What are the responsibilities and job description for the Patient Financial Services Assistant position at Hampton Roads Community Health Center?
The Hampton Roads Community Health Center is seeking Patient Financial Services Assistants to work at our Park Place Family Medical & Dental Center in Norfolk, Virginia. Under general supervision, this non-exempt position is responsible for providing services to support scheduling, patient registration, billing, patient outreach, and coding. This position consists of several levels based on education and experience.
Greets patients, answers, screens, and responds to all patient inquiries, schedules appointments; collects, verifies, and enters patient information and insurance into the practice management system; informs patients about delays and wait times; and checks patients out upon appointment completion, schedules for future appointments and answers any questions. Enroll patients in the Health Insurance Market Place and assist with Medicaid redetermination.
Receives and reviews incoming payments with attention to credibility; manages the status of accounts, balances and identifies inconsistencies; issues bills, receipts, and invoices; updates account receivable database with new accounts or missed payments; and addresses and resolves patient questions regarding billing and insurance statements.
Reviews medical documentation to ensure CPT and ICD-9 coding accuracy and compliance; abstracts CPT-4, HCPCS II, and ICD-9-CM from medical records; charges entry into billing system in a timely manner; and maintains current knowledge of coding guidelines and relevant federal regulations using current CPT-4, HCPCS II, and ICD-9/ICDD-10 materials, Federal Register, and other pertinent materials.
Facilitates effective communication between providers, team members, partner clinics, families, and caregivers; facilitates patient engagement to include identifying gaps in services, assisting with barriers for patients who frequently no-show to reschedule appointments, and patient education; and develops, maintains, analyzes, and reports data on ancillary health programs as needed to required entities.
Performs administrative support work such as word processing, creating spreadsheets, data entry and retrieval; orders, monitors and distributes program supplies/resources; and other information to ensure accuracy and conformance to established procedures and policies; and counsels patients regarding patient responsibilities and rights; adheres to patient confidentiality guidelines.
Performs other duties as assigned.
High school diploma and at least six (6) months of patient scheduling, medical/dental billing, coding procedures, patient outreach and education, and general insurance knowledge to include insurance verification or any equivalent combination of education and experience.
Level I: High school diploma, one (1) to two (2) years of patient scheduling, medical/dental billing, coding procedures, and general insurance knowledge to include insurance verification or any equivalent combination of education and experience.
Level II: High school diploma, three (3) to five (5) years of patient scheduling, medical/dental billing, coding procedures, and general insurance knowledge to include insurance verification or any equivalent combination of education and experience.
Lead: Associate degree in Business Administration, Health Care Administration, or a related field, five (5) to eight (8) years of patient scheduling, medical/dental billing, coding procedures, and general insurance knowledge to include insurance verification; and one (1) to two (2) years of supervisory or lead experience; or any equivalent combination of education and experience. Certified Coding Associated (CCA), Certified Coding Specialist (CCS), Certified Professional Coder (CPC), and Certified Billing & Coding Specialist (CBCS) is desirable.
Required Knowledge
- Healthcare Management – Knowledge of patient scheduling, insurance verification, medical and dental billing, coding, and assisting with revenue cycle management services to include specific knowledge of patient focused healthcare.
- HIPAA – Knowledge of the federal Health Insurance Portability and Accountability Act (HIPAA) to ensure privacy and safeguard patient information.
- Customer Service — Considerable knowledge of principles and processes for providing customer service. This includes meeting quality standards for service.
- Technology — Knowledge of general office equipment and personal computers to include word processing, spreadsheet, and related software. Comprehensive knowledge of health care systems, practices, procedures, and administration.
Required Skills
- Computer Skills – Utilizes a personal computer with word processing, spreadsheet, and related software to effectively complete a variety of financial tasks with reasonable speed and accuracy.
- Time Management - Plans and organizes daily work routine. Estimates expected time of completion of elements of work and establishes a personal schedule accordingly. Implements work activities in accordance with priorities and estimated schedules.
- Interpersonal Relationships – Develops and maintains cooperative and professional relationships with employees and all levels of management to include representatives from other departments and organizations.
Required Abilities
- Communication – Ability to effectively communicate ideas and proposals verbally and in writing, to include the preparation of detailed logs which include numerical information.
- Judgment/Decision Making — Evaluates the best method of research and then exercises appropriate judgment in establishing priorities and resolving complex matters. Considers the relative costs and benefits of potential actions to choose the most appropriate one.
Salary : $33,280 - $45,760
