Clinical Support Associate - Infusion

PURPOSE OF THIS POSITION

The Clinical Support Associate is responsible for the smooth and effective operations of the clerical, billing, admission/registration and patient scheduling aspects of the office. Also responsible for financial tracing of revenues.  Collaborates with the Department RNs, Supervisor, Physician and Director.

JOB DUTIES/RESPONSIBILITIES

Duty 1: Enters all patient demographics, charges and insurance information with complete accuracy as well as hospital postings of all adjustments and dates of service.  Inputs all facility charges.  Ensures timely completion of chart per hospital policy.

Duty 2:  Schedules all patient appointments in an efficient manner to accommodate patients, physicians and staffing schedules.  Makes appointment confirmation calls to patients one day prior to their scheduled appointment.  Establish a system to track cancelled appointments and reschedule those patients.  Collaborates with the Physician and/or Clinical Supervisor in scheduling emergency patient visits.  Helps schedule follow-up test/procedures that are required before the patient leaves the office.

Duty 3:  Prepares the patients charts, seeks information for consultations and follow up visits, gathers insurance cards, etc. accurately and timely to keep department flow organized, physicians satisfied and patient quality care.

Duty 4: Maintains and updates as necessary a list of insurance plans that each physician participates in.  Ensures preauthorization and medical necessity are obtained for the facility (and other referrals as necessary.

Duty 5:  Helps patients understand billing issues and provides them with the appropriate contacts to help them understand their office bills and EOB’s.     

Duty 6: Communicates patient care issues accurately and timely to nursing and physicians.

Duty 7: Maintains a scheduling system for patients on a rotational basis for physician assignment, based on insurance participation, medical staff by-laws and physician preference.

Duty 8: Completes daily assignments and prepares for the next day efficiently and timely to keep office flow smooth and patients satisfied.

Duty 9: Monitors all office and department supplies.  Observes and reports to appropriate personnel or other establishment any necessary repairs and/or problems, related to the maintenance of office and surroundings.

Duty 10: Ensures correct diagnosis is entered at time of consult.

Duty 11: Greets patients upon entering the facility.

Duty 12: Answers and manages incoming telephone calls in a pleasant and efficient manner.

Duty 13: Other duties as assigned.

REQUIRED QUALIFICATIONS

• High school graduate or GED equivalent
• Computer literacy required (Word, Excel)
• Positive service-oriented interpersonal communication and organization skills

PREFERRED QUALIFICATIONS

• Associate Degree in Business Administration/Systems.
• Medical Office Assistant training.
• Previous office/unit administration experience.
• Knowledge of Medical Billing and ICD-10 codes.
• Medicare experience.
• Electronic Medical Records (EMR) experience.

PHYSICAL DEMANDS

This position requires a full range of body motion with intermittent walking, lifting, bending, climbing, squatting, kneeling, twisting, sitting and standing. The associate will be required to walk up to two hours a day, sit for four hours a day, and stand for two hours a day. The individual must be able to lift 50 pounds and reach work above the shoulders. The associate must have good eye/hand coordination and fine finger dexterity. The individual must have excellent verbal communication skills to perform daily tasks. The associate must have corrected vision and hearing in the normal range.