ESSENTIAL JOB FUNCTIONS: *

• Provide support to operations managers in conducting chart audits of Patient Services Representative work. Share feedback on findings with COO and site leaders.
• Review encounters to ensure 100% accuracy of insurance information.
• Provide support to vaccine clinics and COVID-19 testing.
• Manage operational projects and the worklog within 48 hours of receipt of encounter.
• Monitor patient flow throughout the office and update electronic medical records.
• Communicate with practice staff and providers about patient status in a timely fashion and manage patient expectations.
• Perform various administrative duties to support the practice on an as-needed basis.
• Sort and deliver mail, faxes, medical records, and other correspondence; photocopy and fax documents and maintain an adequate supply of all patient forms and documents as needed.
• Perform patient check-in: verify insurance, including eligibility; verify and/or update patient demographic information at every visit; ensure appropriate patient paperwork and surveys are distributed; collect patient payment as indicated; and ensure office scheduling policies are maintained.
• Perform patient check-out: accurately calculate, collect, post, and reconcile all patient payments; provide patients with follow-up appointments as necessary; follow up on incomplete information with appropriate provider; follow up with written directives from clinicians and patients; and provide patient information.
• Answer telephone calls: screen calls, schedule follow up appointments, take messages, provide patients with pre-appointment information and/or education appropriate to the nature of the call, provide information to assist patients and clinical personnel.
• Be a Super User of NextGen: Act as a resource for staff seeking assistance on the program management side of NextGen. Share expertise in running reports, scheduling, inputting demographics and insurance information, and basic billing.
• May document and schedule x-rays, lab procedures and in-house referrals. Provide patient with proper documentation of date, time, and any necessary preparations for scheduled tests and referrals. Complete online Prior Authorizations for both medication and behavioral health.
• Serve as liaison between patients, pharmacies, community partners, and GPH to ensure timely, appropriate transfer of information and response to inquiries.
• Display cooperative behavior. Interact positively and effectively with others to promote a team environment.
• Provide interpreting support for patients where applicable.
• Perform other duties as assigned.
• EDUCATION, EXPERIENCE AND KNOWLEDGE QUALIFICATIONS:
  • High school diploma or equivalent general education degree (GED) required.
  • Associate degree or bachelor’s degree is preferred.
  • Experience with NextGen preferred.
  • Three to five years of experience in medical office or hospital setting preferred.
  • Experience with health insurance plans, medical terminology, and health care regulations.
  • Word processing and computer experience preferred.
  • Bilingual/multilingual in French, Spanish, Arabic, Swahili, or other major languages a strong plus.