Medical Group Clerical Specialist

Location Address:

129 El Paso Rd Ruidoso, NM

Compensation Pay Range:

Minimum Offer $16.42 – Maximum Offer $23.68

Medical Group Clerical Specialist

Summary

Coordinates the encounter or appointment closure process for the customer/patient including advanced scheduling, co-pay collection, financial arrangements, coordination of service and preparation of a claim or account for billing in a specialty setting. Identifies coding concerns and supports resolution of issues by discussing with providers and patients. Demonstrates customer service skills by listening, responding using defined standards, providing accurate information, and referring to alternative resources when unable to provide requested service. Exhibits excellent time management and the ability to establish priorities.

Responsibilities

• Facilitates the customer discharge (check out) process, ensuring the collection of patient demographics and insurance information. May collect identified patient financial obligation, arrange method of payment, or resolve account according to standard protocols.
• Reviews schedules, anticipates errors and takes corrective action. Supports office activities to ensure patient and customer issues are addressed timely. Communicates effectively with physicians, patients and staff. Creates and maintains the provider scheduling template per established guidelines.
• Answers telephones, takes complete and accurate messages, and relays information to the appropriate party. Supports operational aspects of patient care. Answers questions regarding hospital and departmental operations, policies and procedures.
• Verifies lab requisition for completeness and accuracy. Reviews lab coding to validate consistency with all aspects of billing requirements. Executes any necessary paperwork with the patient, such as ABNs, to ensure an accurate claim and support payments for services.
• Retrieves information from files as requested and assembles paperwork and reference material as requested by patients or providers. Follows HIPAA confidentiality guidelines while performing all duties. Responds to requests within the scope of the job, including mailing or faxing material to PHS departments and other appropriate facilities.
• Initiates and coordinates correspondence between physicians and patients to include monthly reminders, no-show letters, referrals, etc.
• Maintains supplies and equipment for the department.
• Maintains and fosters effective customer relations with patients, providers and the public by listening, responding, and documenting customer phone and walk-in inquiries and complaints. Attempts to resolve complaints in the moment and enters complaints/compliments into Advocate.
• Schedules patient appointments according to guidelines, providing documentation of scheduled appointments, procedural instructions, and location directions. Collaborates with the Triage Nurse and providers to monitor daily patient schedule and identify no shows for rescheduling. Places reminder calls to patients.
• Schedules complex appointments and procedures that require advanced technical skills. Performs scheduling to ensure physician, procedure room and equipment availability. Schedules and instructs patients for out-patient procedures.
• Supports the process necessary to support referrals and authorizations for procedures and medications. Interacts with insurance companies and communicates with patients. Supports the accurate and timely compilation and maintenance of medical record documentation for other physician inquiries.
• Attends monthly meetings.
• Participates in Process Improvement Teams.
• May be responsible for opening and distributing mail.
• Assists with orientation of new staff and providers.

Qualifications

• High school (G.E.D.) required.
• Eighteen months experience in healthcare with scheduling, registration, and MD interaction.
• Physician office experience preferred.
• Ability to pass all EPIC competencies within 90 days of hire.

Benefits

All benefits‑eligible Presbyterian employees receive a comprehensive benefits package that includes medical, dental, vision, short‑term and long‑term disability, group term life insurance, and other optional voluntary benefits.

Employee Wellness Program

Presbyterian’s Employee Wellness rewards program is designed to provide engaging opportunities to enhance your health and activate your well‑being. Earn gift cards and more by taking an active role in your personal well‑being by participating in wellness activities such as wellness challenges, webinars, preventive screening and more.

AA/EOE/VET/DISABLED. PHS is a drug‑free and tobacco‑free employer with smoke‑free campuses.