropriately in a timely manner and assign to proper staff.
• Accurately schedule, reschedule, and cancel appointments accurately according to physician's protocol. Include reason.
• Notify patients of changes in scheduled appointments in a timely and accurate manner.
• Input data for new patients.
• Review "sticky notes" for pertinent information at check-in.
• Contact patients who are behind on well child exams or immunizations (Peds).
• Alert patients of overdue immunizations at office visit check-in.
• Consistently and professionally enforce appointment policies.
• Consistently monitor EHR for task requests (Jelly Beans).
• Prioritize Task orders.
• Process assigned tasks efficiently and accurately, ensuring all tasks are completed.
• Assist patients with insurance and billing questions as needed.
• Direct patients to patient service representatives as directed in notes or based on assessment of patients insurance and/or owed balances.
• Maintain thorough knowledge of insurance plans BWC currently participates in and protocol for each plan.
• Verify and update all demographic, ethnic, and insurance information with all patients.
• Assist patient with completion of forms as needed.
• Provide each patient with a visit summary at check-out.
• Before patient leaves, ask them if they have any other needs such as a school/work excuse.
• Maintain physicians daily schedule to reflect arrived, canceled, bumped and no show patients.
• Communicate to patient payment expectations per BWC financial policy at time appointment is given.
• Prepare and mail forms to patients prior to appointments per physician protocol.
• Collect time of service payments prior to office visits, accurately calculate fees for services; collect payment as indicated by insurance carrier and/or BWC credit policy.
• Accurately process discounts per BWC procedures and policy; submit for processing in timely manner.
• Prepare accurate charge and receipt summaries daily; prepare and submit accurate and timely deposits and required accompanying reports accordingly.
• Review encounter forms, billing notes, and/or submitted charges/accounts for accurate data related to patient account, insurance, cpt and icd-9 codes.
• Post all charges correctly, ensuring accuracy of account, cpt codes and icd-9 codes. If inaccurate codes are found, alert physician immediately.
• Post all receipts per BWC procedure, including correct posting of co-pays, deductibles and other payments.
• Prepare reconciliation reports as required; locate and resolve all unreconciled appointments within assigned area; provide accounting of tickets to Manager as requested.
• Maintain low error ratio for: denials related to keying of charges or error corrections/re-filings; edits; inaccurate deposits and un-reconciled appointments.
• Maintain accurate cash drawer.
• Coordinate visits by pharmaceutical representatives with nurses and physicians.
• Schedule all lab and imaging appointments noting ordering physician, test and diagnosis per BWC procedure.
• Maintain area and telephone coverage at all times, coordinating breaks and lunches with other staff in assigned areas.
• Complete all paperwork, tasks and reports within established deadlines.
• Follow all BWC protocols and procedures.
• Follow OSHA guidelines.
• Follow all HIPAA policies
• Perform other duties as assigned.

Minimum Qualifications:

• High school diploma or GED. Associates degree in Medical Office Systems preferred.
• Ability to perform multiple tasks simultaneously and maintain consistent work flow in a busy environment.
• Ability to communicate well both written and orally.
• Analytical skills to assess problems and independently determine appropriate response and action.
• Ability to work with multiple departments.
• Strong organizational skills.
• Strong customer service skills.
• Ability to maintain cash drawer and prepare daily deposits.
• Knowledge of and/or experience with computer systems (keyboarding, computer basics, work processing).
• Medical office experience preferred.

Equal Opportunity Employer

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