Job Description

We are searching for a

Front Office Specialist II for Texas Children's Pediatrics Clinic- Humble-Atascosita -- someone who works well in a fast-paced setting. This position will coordinate and perform the scheduling of patients, receive, and greet visitors, answer and handle incoming calls, coordinate the referral process, enter accurate billing information into the system and transmit accurate claims.


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Job Duties & Responsibilities

Provide operational support: collecting and disseminating mail, notifying Practice Manager of supply needs, serving as practice resource regarding managed care questions, assisting providers with the management of clinical data, and ensuring the accuracy of weekly bank deposit for pickup Perform reception duties: greeting patients and visitors, assisting patients with check-in/check-out, answering the telephone, taking and error-free documentation in telephone encounter and routing to the appropriate area, assisting the patient, when requested, in the completion of forms or other requested documents, ensures that all necessary patient forms are completed for the visit and scanned into electronic health record, communicating with patient, staff, and providers regarding patient arrivals, delays, and practice processes Schedule appointments: demonstrates the ability to use judgment when scheduling provider's templates, processing patient payments, verifies and collects correct co-payment, collects payments due in the form of cash, checks, and credit cards notify the patient of existing balances, enters payments into electronic billing system, balances cash drawer and initiates an investigation into variances regarding cash fund Enter and review billing information into electronic billing system, balances payments daily, monitors Charge Review Work queue daily, monitors Claim Edit Work queue daily basis, monitors "write off" report monthly, collaborate with Central Business Office to investigate and resolve denied charges, and identifies trends to prevent future denials Coordinate referrals: assess patient's eligibility for referral by verifying coverage with payer prior to initiating the referral, documents eligibility in the electronic health, identifies and documents network providers for appropriate referral, notifies provider when no provider in-network is available and completes paperwork and documentation for authorized referrals Monitor patient information: Verifies accurate patient demographics information with each visit and enters into electronic health record per practice, verifies and documents coverage of services prior to the patient being seen by a provider, monitors Account Work queue and Patient Work queue on a weekly basis and determines appropriate corrective action and completes the required correction Maintain integrity of electronic health record: assures electronic health record is complete and ready for provider use prior to the patient being seen, scans all reports and correspondence received, after provider review, per practice protocol, assures health record release document is complete, delivers requested records, and maintains confidentiality

Skills & Requirements

H.S. Diploma Or GED Required * 2 Years' related experience