Description
Our Mission: “Changing lives throughout Eastern NC.”
Support The Daily Needs Of Team Members By
- scheduling and rescheduling of clients (only treatments)
- obtaining/sending medical history and additional information needed to conduct thorough and excellent therapy services
- As needed monitor and enter insurance authorizations for Medicaid (Choice PA, HealthyBlue, UHC, AmeriHealth and Wellcare) and private insurances as necessary.
- Engage your team members with respect and patience while leaning into their communication/personality style.
- Communicate schedule changes with team members clearly and timely.
- Manage the schedule deliberately to maintain productivity of team members.
- Maintain Electronic Health Records
- Send/receive faxes
- Monitor cancellations and no-shows to help increase client accountability and the productivity of team members.
- Collection of copays and monitor patient balances
- Deliver an amazing experience for clients and referral sources.
- Greet all clients and answer all incoming calls with a smile : )
- Follow up with clients to confirm their appointments on a daily/weekly/monthly basis.
- Have an understanding of collecting daily co-pays and patient balances and record in Fusion.
- Wow the client with excellent communication and follow through.
- Take time to develop a personal connection with our clients and referral sources in ways that are meaningful to them.
- Maintain and deliver all client forms for compliance with insurance and clinic procedures.
- Create new client files as needed with detailed information for therapists.
- Maintain a fun and efficient clinic environment for staff and clients/families.
- Housekeeping tasks to maintain a clean and efficient clinic environment.
- Disinfect work spaces daily
- Organize clinic space
- Complete laundry and dishwasher tasks as needed
- Develop and implement strategies for efficient documentation/paperwork flow.
- Assist in the development and production of client and team member events and celebration of holidays/special occasions.
- Approach your work from multiple perspectives including the clients, therapists, referral sources, etc.
- Maintain the systems and processes around you; fix them when they don’t work, update them when outdated, and eliminate them when not needed.
- Ensure compliance with insurance regulations in order to maintain the integrity of our company.
- Obtain necessary doctor’s orders and documentation necessary to conduct therapy services (IFSP, ISP, etc.).
- Enter in initial authorizations to Medicaid and other insurances and monitor authorizations on a daily basis.
- Communicate status of authorizations to therapists.
- Contact referral sources to follow up on MD orders.
- Follow up with patients and referral sources when unable to contact for services (within 14 days).
Key Performance Indicators
- Customer service rating scale/Employee Rating Scale > than 66
- All co-pays and payments are accounted for in EMR with 100% accuracy
- Faxes are worked within 12 hours of receiving
- Insurance authorizations are checked on a daily basis, entered into the system with 100% accuracy, and completed within 24 hours of receiving MD signature
- Clinic organization is maintained on a daily basis
- Assist in confirming clients for their appointments (every client is called on holidays-even those with text/email reminders)
- Appointment changes are communicated with therapists within 1 hour of occurring
- Monday meeting goals are achieved each week
Requirements
- Able to work Monday-Friday 8am to 5pm with a 1 hour lunch break from 12pm to 1pm*
Skills And Qualifications
Administrative Skills
- Strong organizational skills for managing schedules, insurance authorizations, and patient records.
- Proficiency in using Electronic Health Records (EHR) systems.
- Ability to multitask and prioritize tasks efficiently.
Customer Service
- Excellent interpersonal skills to build relationships with clients, referral sources, and team members.
- Strong verbal and written communication skills for clear and professional interaction.
- A positive and patient demeanor, ensuring a welcoming experience for clients.
Technical Skills
- Familiarity with fax machines, scheduling software, and office equipment.
- Basic knowledge of social media platforms and marketing tools for content creation and reviews.
Insurance and Compliance Knowledge
- Understanding of insurance processes, including Medicaid and private insurance authorizations.
- Familiarity with documentation requirements for medical and therapy services.
Problem-Solving and Adaptability
- Ability to develop and implement systems to enhance efficiency.
- Adaptable to changing schedules and clinic needs while maintaining professionalism.
Team Collaboration
- A supportive and respectful attitude toward team members.
- Willingness to assist in creating a fun, organized, and efficient clinic environment.
Education and Experience
- High school diploma or equivalent required; post-secondary education or certification in office administration or healthcare management preferred.
- Experience in an administrative or customer service role, ideally within a healthcare or therapy clinic setting.
Physical Requirements
- Ability to perform light housekeeping tasks such as organizing, disinfecting, and completing laundry.
- Comfortable working in a dynamic, fast-paced environment.
Performance Expectations
- Uphold the clinic’s mission: “Changing lives throughout Eastern NC.”
- Meet key performance indicators such as client satisfaction, timely documentation, and accurate billing.
- Ensure daily operational goals, including appointment confirmations and insurance compliance, are met.
Workplace Culture
- Be an ambassador of the clinic’s values by fostering meaningful connections with clients and colleagues.
- Participate in team events and contribute to a supportive and collaborative work environment.