The Business Office Assistant responsible for answering phones, processing incoming and outgoing mail (campus & U.S. Mail). Enters corrected patient demographic information for patients with returned mail.  Runs daily automated eligibility and claim edit reports and distributes information to all PMG clinic locations and/or assigned data entry staff.

 

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following.  Other duties may be assigned.

 

1.    Receives, date stamps, and distributes incoming mail for the business office.

2.    Answers business office phone lines and distributes incoming e-faxes.

3.    Runs daily appointment reports for PMG clinics and submits patient lists electronically to verify health plan eligibility.

4.    Reviews electronic eligibility reports and identifies patients with terminated insurance plans; prepares and distributes lists of ineligible patients to clinic locations.

5.    On a daily basis runs NextGen claim error reports and distributes error list for corrections.

6.    Assists with data entry of claim payments, denials, and refunds.

7.    Processes over-the-phone credit card payments, prepares daily credit card transaction logs.

8.    Files, copies, scans sorts and organizes all billing documents.

9.    Maintains confidentiality of all records and information which pertains to patients, physicians, employees, the organization and in related interests.  

10. Regular and consistent attendance.  

 

QUALIFICATION REQUIREMENTS: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily.  The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

EDUCATION and/or EXPERIENCE: High school diploma or GED. Minimum 1 year related work experience. Experience in an office setting preferred.

 

LANGUAGE SKILLS:  Ability to read and analyze, and interpret medical records for the purpose of saving into appropriate files.

 

MATHEMATICAL SKILLS: Ability to calculate figures and amounts such as discounts, percentages, addition and subtraction.   Ability to apply concepts of basic algebra and geometry.

 

REASONING ABILITY:  Ability to apply commonsense understanding to carry out instructions furnished in written, oral, or diagram form.  Ability to deal with problems involving several concrete variables in standardized situations.

 

OTHER SKILLS and ABILITIES: Able to type 35 words per minute and have working knowledge of Internet and Microsoft Outlook, Word, and Excel.  Strong data entry skills: 10-key by touch.  Ability to make sound judgments based on situation.  Must be able to manage time efficiently with low to medium supervision.

 

PHYSICAL DEMANDS: The physical demands described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

While performing the duties of this job, the employee is regularly required to talk or hear, sit, reach with hands and arms, and use hands to finger, handle or feel.  The employee is occasionally required to stand, walk, stoop, kneel, crouch or crawl. 

 

While performing the duties of this job, the employee is occasionally required to lift or exert force up to 10 pounds.

 

 

WORK ENVIRONMENT: The work environment characteristics described here are representative of those an employee encounters while performing the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.  The noise level in the work environment is usually moderate.

 

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