Clinic Office Assistant- Lead

FirstHealth of the Carolinas; Fayetteville (NC); On-site; USD 38,000 - 62,000; Full time

Job summary

FirstHealth of the Carolinas is seeking a qualified Patient Services/ Billing Specialist to support front desk operations and medical billing processes.

Responsibilities include answering phones, scheduling appointments, verifying insurance, posting payments, and maintaining accurate demographic data. The role requires familiarity with CPT/ICD-10 coding and a commitment to excellent customer service in a fast-paced healthcare setting.

Qualifications

• High school graduate; one-year Technical College or certification preferred.
• Three years of experience in a physician’s office with medical billing may substitute for formal training.

Responsibilities

• a. Answers phones, routes calls and/or takes accurate messages with urgency for patient distress.
• b. Manages scheduling of patient appointments and registers new patients; maintains demographics and insurance data.
• c. Identifies barriers to communications.
• d. Verifies insurance eligibility, scans insurance card and photo ID.
• e. Checks patients in/out and uses ICD-10 and CPT codes accurately.
• f. Posts payments according to policy; reconciles financial data end of day and month.
• g. Reconciles all financial data correctly per clinic policy.
• h. Forwards requests for Medical Records to Release of Information.
• i. Works with patient and clinic manager on accounts and assists with financial tasks as delegated.
• j. Recognizes fraud and abuse considerations in daily duties.
• k. Performs other duties as assigned within COA scope.
• l. Promotes positive staff interaction.
• m. Edits claims, reviews charges, and educates staff on errors.
• n. Ensures timely scanning of documents.

Skills

Practice management systems

Office automation

CPT & ICD-10 coding

Interpersonal communication

Organizational skills

Customer service

Education

High school graduate

Job description

Overview

FirstHealth of the Carolinas is a nationally recognized health care system located in central North Carolina. Comprised of four hospitals with more than 600 beds, the system also offers leading-edge heart care in the Reid Heart Center, the area’s only dedicated heart and vascular center. Our growing health system has more than 6,200 employees serving in more than 75 locations throughout a 15-county service area. In addition, FirstHealth has received numerous accolades for its patient care and outcomes, including recognitions from Healthgrades, U.S. News & World Report, and Becker's Healthcare.

• Experience with practice management systems.
• Office automation skills.
• Extensive knowledge of CPT and ICD-10 coding and insurance reimbursement.
• Strong interpersonal and verbal communication skills.
• Good organizational skills.
• Committed to and demonstrates excellent customer service when dealing with all types of customers

Responsibilities

• a. Answers phones, routes calls and or takes accurate message. Demonstrates a sense of urgency relating to patient’s level of distress. Triages basic patient care needs generating a telephone encounter depending upon the situation.
• b. Manages the scheduling of patient appointments. Registers new patients and maintains current accurate up to date demographic and insurance information for all patients. Performs according to policy regulations associated with Privacy Notification, Medicare secondary, signed demographic registrations, consent to treat minor, etc. (MSPQ).
• c. Identifies barriers to communications.
• d. Verifies insurance eligibility, scans insurance card, and photo ID.
• e. Checks patients in and or out for visit in appropriate manner. Accurate and appropriate use of ICD-10 and CPT codes.
• f. Accurately and accordingly to policy, posts payments.
• g. Reconciles all financial data correctly and in compliance with clinic policy, both at the end of day and end of month.
• h.Forward requests for Medical Records to Release of Information.
• i. Works with patient and clinic manager to effectively manage patient accounts and performs certain financial assistance tasks as delegated and monitored by the clinic
• j. Recognizes how fraud and abuse interplay into daily role.
• k. Any other duty as assigned but within the scope of practice for a COA by the clinic manager and or provider
• l. Promotes positive staff interaction on all
• m. Managers claim edit, charge review and referral WQ’s. Educate staff on errors as
• n. Ensure timely scanning of documents

Qualifications

High school graduate. One-year Technical College or certification preferred.

Three years' experience in a physician’s office with medical billing experience may be accepted in lieu of formal training.

FirstHealth values diversity, equity, and inclusion, and works to create a culture of excellence in which all team members feel valued, connected, treated fairly and safe, and where differences are both respected and supported.