This is a varied and complex clerical position involving the exercise of independent judgment and initiative in development and application of efficient work methods. Must be able to work in a multi-cultural fast-paced environment under stressful conditions with the ability to adapt to constant change. Incumbent must be organized, motivated and dependable. Has a positive attitude and good rapport with staff and clients. Knowledge of general office procedures and practices is necessary. The incumbent must become knowledgeable about clinic services and proficient in using the Health Management System (HMS). Incumbent is expected to communicate by phone and in person in a courteous and professional manner at all times. Incumbent is expected to meet established productivity standards set by the Health Access Division. This position is designated as a sensitive position and the position is required to maintain confidential information in accordance with the Florida Department of Health and Palm Beach County Health Department Information Security, Policy, Protocols and Procedures. Confidential Data Sets: 1) Clinical Information, 2) Social Security. This position may view, update or release information. Work is performed under the supervision of the Administrative Assistant I.
Performs complex registration utilizing the computer and printer. Interviews client to determine financial responsibility for services. Responsible for explaining the client’s financial responsibility based on the sliding fee outcome from HMS. Uses Florida Medicaid Management Information System (FMMIS) and Health Care District, Provide-Part A and Molina to verify client’s eligibility. Availity access is required for looking up client insurance eligibility including patient responsibility of copayments and deductibles. Obtains accurate demographic and financial information from multi-cultural clients.
Accurately registers and checks-in clients by completing all necessary screens in HMS, according to the “Direct Client Services Procedural Manual”. These duties include but are not limited to verifying addresses, telephone numbers, social security numbers, financial and insurance information. Incumbent will verify accuracy of client’s name and will advise supervisor of any discrepancy. Processes client’s efficiently to assure a consistent flow of clients to the providers(s). As clients register for services, initiates the appropriate superbill and registration form; eligibility papers and other documents received. Initiates medical chart on all new clients and witness’s client’s signature on permission care form and other mandatory documents. Reviews data for accuracy and completeness.
Must be able to determine sliding fee scale and apply appropriately. Identifies clients that need to be processed for prepayment of services and effectively communicates the collection policy.
Schedules, cancels and/or reschedules clients appropriately. Answers incoming telephone calls, courteously and transfers to appropriate person and/or department. Directs and responds to general public inquiries regarding services provided.
Participates in scheduled inter-departmental meetings, staff meetings, and clinic team Quality Assurance and/or other in-service training as assigned. Provide translation if the clerk speaks the required language.
Other related duties assigned.
Required to pass the Registration Competency Test by scoring at least 80% on each core module with no more than two re-exams.
Knowledge, skills and abilities, including utilization of equipment, required for the position:
Other job-related requirements for this position: