Assistant, Clinical Administrative

The company name is "The Wright Center for Graduate Medical Education".; Wilkes-Barre (Luzerne County); On-site; USD 35,000 - 50,000; Full time

Job summary

An established industry player is seeking a Clinical Administrative Assistant to be the first point of contact for patients and visitors. This role is essential for maintaining high standards of customer service in a fast-paced healthcare environment. Responsibilities include scheduling appointments, managing patient information in the Electronic Health Records system, and ensuring compliance with healthcare regulations. If you are mission-oriented and thrive in a dynamic setting, this opportunity offers a chance to make a significant impact on patient care and experience.

Qualifications

• 1-2 years of front-office experience in a high-volume medical practice.
• Ability to maintain strict confidentiality and accuracy in responsibilities.

Responsibilities

• Schedule patient appointments and manage patient information.
• Ensure compliance with HIPAA rules and regulations.

Skills

Customer Service

Bilingual

HIPAA Compliance

Proficient Computer Skills

Attention to Detail

Education

High School Diploma/GED

Tools

Electronic Health Records (EHR)

Job description

Description

POSITION SUMMARY

The Clinical Administrative Assistant (CAA) serves as the initial point of contact for patients and visitors. The CAA delivers the high standard of customer service necessary to maintain the overall patient experience and is responsible for various health center front-office administrative responsibilities as outlined below. The health center front-office is a high-intensity, fast paced environment, with critical impact on health center efficiency.

DUTIES & ESSENTIAL JOB FUNCTIONS

• Understanding of what it means to be the following:
  • A Federally Qualified Healthcare Center Look - Alike (FQLA)
  • A Patient Centered Medical Home (PCMH)
  • Recognized as a National Committee for Quality Assurance (NCQA)
  • Participant in an Accountable Care Organization (ACO)
• Schedule patient appointments and follow-up visits
• Register patients and Play key role of capturing patient demographic information needed for annual UDS report
• Comply with Red Flag Rules for photo identification
• Intake and check out of patients
• Manage patient information in the Electronic Health Records system
• Understanding of multiple insurance dynamics including copays, coverage, navigation
• Verify insurance information from patients
• Comply with commercial and Medicaid insurance plan rules for services requiring prior authorization
• Ensure copays are collected at time of visit
• Perform cash account management activities
• Provide self-pay patients with options to pay for services
• Obtain Medicare ABN for non-covered services
• Ensure patients understand health center resources and available programs, such as
  • Sliding fee discount program
  • Good Faith Estimate (GFE)
  • Outreach & Enrollment programs
  • Language services
  • After hours coverage
• Ensure compliance in the following areas:
  • Availability and location of SDS binder
  • Availability and location 990 binders for all TWC entities
  • Understanding role and responsibilities in an emergency to help coworkers and patients to safety
• Scan patient records into the EMR
• Create triages within the EMR system
• Mail and receive new patient information packets
• Answer and return phone calls
• Switch phones to night/weekend service
• Always adhere to all HIPAA rules and regulations
• Participation in rotation of extended access hours including late nights, weekends and holidays
• Cross coverage of other locations and service lines for continued support and access for patients
• Perform other duties as assigned

Requirements

REQUIRED QUALIFICATIONS

• Meet The Wright Center for Community Health and its affiliated Enterprise entities’ EOS People Analyzer Tool
• Buy in and experience working in the EOS model (strongly preferred)
• Mission-oriented; represents the enterprise in a professional manner while demonstrating organizational pride
• Minimum Qualifications of a High School Diploma/GED
• Previous front-office experience (1-2 years) in a high-volume medical practice desirable
• Bilingual highly desired
• Ability to adapt to changing priorities
• Ability to maintain accuracy and compliance with detailed-oriented responsibilities
• Ability to maintain strict confidentiality
• Proficient computer skills
• Proven proficiency of technology and EMR workflows at the end of orientation
• Must be reliable and punctual
• Must have attention to detail
• Must be able to perform effectively in a fast-paced environment with many changing priorities
• Must be professional and customer service oriented to deliver quality excellent care
• Ability to work independently and with a team
• Professional written and verbal communication and interpersonal skills
• Willingness to work a flexible schedule