Status: Hourly, Non-Exempt, Part-Time
Reports To: Office Manager
Essential Responsibilities
Welcome Clients
Create and maintain a warm and welcoming environment for Clients, visitors and Team
- Warmly greet all Clients and visitors
- Direct clients on campus
- Be sensitive to the general well-being of each client
- Check clients in and collect payment
- Direct clients to the appropriate waiting area
- Open and close building at the scheduled time
- Assume responsibility for the daily care and upkeep of lobbies, restrooms and all public areas
Help Clients Access Oasis Services
- Help Clients schedule and coordinate appointments
- Assist Clients with completing necessary paperwork and forms
- Assist Clients in paying for Oasis services
- Forward New Client calls to Intake Coordinator
- Follow up with missed appointments
- Facilitate Client-Therapist Communication
- Communicate essential Client information to other Team Members
- Manage calls, take messages and retrieve voicemail
- Distribute faxes and mail as required
Protect Clients and their Confidential Information
- Safeguard client’s Protected Health Information as required by HIPAA and Therapeutic Oasis Policies and Procedures.
- Maintain updated client information including addresses, phone numbers and insurance plans
- Scan Client paperwork to EHR
- Be familiar with Therapeutic Oasis Emergency Operation Policies and Procedures
Assist Clients with Claim Submission
- Verify and document Client’s insurance benefits as needed.
- Explain insurance benefits, policy requirements, and filing rules to Clients
- Manage pre-authorizations, notify Client & therapist when pre-auth expires
- Make necessary notations in client’s EMR regarding insurance terms, conditions, authorizations and any other information necessary for proper claims submissions and billing
- Handle all billing inquiries for clients with insurance
Process Insurance Claims
- Review claims generated by the practice to ensure that all required data is accurately reported and to ensure prompt reimbursement for services provided
- Communicate to Clinical Team Members when notes are missing or incomplete
- Make sure all eligible claims are submitted to insurance companies.
- Correct all data errors and resubmit all unprocessed or returned claims
- Research and apply knowledge of all rules and regulations for Medicare and major insurance programs
- Follow up on all claims not paid within 45 days
- Review all insurance payments and remittance advice documents to ensure proper processing and payment of each claim.
- Accurately post charges, payments, and adjustments to patient accounts and office accounts receivable records
- Research and prepare appeals for all underpaid, unjustly recoded, or denied claims
Support other Team Members
- Assist and support other Team Members in their efforts to provide exceptional service and care to every Client.
- Attend staff meetings and training programs
- Monitor and schedule Resources as needed
- Monitor and restock Office Supplies
- Eligible to Participate on Marketing Team (Optional)
Preferred Education & Qualifications
- Authorized to work in the United States
- Must be age 18 or older
- Excellent written and verbal communication skills
- Customer service and/or medical office experience
- Proficient in Microsoft Word or similar word processing software
- Good computer skills, preferably with Mac
- Basic Math Skills
- Intermediate understanding of medical billing and insurance related terms
- Working knowledge of EHR software
Personal Qualities
- Warmth
- Kindness
- Attention to Detail
- Non-Judgement
- Intuition