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Job Description

Clerical Specialist II
The Clerical Specialist II will be responsible for processing incoming/outgoing patient appointment referrals for all providers and obtain insurance authorizations where applicable. Perform standardized patient check-in and check-out procedures including registration activities such as entering and/or verifying demographic, insurance and/or financial information; generates routine forms and other documentation. Understands the need for ABN's and Waiver of Liability patient signatures. Will also work with/advise patients on insurance carrier requirements including services not covered and obtains documentation, collects patient co-pays, etc., and tracks/accounts for monies collected on a daily basis. Answer telephones, obtain insurance authorizations, referrals, and manage denial process. Prioritize incoming mail, faxes and correspondence. Attend education on insurance changes and updates. Provide administrative support to ambulatory patient care functions. Accept assignments to other areas as needed. Assist in QI activities. Use of computer systems such as EPIC, Word, GroupWise, ChartMaxx, etc. is needed.

Minimum Qualifications

Associate's degree and two (2) years relevant patient financial/insurance services experience in a healthcare related setting or an equivalent combination of education and experience. Working knowledge of medical terminology, familiarity with medical coding, and excellent written/oral communication skills required. Computer skills and keyboarding are necessary. Knowledge of medical billing requirements and ability to recognize insurance fraud/abuse strongly preferred. Ability to maintain good public relations with patients, visitors, co-workers and other individuals.

Work days:
Monday - Friday varying hours between 7:30 a.m. - 5:30 p.m.

Job Category

Administrative, Secretarial & Clerical

Job Open Date

04-06-2018

Job Close Date

Open Until Filled

Recruiter

Brittany Tuttle