Role & Responsibilities

Work cooperatively with Northwest Health Services (NHS) providers, supervisors, and personnel to carry out the goals and objectives of NHS according to governing body requirements and established internal policies and procedures.
Treat others respectfully whether it is a patient, fellow employee, member of management, customer, vendor or visitor to our premises.
Attend weekly team huddles under the guidance of the clinic manager or designated representative.
Receive/Greet all patients and visitors pleasantly and effectively.
Collect co-pays and payments at the time of service and issue receipts as necessary.
Accurately balance and maintain payment log, reconcile daily cash and copy all received checks daily.
Assist patients with billing questions, assist with sliding fee questions, and establish payment arrangements with patients, if deemed necessary.
Answers benefit questions from patients, NWHS staff, and insurance companies, as needed.
Review all medical charts prior to visit for current consent for treatment, insurance card copies, pre-authorization copies, and other required forms.
Ensure all patient information is current and up-to-date at each visit. This is to include all insurance, Medicare or Medicaid cards being scanned, patient information sheet has been updated annually and scanned, and all information in the chart matches the information in the computer per policy and procedure.
Follow and complete check out procedures as directed and performs daily batch management as assigned.
Inform and assist patients with the Sliding Fee Scale Program. Calculate and approve Sliding Fee Scale (SFS) applications. Ninety (90) percent of these applications must be completed within one hour of receipt. Accurately enter Sliding Fee information in computer.
Verify coverage and provide treatment estimates for patients. Obtain patient or guardian signature on patient’s treatment plan to confirm and verify treatment was explained to patient and they had an opportunity to discuss with NWHS staff. Scan into NextGen and provide patient or guardian the original.
Contact patient before appointments to review payment information so patient will know what their estimated payment is prior to arrival.
Request prior authorizations and pre-approvals prior to appointment and be able to intelligently discuss result(s) with patient(s).
To obtain and verify insurance eligibility and benefits within two days’ prior to the patient’s appointment, except in the case of Emergency visits. Those will need to be made priority and checked prior to patient being seated.
Scan documents and assist in locating and filing reports.
Keep work area neat and organized for proper completion of work tasks.
Perform related work as required.
Be able to multi-task and work on several projects at once.
Must comply with the provisions of the Health Insurance Portability and Accountability Act (HIPAA) of 1996.
Any other duties assigned.
Possess cognitive skills necessary to read and interpret a variety of instructions furnished in oral or written form.
Possess the ability to see, talk, hear, read, write, kneel, stand, sit, react, and lift, pull and push up to 50 pounds.
Must respect and maintain confidentiality.
Always maintain a professional appearance and demeanor.
Show high telephone etiquette standards, including communicating in a clear, friendly and professional manner.
Must be able to handle stressful situations.

Education & Experience

Must possess and maintain a valid Driver’s License, and proof of insurance for personal vehicle used for business.
Possess a high school diploma or equivalent.

Required Knowledge, Skills, and Abilities

Must demonstrate basic computer skills.
Possess light typing skills, computer knowledge preferred. Must demonstrate accuracy, proficiency, and efficiency. Must be able to effectively present information and respond to questions from patients and other individuals encountered in employment.
Preferred working knowledge of dental or medical billing.

Northwest Health Services Inc

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