CommWell Health

Guest Services Associate (Dental - Newton Grove) Internal Applicants Only

US-NC-Newton Grove
4 months ago
ID
2017-1347
# of Openings
1
Category
Customer Service/Support

Overview

SUMMARY: Responsible for inputting complete, correct patient demographic information, updating all patient financial data, verifying and documenting patient benefits on each account through proof of coverage, inputting visit charge entry on correct payer source and collecting applicable payments due on account. Assists uninsured individuals and low-income families in obtaining health insurance through government programs. The position will support, guide and outreach to individuals and families of diverse backgrounds to enroll in various health insurance programs.

 

 

 

Responsibilities

  1. Responsible for collecting and inputting demographic, insurance and specific billing information taken directly from patient by registering new patients in the computer system and updating information on established patients every time they come in to the center. Includes obtaining valid identification and insurance verification through computer and by phone.
  2. Identify, educate and enroll patients on Eagle Care (sliding scale fee) program. Informs patients of income verification process and account status. Associate will meet with patient to determine if they are true self pay or whether they will qualify for the Affordable Care Act and/or Medicaid/CHIP.
  3. Set-up patient charts with accurate information for medical colleagues to be able to input data into correct charts.
  4. Determine patient type and category (migrant/seasonal/other).
  5. Monitors patient and visitor traffic during clinic hours and greets all patients. Accurately performs check in and check out process.
  6. Input visit charges accurately including input of all applicable diagnosis codes and minimum fee charges.
  7. Responsible for balancing and closing out cash drawers. Preparing end of day reports while maintaining a cash drawer with adequate change to operate. Includes daily balancing cash and reports for submission to finance department.
  8. Assist patients with payment options for those who have high balances by educating and committing patients to a payment plan to resolve their outstanding balance.  
  9. Scheduling patients for follow-up or new visits as needed.
  10. Maintain adequate supplies at work station to efficiently check in and check out patients with minimum wait time including adult and pediatric charts, office supplies and up-to-date blank forms required for patient check in process.
  11. Responsible for communicating information to clients and visitors regarding services of the center and how to utilize these services. Provide written medical excuse absentee forms.
  12. Occasionally attends health fairs and outreach events as needed.
  13. During the migrant worker season, Specialist will work with team to enroll H2A workers in the Affordable Care Act. This may mean traveling to work camps and enrolling consumers in Qualified Health Plans (QHP).
  14. Assist patient with appeals to the Marketplace for eligibility and appeals to the insurance companies for payments on their medical bills.
  15. Provide outreach to consumers in both individual and group settings, focusing on broad topics related to health insurance and coverage options.
  16. Provide weekly progress reports on education contacts, completed enrollments and other metrics as required.
  17. Participate in all federal and organizationally mandated training related to outreach eligibility navigation.
  18. Present Eagle Excellence Service at all times.
  19. Participate in Saturday rotation as needed.
  20. Other duties as assigned.

 

Qualifications

EDUCATION and/or EXPERIENCE: Three years related experience. Prefer an Associate’s degree in a related field. Combination of education and experience will be considered. Efficient use of 10-key calculator, copier and computer. Must be detail oriented. Excellent communication skills.

 

LANGUAGE SKILLS: Ability to read and interpret documents such as safety rules, operating and maintenance instructions, and procedure manuals. Ability to communicate in Spanish and English with patients and family members of various education, socioeconomic and cultural backgrounds. Spanish preferred, but not required.

 

MATHEMATICAL SKILLS: Ability to apply concepts of basic mathematics – addition, subtraction, multiplication and division are required daily. Attention to detail and high levels of accuracy are required.

 

REASONING ABILITY: Ability to interpret a variety of instructions furnished in written, oral, diagram, or schedule form.

 

CERTIFICATES, LICENSES, REGISTRATIONS: NC Driver’s License, CAC (Certified Application Counselor) must be obtained within 90 days of hire.

 

OTHER SKILLS AND ABILITIES: Individual must possess the ability to input data into computer for compiling information and basic office equipment knowledge.

 

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