Health Services Specialist (GO1205 - Kyle)

CommuniCare

Posted 3 months ago

Full Time

Kyle, Texas

In Person

Smart Summary

Responsibilities

The specialist manages patient registration, insurance verification, and scheduling to ensure efficient clinic operations. They are also responsible for financial reconciliation, cash collection, and providing high-quality customer service to members.

Qualifications

You have a high school diploma or equivalent and at least one year of experience in front office duties. You are proficient in data entry and possess knowledge of healthcare billing, including Medicaid, Medicare, and private insurance.

Must Have Skills for ATS

insurance verification

data entry

Medicaid

Medicare

Private Insurance

Job Description

Responsible to provide excellent customer service to all members of the Center.  Maintain confidentiality of all information and provide flexibility in practice staffing arrangements.  

DUTIES AND RESPONSIBILITIES:

1. Performs new patient registration, updates patient information, data entry of demographics, and any other required information. Verifies and activates appropriate patient insurance plan on electronic practice management system.   Manages member account balances to include cash collection, old balances, and same-day service balances. Regularly monitors and ensures assigned providers' schedules are filled at capacity via walk-ins and call reminders to members with next day appointments.  

2. Refers patients for screening to determine eligibility for special funding and refers patients with high account balances for consultation.   Oversees the general waiting area, ensuring member check-in process is efficient, and reporting problems or irregularities to appropriate authorities.   

3. Prepares for next day clinic session to include printing of appointment list, confirming appointments, noting alerts for payments and balances, obtaining current insurance information, updating proof of income, pre-registering patients, and screening patients for program eligibility.  Performs patient dismissal to include scheduling of follow up appointments and collects remainder of patient portion of current charges.    

4. Completes end-of-day reconciliation report; ensures that cash collection and credit card payments reconcile with practice management report; ensures that cash is secured and deposited into a safe at the end of the day.  

5. Provides exceptional internal and external customer service. Greets each customer with appropriate introduction and is attentive to patients during peak wait times. Addresses concerns prior to end of interaction. Assists other departments as appropriate. 

6. Performs other related duties as assigned. 

JOB QUALIFICATIONS:

High School graduate or equivalent required

Minimum one year experience in front office duties 

Medical Assistant or Dental Assistant training preferred 

Demonstrates good verbal and written communications, with good interpersonal and organizational skills

Experience with insurance verification and referrals preferred

Possesses computer skills with proficiency in data entry and keyboarding skills

Has knowledge in healthcare billing, to include Medicaid, Medicare, and Private Insurance

Ability to handle multiple tasks ensuring completion with minimal supervision

Bilingual (English/Spanish) preferred

Must have good attention to detail

Scheduled hours and/or work locations are subject to change

PHYSICAL ACTIVITIES AND REQUIREMENTS:

Finger Dexterity: Using fingers to make small movements such as typing or picking up small objects.

Talking: Frequently conveying detailed or important instructions or ideas accurately, clearly, or quickly.

Hearing: Able to hear average or normal conversations and receive ordinary information.

Repetitive Motions: Frequently and regularly using the wrists, hands, and fingers.

Visual: Average, ordinary, visual acuity necessary to prepare or inspect documents or other materials.

Physical: Sedentary work; sitting most of the time.  May have to lift folders, files, papers, audio/video equipment, and other such items weighing up to approximately 25 lbs.

CommuniCare

CommuniCare is a full-service primary healthcare system offering pediatric medicine, family medicine, senior care, women's health, senior care, teen health, sports medicine, neurology, rheumatology, cardiology, dermatology, dental, behavioral health, vision care, and telemedicine in Bexar, Hays, and Kendall counties. We deliver our care through 25+ clinic locations utilizing integrative primary care practice, highly trained healthcare providers, state of the art diagnostic equipment, and electronic health records. Our focus is to always provide exceptional care and treat our patients like family. Our Mission To improve the health of those we serve with a commitment to excellence in all we do. Our Vision Be the premier primary health care system of choice. This health center receives HHS funding and has Federal Public claims, including medical malpractice claims, for itself and it's covered individuals. This is a Federal Tort Claims Act (FTCA) deemed Organization.
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