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Nursing Open House - March 21

Medical Office Assistant, Bilingual - BHOP

The Providence Center - Behavioral Health Job ID: 1207

Mon-Fri 8am-4pm
Has Benefits
Job Description
Meet with consumers to determine insurance coverage and collect demographic data, as well as verify insurance coverage, amount of outstanding deductible and obtain necessary pre-authorizations. Greet visitors at the reception area, schedule appointments, respond to telephone callers and take messages.

ESSENTIAL DUTIES AND RESPONSIBILITIES include the following. Other duties may be assigned.
Perform a variety of duties to support consumers and to staff in the department.
-Interact with Access/Intake staff to facilitate the preadmission process.
- Enter and confirm all demographic and insurance information.
-Meet with consumers to verify insurance coverage and amount of outstanding deductible, obtain necessary pre-authorizations and gather initial demographic data and complete administrative admission forms.
-Determine and communicate fees.
-Contact insurance and managed care companies, and other reimbursement sources pertaining to authorization for services and benefits, as appropriate. Ensure authorizations have been obtained.
-Troubleshoot RIte Care billing and authorization problems.
-Update patient demographic and insurance information in computer through blue update as required. Notify all departments of changes in insurance.
-Answer in-house questions regarding insurance authorizations and consumer financial status.
-Submit patient forms to the outside as required.
-Maintain and inform Access/Intake staff of the psychiatrist evaluation rotation list.
-Greet visitors and clients. Respond to incoming telephone calls from outside agencies, insurance companies, staff and consumers. Refer to the appropriate staff member, service component or community resource.
-Answer calls by third ring in a courteous manner; transfer calls appropriately; ensure messages contain correct spelling of names, phone number and brief message regarding the call.
-Answer questions and investigate if answer is not known until resolution.
-Schedule appointments for clinical staff. Enter schedules on computer system, as well as appointments, meetings, assessment slots, etc.
-Check schedule the day before to ensure outstanding balances and prior authorizations are in place for services being performed.
-Verify insurance coverage.
-Respond courteously to consumers; look up client ledger and billing information in AS400 system for appropriate insurance information and/or fees; note any monies received on ledger and petty cash; contact clinician regarding arrival of appointment.
-Ensure up to date knowledge about contracts and the number of allowable visits; advise clinician when authorization for more sessions is needed. Maintain ledgers and keep accurate count on all visits.
-Ensure therapist receives TASC agreement and necessary paperwork is sent to the Billing/Business Office.
-Monitor client terminations, enter in ledger and Intake.
-Call consumers to confirm appointments.
-Complete shelter/hospitalization sheet and distribute to appropriate staff.

Perform tasks to support the department, such as ordering supplies from various vendors, typing purchase orders, processing work requests, etc.
-Type correspondence, forms, contracts, reports, daily crisis assessment; face-to-face and phone contacts, and other materials as delegated, to include various clinical typing such as case histories, termination reports, etc.
-Type as needed for the staff in the department.
-Ensure typed documents are accurate, in proper format and completed by deadline.
-Provide training to other support staff as needed.
-Maintain up-to-date procedures in Desk Manual.
-Monitor HIS folder and charts that need to be transferred to other programs working with Intake Supervisor and Assistant Office Manager.
-Copy and fax materials as needed. File charts, notes, etc. daily.
-Complete required reports for the department.
-Open and sort mail.

Check supplies in First Aid Kit and record amount of supplies needed, as assigned.
-Perform check and send list of supplies needed to designated person by the end of the 1st week of the month (90% of time).

Cover as needed for other staff during staff vacancies, absences, vacations, leave of absences, etc. Work a flexible schedule to include some evenings and travel between locations.

Maintain a comfortable atmosphere in the waiting area ensuring the safety of visitors.
-Ensure area is clean, neat and organized.

Serve as a resource to staff regarding the Hispanic/Latino community.
-Provide education and communicate on community resources and cultural matters.
-Interpret/translate both language and cultural concerns for staff and other community service providers, as appropriate.

Maintain cooperative relationships with other employees, consumers and the public.
-Treat consumers and peers with respect.
-Work in cooperation with co-workers and supervisory staff.
-Deal with co-workers regarding problems in a constructive manner.
-Accept and use direction and supervision.
-Benefit from constructive criticism.
-Ensure no complaints received by peers, supervisors and the public.

Attend trainings and conferences, participate on Center committees.
-Provide feedback to staff on the content of educational programs attended.
-Attend mandatory inservice trainings and other trainings required.

-Review other reports as requested.
Required Education
High school diploma with a business background and two years experience with third party reimbursement; or equivalent combination of education and experience. Must possess good typing skills as well as good spelling and grammar. Excellent communication skills required. General computer experience also required. Bilingual in Spanish is required.
Application Method
Apply Online

It is the policy of CNE to provide equal employment opportunities to all qualified employees and applicants for employment without regard to their race, color, religion, gender, sexual orientation, gender identity or expression, age, national origin, genetic information, veterans status or disability.