Clinic Specialist II-BRGP Port Allen

  • Full-Time
  • Port Allen, LA
  • Baton Rouge General Physician Services
  • Posted 3 years ago – Accepting applications
Job Description

JOB PURPOSE OR MISSION: Performs administrative and clerical duties within a clinic setting.

PERFORMANCE CRITERIA

CRITERIA A: Everyday Excellence Values - Employee demonstrates Everyday Excellence values in the day-to-day performance of their job.

PERFORMANCE STANDARDS:
  • Demonstrates courtesy and caring to each other, patients and their families, physicians, and the community.
  • Takes initiative in living our Everyday Excellence values and vital signs.
  • Takes initiative in identifying customer needs before the customer asks.
  • Participates in teamwork willingly and with enthusiasm.
  • Demonstrates respect for the dignity and privacy needs of customers through personal action and attention to the environment of care.
  • Keeps customers informed, answers customer questions and anticipates information needs of customers.


CRITERIA B: Corporate Compliance - Employee demonstrates commitment to the Code of Conduct, Conflict of Interest Guidelines, and the GHS Corporate Compliance Guidelines.

PERFORMANCE STANDARDS
  • Practices diligence in fulfilling the regulatory and legal requirements of the position and department.
  • Maintains accurate and reliable patient/organizational records.
  • Maintains professional relationships with appropriate officials; communicates honesty and completely; behaves in a fair and nondiscriminatory manner in all professional contacts.

CRITERIA C: Personal Achievement - Employee demonstrates initiative in achieving work goals and meeting personal objectives.

PERFORMANCE STANDARDS
  • Uses accepted procedures and practices to complete assignments. Uses creative and proactive solutions to achieve objectives even when workload and demands are high.
  • Adheres to high moral principles of honesty, loyalty, sincerity, and fairness.
  • Upholds the ethical standards of the organization.


CRITERIA D: Performance Improvement - Employee actively participates in Performance Improvement activities and incorporates quality improvement standards in his/her job performance.

PERFORMANCE STANDARDS
  • Optimizes talents, skills, and abilities in achieving excellence in meeting and exceeding customer expectations.
  • Initiates or redesigns to continuously improve work processes.
  • Contributes ideas and suggestions to improve approaches to work processes.
  • Willingly participates in organization and/or department quality initiatives.


CRITERIA E: Cost Management - Employee demonstrates effective cost management practices.

PERFORMANCE STANDARDS
  • Effectively manages time and resources
  • Makes conscious effort to effectively utilize the resources of the organization — material, human, and financial.
  • Consistently looks for and uses resource saving processes.


CRITERIA F: Patient & Employee Safety - Employee actively participates in and demonstrates effective patient and employee safety practices.

PERFORMANCE STANDARDS
  • Employee effectively communicates, demonstrates, coordinates and emphasizes patient and employee safety.
  • Employee proactively reports errors, potential errors, injuries or potential injuries.
  • Employee demonstrates departmental specific patient and employee safety standards at all times.
  • Employee demonstrates the use of proper safety techniques, equipment and devices and follows safety policies, procedures and plans.


JOB FUNCTIONS

ESSENTIAL JOB FUNCTIONS include, but are not limited to:

1. Answers telephone, greets visitors and schedules appointments.

PERFORMANCE STANDARDS:
  • Courteously and professionally greets guests/answers phone calls and handles appropriately according to clinic protocols.
  • Maintains master scheduling program for all areas and makes appointment schedules for all patients, via computer system according to established procedures.
  • Coordinates transportation needs of patients as needed.
  • Coordinates insurance coverage with patients, insurance company, and Business Office as indicated.
  • Communicates special patient needs to appropriate staff.

2. Enters patient charges, completes chart maintenance and provides a variety of clerical support functions.

PERFORMANCE STANDARDS:
  • Enters charges accurately on the same day it is incurred.
  • Coordinates charge data functions according to established procedures.
  • Types and proofs a variety of material (e.g., letters, forms, reports, etc.) from rough draft and corrected copies.
  • Maintains accurate and current files of all patient records, correspondence, reports, and information, as required.
  • Forwards completed discharged charts to Medical Records according to established procedures.
  • Prepares patient folders and files patient information appropriately, copies charts as approved by Medical Records, faxes and files a variety of materials.
  • Mails patient evaluations, progress notes, prescriptions, etc., and follows-up on all correspondence within defined time lines.

3. Performs billing functions to ensure proper billing and collections.

PERFORMANCE STANDARDS:
  • Identifies and records required billing information according to insurance carrier requirements with 100% accuracy.
  • Completes billing information accurately.
  • Processes claims electronically with 100% accuracy and mails claims to insurance carriers daily.
  • Enters documentation and adjustments through computer system to maintain a correct account balance.
  • Updates system information daily according to correspondence received and processed.
  • Documents any changes on a daily basis and submits information to appropriate personnel.
  • Seeks clear directions to resolve issues and bring problems to a proper resolution.


4. Reviews and identifies charge discrepancies and completes requests for rebilling from inter-department personnel.

PERFORMANCE STANDARDS:
  • Reviews charge summaries on each patient bill that is produced and identifies discrepancies.
  • Completes rebilling within 10 days according to established rebilling procedures.
  • Manually documents rebilling log upon completion with 100% accuracy.


5. Prepares daily production reports, maintains required records, reports, and files while evaluating account information.

PERFORMANCE STANDARDS:
  • Monitors number of accounts and outstanding balances within three days of receiving report.
  • Consistently applies appropriate procedures to prevent accounts from becoming delinquent or remaining unbilled.
  • Initiates appropriate follow-up.


6. Performs all other duties as assigned.



SPECIFIC EXPERIENCE REQUIREMENTS
Sufficient prior experience with billing, scheduling and general office responsibilities in a clinic setting.



SPECIFIC EDUCATIONAL REQUIREMENTS
High School Diploma preferred, post-high school vocational/specialized training encouraged.



SPECIAL SKILL, LICENSE AND KNOWLEDGE REQUIREMENTS
Minimum typing skills of 45 wpm, ten key by touch, data entry skills.

HIPAA REQUIREMENTS:
Maintains knowledge of and adherence to all applicable HIPAA regulations appropriate to Job Position.



SAFETY REQUIREMENTS:
Maintains knowledge of and adherence to all applicable safety practices appropriate to Job Position including but not limited to: incident reporting, handling wastes, sharps and linens, PPE, exposure control plan, hand washing, and environmental round to ensure safety,

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