Patient Care Coordinator/Billing Specialist

Position Summary

The primary function of this position is to greet and check in patients, schedule appointments, referrals and imaging; as well as answer and route incoming calls. The position will also be responsible for billing for the Wellness Clinic.

Essential Duties and Responsibilities

· Preform opening duties for the clinic to include: Unlocking the office, alarm shut-off, setting up and preparing the front office for the day, complete any incoming faxes and missed calls received after hours.

· Warmly greet patients, family members, vendors and other visitors to the clinic.

· Check-in patients for appointments, verify current demographics (updating as needed) and complete necessary paperwork/registration process in EHR.

o Ensure appropriate paperwork is up-to-date and copies are obtained/uploaded into EHR appropriately to include: Photo ID, Tribal enrollment card, insurance card, PRC paperwork and all other qualifying information as outlined in our policy.

o Collect any co-pays and provide a receipt

· Facilitates patient registration flow and communicates delays/messages for patients to appropriate staff.

o Communicates with patients regarding provider delays.

· Promptly and professionally, answer telephone calls and provide appropriate responses that fall within the scope of a patient care coordinator.

o Route/triage calls appropriately, offering voicemail or messaging to staff depending on availability.

· Appropriately screens solicitors for relevance to organizational needs and follows sign-in protocol.

· Maintain a smooth flow of communication between patient, provider and other clinic staff.

· Completes daily scanning into the EHR and indexes documents properly.

· Process medical records requests promptly, efficiently and within HIPAA guidelines/ clinic policy.

· A ssist with physician requests and outgoing paperwork to ensure care for patients is completed.

· Follows through with referrals to other clinics and/or specialists and assist patient with scheduling as needed to completion.

· Enter prescription refills into the EHR as requested by patient, pharmacy, etc.

· Completes and maintains filing-both within EHR and paper files as needed.

· Assume the responsibility of receiving and sorting incoming payments for insurance claims

· Manage the status of accounts and balances while identifying any inconsistencies

· Issue and post bills, receipts and invoices

· Update accounts receivable WQ’s

· Maintains waiting area to ensure it is clean and organized.

· Follow HIPPA standards and maintain strict confidentiality of patient information.

· Closing duties to include: locking up all doors and windows, emptying shred bins, turn off lights and alarm setting.

· Verifies patient benefits eligibility and coverage.

· Enters information necessary for insurance claims into the EHR, such as client insurance ID, modifiers, and provider information. Ensures claim information is complete and accurate.

· Follows up with insurance company on unpaid or rejected claims. Resolves issue and re-submits claims.

· Posts insurance and patient payments using EHR.

· Completes deposits and reports.

· Assist in procedures as appropriate.

· Adhere to all Stillaguamish Tribe of Indians policy and procedures.

· All other duties as assigned by direct supervisor.

Required Knowledge, Skills and Abilities

· Experience in a health-care setting strongly preferred.

· Strong knowledge of medical billing and collection procedures and general business office procedures.

· Knowledge of CPT & ICD-10 billing codes

· Graduation from medical billing program preferred.

· Previous work experience in a medical billing position

· Ability to type at least 45 wpm with no errors.

· Good command of computerized word processing programs.

· Ability to operate general office equipment including computers, photocopiers and fax machine.

· Ability to exercise a high degree of diplomacy and tact while multi-tasking, organizing and scheduling patients.

· Ability to work well with others and elicit appropriate information to route calls appropriately

· Ability to prevent, calm and/or defuse upset callers and patients; working with them to identify concerns and provide solutions.

· Ability to prioritize work responsibilities, multi-task and stay on task while working with many interruptions.

· Ability to provide on-time attendance.

· Experience in maintaining confidentiality.

Position Qualifications

· Possession of High School Diploma or GED

· Two or more years’ experience of relevant office, administrative or clinical experience requiring accuracy and attention to detail.

· Two year relevant billing experience requiring accuracy and attention to detail

• Ability to pass criminal background check and pre-employment drug screening.
• WA state driver’s license and ability to be approved by Tribal insurance to drive tribal vehicles.
• Specific level requirements are as follows:
• Level I: Requires 0-3 years of experience in medical office, pay grade 4.
• Level II: Requires 3-10 years of experience in a medical office or MA certificate with 0-3 years of experience as a Medical Assistant, pay grade 5.
• Level III: Requires 10+ years of experience in a medical office or 3+ years of experience as a Medical Assistant, pay grade 6.

• Medical, Dental, Vision available on 1st of month after hire date - choose either a PPO or HDHP with a Health Savings Account.
• Paid Time Off (PTO) earned to plan for future paid days off from work.
• Parental Leave
• 401(k) retirement with generous company match.
• Holiday Bank hours
• Discounts at 210 Cannabis Co and Angel of the Winds Casino Resort plus 20 cents off per gallon at Angel of the Winds Fuel.