Position: Unit Clerk - Specialty Clinic
Reports To: Director of Nursing / Nurse Manager
The Unit Clerk supports daily operations of the Specialty Clinic within a rural Critical Access Hospital (CAH). This role serves as the first point of contact for patients and visitors; coordinates provider schedules, referrals, diagnostic orders, prior authorizations, and medical records; and performs accurate registration, charge capture, and documentation to ensure safe, timely, and patient-centered care across cardiology, orthopedics, general surgery, and other visiting specialties. The Unit Clerk collaborates with nursing, providers, ancillary services, and revenue cycle teams to optimize patient throughput and clinic efficiency while upholding regulatory and privacy standards.
Essential Duties And Responsibilities
Patient Access and Front Desk
- Warmly greet patients and visitors; verify identity, demographics, insurance, and consent forms at each visit.
- Complete registration, schedule and confirm appointments, manage check-in and check-out, collect copays, and provide after-visit summaries.
- Monitor clinic lobby flow; address questions, manage phone lines, voicemail, and patient portal messages within service standards.
- Other duties as assigned.
Clinical and Care Coordination Support
- Prepare daily clinic lists; assemble charts and required documentation for visiting specialists.
- Coordinate outside records, imaging, and labs; route and scan documents to the EHR per policy.
- Initiate and track referrals, prior authorizations, and diagnostic orders; communicate outcomes to patients and care teams.
Scheduling and Throughput
- Maintain provider templates for multiple visiting specialties; optimize slot utilization and reduce no-shows via reminders.
- Arrange follow-up visits, procedures, and telehealth as appropriate, considering rural access and transportation constraints.
- Facilitate same-day add-ons and urgent visits in collaboration with nursing and providers.
- Other duties as assigned.
Billing Readiness and Charge Capture Support
- Ensure accurate encounter documentation, CPT and HCPCS readiness, and modifier prompts for services.
- Verify insurance eligibility and benefits; capture required authorizations prior to service when applicable.
- Reconcile daily clinic schedule against encounters; flag discrepancies to coding and billing for resolution.
Communication and Customer Service
- Provide clear, compassionate communication adapted to rural patient needs; use teach‑back for instructions.
- Route messages promptly to providers and nurses; maintain professional phone and in-person etiquette.
- Support patient education material distribution in coordination with clinicians.
Regulatory, Privacy, and Safety
- Comply with HIPAA, EMTALA, OSHA, and hospital policies; protect PHI at all times.
- Follow CAH and clinic procedures for medication samples, vaccine handling support, and documentation as assigned.
- Participate in safety huddles, incident reporting, and emergency response workflows appropriate to the clinic setting.
Operational Excellence
- Use the EHR, scheduling, and revenue cycle systems proficiently.
- Assist with inventory, supply ordering, and maintenance requests to keep exam rooms and workspaces ready.
- Contribute to quality improvement, patient experience initiatives, and throughput projects.