Medical Administrative Specialist (For Pooling)

Position titleMedical Administrative Specialist (For Pooling)DescriptionThis position is responsible for the timely patient flow of the clinic in a pleasant, professional manner. This individual is responsible for sign-in of patient, accurate registration, and appropriate wait time before patient receives services. Requires awareness of customer service expectations, desire to deal with the public and good communication skills.Responsibilities* Completes sign-in of patients documenting arrival time, updating patient demographics and insurance carrier, printing encounter and racking chart.* Gathers data for patient registration, obtains consent for treatment, insurance and identification cards and files all documentation in medical record.* Verifies coverage and eligibility on new patients by calling third party payors.* Communicates with patient about correct co-pays and deductibles with expectation of payment at the time of service.* Verifies enrollment eligibility and obtains PCP /specialty authorization as needed.* Updates sliding fee scale applications and/or assists patient in completion of new application and documents in off-bill comments.* Processes cancellation and no-show charts according to protocols.* Answers incoming calls for adding or canceling appointments to provider schedules.* Verifies phone number, date of birth and insurance information.* Verifies and reviews next day provider schedules for errors in scheduling.* Prepares and and notifies patients of schedule changes according to protocols.* Updates and distributes provider schedules daily.* Prepares provider monthly manual productivity reports indicating encounters, cancellations and no-shows.* Outreach to patients for weekly patient register.* Outreach to providers on their schedules and follow ups for patient scheduling* Assists patients with requests for their medical records following release of medical record policy and procedure.* Follow up on provider credentialing* Performs other duties as assigned.* Patient Redesign* Responds to Care Team needs; process authorization and referrals.* Update demographics, register patients, and schedule follow-up appointments* Communicates with team members and follows directions of Greeter and Facilitator specific to patient process.Qualifications* Strong verbal and written communication skills in English.* With Active PHRN or USRN License.* Experience working with US Healthcare Accounts.* Experience with Insurance Verification, Benefits and Eligibility and Prior Authorization.* Experience in scheduling of appointments* Ability to work in a fast-paced environment, completing multiple tasks.* Experience working with EHR/EMR Tools.* Excellent critical and analytical thinking skills.* Excellent listening and presentation abilities.* Strong facilitation/clinical education skills.* Familiarity with medical terminology and clinical decision support.* Can start ASAPJob Location #J-18808-Ljbffr