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Job Type
Full-time
Description
POSITION SUMMARY
The Clinical Administrative Assistant (CAA) serves as the initial point of contact for patients and visitors. The CAA delivers the high standard of customer service necessary to maintain the overall patient experience and is responsible for various health center front-office administrative responsibilities as outlined below. The health center front-office is a high-intensity, fast paced environment, with critical impact on health center efficiency.
DUTIES & ESSENTIAL JOB FUNCTIONS
Understanding of what it means to be the following:
A Federally Qualified Healthcare Center Look - Alike (FQLA)
A Patient Centered Medical Home (PCMH)
Recognized as a National Committee for Quality Assurance (NCQA)
Participant in an Accountable Care Organization (ACO)
Schedule patient appointments and follow-up visits
Register patients and Play key role of capturing patient demographic information needed for annual UDS report
Comply with Red Flag Rules for photo identification
Intake and check out of patients
Manage patient information in the Electronic Health Records system
Understanding of multiple insurance dynamics including copays, coverage, navigation
Verify insurance information from patients
Comply with commercial and Medicaid insurance plan rules for services requiring prior authorization
Ensure copays are collected at time of visit
Perform cash account management activities
Provide self-pay patients with options to pay for services
Obtain Medicare ABN for non-covered services
Ensure patients understand health center resources and available programs, such as
Sliding fee discount program
Good Faith Estimate (GFE)
Outreach & Enrollment programs
Language services
After hours coverage
Ensure compliance in the following areas:
Availability and location of SDS binder
Availability and location 990 binders for all TWC entities
Understanding role and responsibilities in an emergency to help coworkers and patients to safety
Scan patient records into the EMR
Create triages within the EMR system
Mail and receive new patient information packets
Answer and return phone calls
Switch phones to night/weekend service
Always adhere to all HIPAA rules and regulations
Participation in rotation of extended access hours including late nights, weekends and holidays
Cross coverage of other locations and service lines for continued support and access for patients
Perform other duties as assigned
Requirements
REQUIRED QUALIFICATIONS