Job Description

Job Details
Experienced
Adelante Healthcare Goodyear - Goodyear, AZ
Non-Exempt
HS Diploma from accredited school
Health Care
Description

POSITION SUMMARY

Primarily responsible for maintaining an accurate charge and payment posting system for the site and for the patient’s financial records.  As primary point of exit for patients, will ensure   EHR Patient Plan has been printed, and understands his/her financial responsibility to the site for services rendered. Work is performed under general supervision of Practice Administrator or Front Office Supervisor.

 

EXPECTATIONS

Every Adelante employee will strive to maximize their performance and contribution to Adelante Healthcare and the community we serve every day.  Employees are expected work in a manner that demonstrates a commitment to quality, patient safety, employee engagement, innovation, and the highest standards of personal integrity, professionalism and competence.

 

OUR CORE VALUES

  • Excellence
  • Integrity
  • Sustainability
  • Respect
  • Compassion
  • Learning

 

ESSENTIAL SKILLS AND EXPERIENCE

  • Certification to perform cardiopulmonary Resuscitation for the Health Care Professional (CPR) and AED through courses that follow the guidelines from the American Heart Association and Red Cross (cognitive and skills evaluations)
  • Valid Level One Fingerprint Clearance Card issued by the Arizona Department of Public Safety for all specialty behavioral health locations
  • High school diploma or GED from an accredited institution
  • Bilingual (Spanish/English) preferred
  • Computer skills (Microsoft Word, Outlook, Excel)
  • Ability to deal effectively with clients, associates, and the general public in person and by telephone.
  • Medical billing and coding
  • Knowledge of medical insurance and ability to communicate insurance information to patients
  • Basic computer efficiency
  • Cash handling skills and knowledge of other payment systems (i.e. debit and credit cards)
  • Commitment to AHC mission, vision, and values
  • Competency in dealing with people of various cultures

NONESSENTIAL SKILLS AND EXPERIENCE

  • Graduation from an approved training program
  • Patient Management System
  • Valid AZ driver’s license

 

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

 

POSITION REPONSIBILITIES/ESSENTIAL

  • Maintain strict confidentiality of patient information at all times
  • Collect patient monies, issue receipts, and may participate in patient financial counseling with supervisor
  • Post all payments received according to patient’s bill-to code daily
  • Explains patient payment plan agreement or insurance to patients and maintains tracking of the payment plans
  • Explains potential collection process if payment plan is not completed
  • Post all charges to the encounter in the EHR (Electronic Health Record)
  • Review charges with patient, indicating total charge and adjustments performed by site, and patient’s financial responsibility. Works with provider and clinical support staff to complete and submit charges to the superbill/encounter
  • Make patient appointments as they leave the site and generate Patient Plan if applicable
  • Perform close of day procedures. Run daily transaction journal, payment register and deposit slip reports required.  Balance reports prior to forwarding to finance department as required
  • Reconcile all lab and referral services with the patient’s final superbill
  • Submit daily payment, deposit register and reconciled daily deposit slips to finance department as required.
  • Travel to and from designated bank to make deposits and/or change for cash drawer
  • Assist with answering the phone and with coverage for the front office during meals and breaks
  • Takes messages and or sends tasks to practitioners regarding patient questions, concerns or comments
  • Notifies finance of any delays in charge capture
  • Cross-train with other front office staff to assist with duties as needed
  • Interact courteously with patients and co-workers
  • Other duties as assigned

 

Additional Duties and Responsibilities

  • Other duties as request or assigned

 

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees should maintain an environment which supports and engages patients and co-workers in a caring team based model to promote wellness and improve health outcomes.

 

 

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

 

PHYSICAL DEMANDS AND WORK ENVIRONMENT

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, is required to stand, walk, use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop, kneel, crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions.  The employee must frequently lift and/or move up to 25 pounds without assistance, and may occasionally be required to lift or move up to 50 pounds with assistance.  Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

 

Work environment:   While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites.  The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.        

 

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities.  Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises.  In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.

 

 

Qualifications

ESSENTIAL SKILLS AND EXPERIENCE

  • High school diploma or GED from an accredited institution
  • Current CPR certification
  • Three or more years of front desk experience or demonstrated competency with the skills and abilities of this level
  • Ability to multi-task and work effectively in a high-stress and fast-moving environment
  • Effective communication demonstrated by ability to read, interpret, comprehend and comply with written and verbal communication
  • Proficient mathematical skills for use in a healthcare setting
  • Ability to problem solve in situations both independently or with support from team and/or leadership
  • Advanced computer efficiency to include Windows, MS Office and Patient Management System (electronic medical record)
  • Must have reliable transportation that can meet any operational reassignments of the organization during the workday.  If employee is driving during work hours, the employee is required to possess a valid driver’s license and must be in compliance with Arizona vehicle insurance requirements.
     
    NONESSENTIAL SKILLS AND EXPERIENCE
  • Ability to communicate in more than one language

 

The qualifications listed above are intended to represent the minimum skills and experience levels associated with performing the duties and responsibilities contained in this job description. The qualifications should not be viewed as expressing absolute employment or promotional standards, but as general guidelines that should be considered along with other job related selection or promotional criteria.

 

 

POSITION REPONSIBILITIES/ESSENTIAL

  • Greets all patients and offers assistance with questions, or directs them to appropriate person or location
  • Responsible for answering the phone, greeting callers, establishing the reason for call and resolving issues or referring to appropriate person
  • Maintains and distributes patient documentation in an organized manner
  • Accurately enter all patient demographics and all other required information into practice management system
  • Obtains patient registration information and enter into computer system
  • Identifies financial status of patients regarding sliding fee scale, insurance or discounts.  Refers to eligibility as needed. 
  • Verifies third party payer coverage and billing information - insurance, etc.
  • Assists with the correction of billing information as needed
  • Prepares financial batch daily for processing
  • Accurate handling of cash drawer and daily receipts
  • Schedules patient appointments for medical providers via the computerized EPM
  • Scans documents into electronic health record
  • Knowledge of and participates in Adelante UDS measures, meaningful use metrics and other quality initiatives by assisting with audits and other data collection
  • Maintain appropriate level of office supplies, medical forms at work station
  • All other duties as assigned (such as translation and travel to other locations)
  • Evaluates problems, situations or issues presented and understands priority while assisting with resolution using critical thinking and problem-solving skills
  • Participates in training and mentoring of new hires
  • Works on prior authorizations and referrals for patient required services
  • May prepare daily deposit of collections and bank deposit
  • Assists with problem solving daily batch error resolutions
  • Competent or knowledgeable of multiple specialties and/or departments

 

ADDITIONAL POSITION REPONSIBILITIES/ESSENTIAL

  • Serves as subject matter expert for the Front Office Assistants and Senior Front Office Assistants
  • Problem solves billing issues for peers and patients
  • Prepares daily deposit of collections and performs bank deposit
  • Participates in regulatory reviews, audits and process improvement projects
  • Participates with interviewing, selection, training and performance appraisal of staff
  • Provides staffing for coverage needs as assigned
  • Coordinate workflow and staff schedules to ensure coverage
  • Completes communication circle with patients and other customers
  • Participates in ordering of supplies and inventory management
  • Member of and required to attend committee or work group meetings
  • May process charge entry, unbilled and work-log reports
  • Assures efficient, accurate collection and handling of transactions
  • Participates, monitors and reports audits, quality and compliance measures
  • Initiates request for maintenance of equipment and facilities as needed
  • Performs other duties as requested or assigned

 

PCMH

All employees are responsible for promoting and participating in interdisciplinary communication and collaboration to enhance the delivery of quality across the health care system. Employees will maintain an environment which supports and engages patients and co-workers in a caring team based model to promote wellness and improve health outcomes.

 

Adherence to Compliance and Code of Conduct

All employees are required to comply with Adelante Healthcare’s written standards, including its Compliance Program and Standards of Conduct, policies and procedures and reporting of any conduct that potentially violates Adelante’s legal or compliance requirements. Such compliance will be an element considered as part of the regular performance evaluation.

 

Physical Demands and Work Environment

The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job.  Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

 

Physical demands: While performing the duties of this job, the employee may be required to sit for long periods of time, stand; walk; use hands to handle or feel objects, tools or controls; reach with hands and arms; climb steps/stairs; balance; stoop; kneel; crouch or crawl; talk or hear; smell; manage stress as it relates to essential job functions.  The employee must frequently lift and/or move up to 25 pounds without assistance, and may occasionally be required to lift or move up to 50 pounds with assistance.  Specific vision abilities required by the job include close vision, distance vision, color vision, peripheral vision, depth perception, and the ability to adjust focus.

 

Work environment:   While performing the duties of this job, the employee is exposed to weather conditions prevalent at the time when traveling to various clinic sites.  The noise level in the work environment is usually moderate. The employee may be subject to health hazards (contagious diseases, blood borne pathogens, etc.) when working in the clinic area.

 

In any organization or job, changes take place over time. Although an effort will be made to keep job-related information current, this is not an all-inclusive list of job responsibilities.  Adelante Healthcare, Inc. reserves the right to revise or change job duties and responsibilities as the business need arises.  In compliance with EEOC 29 CFR part 1630, if the essential functions of this position cannot be performed in a satisfactory manner by the employee, further accommodations shall be made if it does not constitute undue hardships upon this organization.

Application Instructions

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