Clinic Business Specialist
Department of Speech and Hearing Sciences
The Department of Speech and Hearing Sciences (SHS) seeks a full-time (12-month) Clinic Business Specialist. This position will provide managerial assistance for the Clinic Director and ensure the efficient operation of the Audiology and Speech-Language Pathology Clinic. Duties include scheduling, front desk and patient communication, filing and billing support including verification of insurance eligibility and obtaining prior authorizations for services.
Duties and Responsibilities
Financial and Patient Insurance
Responsible for monitoring patient accounts, applying payments, submission of insurance claims, and reconciling claims to the Patient Benefit statements. Assists patients who have problem accounts and/or delinquent accounts; sets up preliminary pay schedules when appropriate; refers patients with complex account problems and/or severely delinquent accounts to Clinic Director or to other staff, as designated.
Submits requests for individual pre-authorizations for visits and durable medical equipment through insurance companies; contacts insurance companies to complete verification process and/or check benefits for patients. Verifies outside referring providers; confirms patient insurance and prior authorization status/referral status by completing eligibility checks to maximize reimbursement. Checks clinician status in various portals where required for insurance provider assurance per terms of the contract, and documents such.
Works with Clinic Director and other designated personnel to investigate and follow up on special account actions; completes necessary forms and records and forwards to appropriate offices (such as refunds, write-offs, or adjustments).
Establishes and maintains contact with appropriate third party payer agencies for referral purposes; processes related forms and maintains appropriate follow up.
Oversees collection of co-payment or appointment fees at patient check-in/out.
Creates bills and collects payments for off-site services provided by our clinicians.
Processes clinic check and cash income and credit card transactions at time of service to post to patients' accounts. Prepares department deposits for both clinics per OBFS policy and submit the deposits to cashiering. Prepares monthly sales tax report for the audiology clinic and file backup for said report
Scheduling and Patient Satisfaction
Maintains the reception area by answering patients' questions and providing clinic reception duties. Greets and checks in patients and visitors. Keeps patient contact information updated. Answers or refers inquiries. Maintains a friendly, welcoming and well-organized front office for patients and staff.
Oversees appointment scheduling process. Schedules appointments in person or by telephone. Maintains accurate scheduling log. Responds to email inquiries to schedule appointments. Completes patient intake information. Assists patients with rescheduling appointments and other scheduling issues. Checks in patients and ensures availability of treatment information by filing and retrieving patient records. Creates and maintains patient accounts in Clinic Note by obtaining, recording, and updating personal and insurance information and maintaining HIPAA compliance. Sends correspondence as directed to outside entities.
Develops operating procedures and guidelines for reception and referral personnel; creates, maintains, and updates procedure manuals; ensures proper development and implementation of procedures and guidelines by support staff.
Supervises student workers in the reception area.
Clinic Operations
Assists Clinic Director in the development of unit operating procedures and guidelines; ensures proper implementation of procedures and guidelines by support staff; maintains and updates procedures manuals.
Inspects all assigned locations, ensuring safety, cleanliness, appropriate levels of supplies, and properly functioning equipment.
Conducts fiscal inventory of supplies, equipment and furnishings; maintains records to document changes in that inventory.
Orders all clinic materials for the clinic, including hearing aids, etc. Prepares shipments of durable medical equipment (hearing aids).
Process purchase requests with iBUY, P-card and T-card following OBFS policies.
Run monthly reports from Clinic Note, and other systems and share with AHS Business Office.
Staff Support
Administrative support for the clinic director; manage clinic director's calendar.
Participates in clinical staff and student orientations, and coordinates or conducts ongoing staff development programs.
Make travel arrangements for clinical faculty in a manner that conforms to the policies and procedures of the university and submit the payments for the same through the TEM system.
Assist with processing credentialing paperwork for new and current insurance providers.
Perform other duties as assigned and appropriate.
Minimum Qualifications
Bachelor's degree in business administration, management, or a field related to the position. Two (2) years of professional business, financial and/or managerial work experience. (NOTE: A Master's Degree may be substituted for one (1) year (12 months) of work experience.)
Preferred Qualifications
Demonstrated experience with insurance and/or experience in a medical office or other healthcare setting
Knowledge, Skills and Abilities
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