Clinic Office Assistant- Lead

FirstHealth of the Carolinas; Fayetteville (AR); On-site; USD 34,000 - 52,000; Full time

Job summary

FirstHealth of the Carolinas is seeking a detail-oriented medical office specialist to support billing and patient accounting. You will answer calls, schedule appointments, verify insurance, post payments and ensure accurate coding with CPT and ICD-10.

You’ll work to resolve billing issues and maintain compliant records in a busy clinical setting. Ideal candidates have high school diploma or technical certification, 3 years billing experience in a physician’s office, and a commitment to

Qualifications

• Experience with practice management systems and office automation.
• Strong CPT and ICD-10 coding knowledge and insurance reimbursement understanding.
• Excellent interpersonal and verbal communication skills.
• Good organizational abilities and customer service focus.

Responsibilities

• Answer phones, route calls and take accurate messages with urgency for patient distress.
• Schedule patient appointments and update demographics and insurance data per policy.
• Identify barriers to communication.
• Verify insurance eligibility and confirm identity with a photo ID.
• Check in/out patients and use ICD-10 and CPT codes correctly.
• Post payments accurately per policy.
• Reconcile daily and monthly financial data according to clinic policy.
• Forward requests for Medical Records to Release of Information.
• Assist patient accounts and perform delegated financial assistance tasks.
• Recognize fraud and abuse in daily operations.
• Support staff and educate on errors; ensure scanning of documents.

Skills

Practice management systems

Office automation

CPT & ICD-10 coding

Insurance reimbursement

Interpersonal communication

Organizational skills

Customer service

Education

High school diploma

Technical college certification

Billing experience in physician's office

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.