Centralized Functions Specialist

Wayne Memorial Community Health Centers; Honesdale (Wayne County); On-site; USD 25,000 - 36,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision care

403(b) Retirement Plan Matching

Life Insurance

Short-Term Disability

Long-Term Disability

Generous PTO

Job summary

Wayne Memorial Community Health Centers is seeking a Centralized Functions Specialist to support medical records, referrals, and administrative tasks at our Wayne County facility in Honesdale, PA.

Responsibilities include managing the central fax queue, HIPAA-compliant record processing, insurance verification, and assisting front office. Excellent customer service, organizational skills, and independence are essential.

Qualifications

• 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.
• Excellent customer service, communication and phone skills are essential.
• Previous medical office, EMR, and physician office billing experience is highly preferred.
• Excellent organizational skills and ability to work independently and prioritize.
• Willingness to learn new skills, software and processes quickly.

Responsibilities

• Maintains central fax queue and routes to correct patient chart.
• Scan reports and documents into patient charts using naming conventions.
• Process referrals with coordination and follow-up.
• Submit and follow up on testing and medication authorizations to insurers.
• Handle medical records requests following HIPAA guidelines.
• Support development of new processes and procedures.
• Answer patient and employee questions professionally and promptly.
• Maintain front office in an orderly fashion and manage day sheets and balances.
• Distribute mail and manage office communications.

Skills

Customer service

Communication

Phone skills

Organizational skills

Problem solving

Critical thinking

Independent work

Prioritization

Education

High school diploma/GED

Tools

EMR

Microsoft Word

Excel

Fax/Scanner/Email

Job description

Wayne Memorial Community Health Centers (WMCHC) is seeking a Centralized Functions Specialist. The Centralized Functions Specialist plays a vital role in ensuring the smooth operation of various administrative functions across the Federally Qualified Health Clinic (FQHC). This includes medical records management, patient referral coordination, testing and medication authorizations, and fax queue management.WMCHC’s MissionWayne 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 QualificationsHigh 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 skillsPrevious 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 skillsBenefits:Medical, Dental, Vision403 (b) Retirement Plan MatchingLife InsuranceShort-Term DisabilityLong-Term DisabilityGenerous Paid Time Off (PTO)