● Promote excellence by providing extraordinary customer service to both internal and external customers.
● Protects clients' rights by maintaining confidentiality of personal and financial information.
● Complete new referrals into services including entry into the Electronic Health Record and completion of initial paperwork.
● Manage client day of service administrative experience from the initial contact through service delivery to completion of services.
● Manage client authorizations to ensure clients experience no disruption of service and no claim denials for unauthorized services.
● Proactively prepares for upcoming client appointments and services to ensure excellent client experience on the day of service.
● Collaborates and communicates with internal programs to ensure a cohesive and consistent experience for clients.
● Will accomplish work in small interdisciplinary and collaborative teams that value diversity in thinking, actions, and ideas.
● Identifies and solves claim payment issues by collaborating and communicating with clients, payers, and program partners to achieve excellent client experiences.
● Adjusts schedules to provide coverage for duties required to support programs.
● Ability to exhibit good judgment and proactively anticipate obstacles or potential issues and address them prior to becoming problems.
● Ability to provide support to individuals that is interactive and not simply transactional.
● Keep primary focus on getting tasks done correctly on the front end to ensure time is not spent correcting issues.
● Complete meaningful work with a bias for action, within a nimble, flexible, and adaptable team.
● Utilize the Electronic Health Record and ensure that it is accurate, up to date, easily understood, and utilized fully by everyone for all clinical, fiscal, and administrative functions and information for individuals in service.
● Accountability to deliver the expected outcomes of :
o High client satisfaction and high employee engagement.
o Increased client and employee attendance rate.
o Doing things in the most timely and least costly way while not sacrificing high client and employee satisfaction.
o Reduced licensing citations for missing information or documentation.
o Increased payments and reduced re-billings.
● Complete claims corrections and write offs; submit claims to all payers in a timely manner including electronic, online, and paper submissions; Enter and process payments and denial codes; Review and resolve all denials and monitor aging reports and resolve open client payables.
Hospital or Healthcare office environment
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