Clinic Office Specialist - Senior
Company: Palmetto Health
Posted on: June 8, 2021
Inspire health. Serve with compassion. Be the difference.
Responsible for patient registration, precertification, charge
capture and coding diagnoses given by physicians. Receives and
interviews patients to collects and verify pertinent demographic
and financial data. Verifies insurance and initiates
pre-authorization process when required. Responsible for posting
all payments and balancing with the computer reports at day end.
Arranges for patient pre-payments and enforces financial agreements
prior to providing service. Works queques, when appropriate gathers
charge information, codes, enters into EHR, completes billing
process, distributes billing information. Files insurance claims
and assists patients in completing insurance forms. Processes
unpaid accounts by contacting patients and third party payers. Can
assume decision making responsibilities as directed by manager.
Requires a high level of public contact and excellent interpersonal
skills. Performs all assigned duties in a courteous and
professional manner. May perform business office and clinic office
coordinator functions if needed as directed by the manager.
- PATIENT ACCOUNTING/REGISTRATION/SCHEDULING:
Interviews patient or other source (in accordance with HIPAA
Guidelines) to secure information relative to financial status,
demographic data and employment information. Enters accurate
information into computer database, accesses appropriate systems to
ensure the most recent insurance card is on file, and scans
documents according to departmental guidelines. Follows up for
incomplete and missing information.
Serves as a liaison between patient and medical support
Greets patients and visitors in a prompt, courteous, and helpful
Checks in patients, verifies and updates necessary insurance
information in the patient accounting system (on line
Obtains signatures on all forms and documents as required.
Maintains office schedule and follows office scheduling
Provides front office phone support as needed and outlined
through cross training program.
Screens visitors and responds to routine requests for
Responsible for working work queue's to completion. i.e.
registration, charges, referrals, etc.
Processes vouchers and private payments, to include updating
registration screens based on information on checks.
Helps to process mail return statements and outgoing
Reconciles and acquires, when needed, billing information for
all doctors for all patients seen in practice.
Performs cashiering functions including monitoring and balancing
cash drawer daily. Prepares daily cash deposits. Receives payments
from patients and issues receipts. Codes and posts payments and
maintains required records, reports and files.
Works with patients in securing prepayment sources or financial
agreements prior to providing service.
Participates with other staff to achieve account resolution.
Assists with outpatient coding and error resolution.
Processes edits and Collection Request for resolution within
specified time frames.
Identify trends and communicates problems to management.
Updates patient account database.
Maintains and updates current information on physician's
Schedules surgeries, ancillary services and follow-up outpatient
appointments and admissions as requested.
Assembles patients records and forms for next day visit. Updates
profiles on all patients, ensuring completeness and accuracy.
- Prepares and distributes appropriate reports, documents, and
patient identification items as required. This includes but is not
limited to, GHS Privacy Notice, Patient Rights and
Responsibilities, Patient Rights in Healthcare Decisions Brochure,
schedules, productivity logs, monthly collection reports, etc.
Researches all information needed to complete outpatient billing
process including getting charge information from physicians.
Codes information about procedures performed and diagnosis on
Keys charge information into on-line entry program.
Processes and distributes copies of documents according to
Assists with outpatient coding and error resolution.
Reviews patient records for scheduled appointments in
Delivers, transports, sorts and files returned charts.
Picks up lab reports, dictations, correspondence, etc.
Scans appropriate information into the EHR.
Destroys outdated records following established procedures for
retention and destruction.
Works with medical assistants and other staff to route patients
and records to proper location.
- Follows related EHR policies and procedures. 15%
Assists patients with questions regarding insurance claims,
their accounts, obtaining disability insurance benefits, home
health care, medical equipment, surgical care, etc.
Processes benefit correspondence, signature, and insurance forms
to expedite payment of outstanding claims.
Assists patients in completing all necessary forms to obtain
hospitalization or Surgical precertification from insurance
companies, including waivers for cases where pre-certification is
required but not yet obtained.
Follows-up with insurance companies ensuring that coverage is
Posts all actions and maintains permanent record of patient
Confirms all workers' compensation claims with employees.
Prepares disability claims in a timely manner.
- Follows-up with insurance companies ensuring that claims are
paid as directed. 25%
Collects payments at time of service for daily outpatient visit
Evaluates patient financial status and establishes budget
Identifies and resolves patient billing complaints.
- Participates with other staff to follow up on accounts until
zero balance, or turned over to collection. 15%
- Gathers and verifies information for specified practice on a
2.Enters all same day payment information for patient visits and
hospital patients, verifying accuracy of coding, charging and
patient insurance status.
Prints daily reports, verifying charge balancing at day end.
Complete work queue's on daily basis.
- Registers new patients after verifying patient status on
computer inquiry. Updates financial information as indicated.
This is a non-management job that will report to a supervisor,
manager, director or executive.
High School diploma or equivalent
2 years'- Experience in billing, bookkeeping, scheduling and/or
office procedure experience with medical insurance in a physician
practice, hospital or medical insurance processing work
In lieu of the Above Minimum Requirements
Bachelor's degree in Healthcare or Business and 1 year
experience will be acceptable.
Other Required Experience
Associate Degree in a technical specialty program of 18 months
minimum in length- Preferred
Multi- specialty group practice setting experience-
Intermediate ICD-9 and CPT coding abilities- Preferred
Day (United States of America)
Greenville Memorial Med Campus
1008 Greenville Memorial Hospital
10369040 Patient Registration-CPM
Share your talent with us! Our vision is simple: to transform
healthcare for the benefits of the communities we serve. The
transformation of healthcare requires talented individuals in every
role here at Prisma Health.
Keywords: Palmetto Health, Greenville , Clinic Office Specialist - Senior, Other , Greenville, South Carolina
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