Centralized Functions Specialist

Wayne Memorial Community Health Centers; Honesdale (Wayne County); On-site; USD 42,000 - 64,000; Full time

Benefits offered by this job

Medical insurance

Dental insurance

Vision insurance

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 Function Specialist to support administrative operations across our FQHC, including medical records management, patient referrals, testing and medication authorizations, and fax queue oversight. You will help maintain accuracy and timely processing in a rural health network.

In this role you will scan documents into charts, verify insurance, coordinate with specialists, and assist in implementing new procedures to improve

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.

Responsibilities

• Maintains the central fax queue ensuring timely processing and correct chart routing.
• Scans reports and documents into patient charts using naming conventions.
• Ensures timely referrals with coordination, insurance verification and follow-up.
• Submits and follows up on authorization requests for testing and medication.
• Processes medical record requests in a HIPAA-compliant manner.
• Supports new processes and procedures as the department evolves.
• Performs other projects/duties to support efficient operations.

Skills

Customer service

Communication

Phone skills

Organizational skills

Independent work

Critical thinking

Problem solving

Willingness to learn

Education

High school diploma/GED

Tools

Microsoft Word

Microsoft Excel

EMR

Fax/Scanner/Email

Job description

Wayne Memorial Community Health Centers (WMCHC) is seeking a Centralized Function 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.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)