Centralized Functions Specialist

Wayne Memorial Community Health Centers; Honesdale (Wayne County); On-site; USD 32,000 - 42,000; Full time

Job summary

Wayne Memorial Community Health Centers in Honesdale, PA is seeking a Full Time Medical Office Clerk to manage the front office, handle fax and mail, and support a compliant medical records workflow.

Ideal candidates will have a high school diploma, knowledge of HIPAA, and experience with Word/Excel and EMR. You will verify insurance, coordinate referrals, and assist with deposits and daily balances to maintain efficient operations.

Qualifications

• High school diploma/GED required.
• Working knowledge of HIPAA and privacy regulations.
• Experience with EMR and physician office billing is preferred.

Responsibilities

• Manage central fax queue and route to patient charts.
• Scan and file documents into patient charts using naming conventions.
• Coordinate referrals, insurance verification, and follow-up.
• Submit and track authorization requests for tests and medications.
• Process medical record requests in HIPAA-compliant manner.
• Maintain front office and daily balances; prepare deposits.
• Answer patient and staff inquiries promptly.

Skills

Customer service

Communication

Phone skills

Organizational skills

Education

High school diploma or GED

Tools

Microsoft Word

Excel

Job description

Job Details

Job Location: Honesdale, PA 18431, Position Type: Full Time, Education Level: Not Specified, Job Category: Customer Service,

WMCHC’s Mission

Wayne Memorial Community Health Centers creates and sustains healthy rural communities by providing accessible, high quality medical, dental, and behavioral health care for all, while recognizing and addressing other factors that influence health outcomes.

Duties/Responsibilities

• Maintains the central fax queue ensuring all incoming faxes are processed in a timely manner and routed to the correct patient chart by using the two patient identifiers.
• Scan all assigned reports, records and other documents into the patients’ chart in a timely manner using recommended naming conventions.
• Ensure timely processing of referrals, including coordination with specialists, insurance verification, and follow-up on outcomes.
• Submit and follow up on authorization requests for testing and medication to insurance companies.
• Process medical record requests in a timely manner while following HIPAA guidelines.
• Support the development of new processes and procedures as the department evolves and expands.
• Perform other projects/ duties as assigned in a timely fashion to support the efficient operations of the department.
• Answers patient and employee questions in a professional and timely manner. Directs unanswered questions to appropriate personnel.
• Maintains front office in an efficient and orderly manner.
• Maintains day sheets and monthly and daily balances.
• Makes deposit of day’s receipts.
• Reads and sorts incoming mail on a daily basis. Distributes mail to appropriate areas and personnel.
• Types and forwards/mails assigned correspondence in an orderly and timely fashion.
• Performs other duties as assigned to support the efficient operation of the department.

Minimum Qualifications

• High school diploma/GED required.
• Working knowledge of HIPAA and privacy regulations.
• Microsoft Word, Excel required.
• Must be able to use fax, copier, scanners, and email.
• Prior medical terminology experience is a plus.

Other Skills Needed

• Must have excellent customer service, communication and phone skills
• Previous medical office, EMR, and physician office billing experience highly preferred.
• Must have excellent organizational skills.
• Must be able to work independently and be able to prioritize.
• Must be willing to learn new skills, new software and processes quickly.
• Critical thinking and problem-solving skills

Benefits

• Medical, Dental, Vision
• 403 (b) Retirement Plan Matching
• Life Insurance
• Short-Term Disability
• Long-Term Disability
• Generous Paid Time Off (PTO)