SUMMARY OF POSITION:
Supporting the Mission and demonstrating the CORE Values of ACCESS Family Care, the individual in this position will review and analyze medical and/or dental records to determine appropriate assignment of ICD-10-CM and CPT/CDT to reflect patient diagnoses and procedures. The individual in this position will work cooperatively with all staff members, supporting a team effort and promoting a positive presence at all worksites.
This position will be creating good faith estimates based on patient appointment details using ICD-10-CM, CPT or CDT and payer pay codes. Responsible for mailing good faith estimate letters per the No Surprises Act requirements. Ensures compliance with all legal and procedural requirements.
SKILLS AND ABILITIES
Must possess the following knowledge and skills to accomplish the job requirements:
- Possess skills and abilities to understand dental and medical terminology
- Must display excellent customer service skills
- Excellent interpersonal skills and communication skills
- Proficiency in Microsoft Suite
ESSENTIAL DUTIES AND RESPONSIBILITIES
PROBLEM-SOLVING
- Demonstrates good judgment by taking appropriate actions regarding questionable concerns.
- Follows proper reporting procedures and processes
- Reports needs to appropriate management
- Manages conflict in an appropriate and professional manner, resolving issues at the lowest level possible, and following chain of command when necessary to resolve customer issues or complaints
PRODUCTIVITY/EFFICIENCY
- Maintains a clean and organized work area
- Responsive to changing work requirements. Consistently demonstrates ability to respond to changing situations in a flexible manner
- Minimizes non-productive time and fills slow periods with education, organizing, housekeeping, or assistance to others
- Organizes work areas to be able to effectively complete varied assignments within established time frames
- Consistently evaluates work and determines if further steps are needed to meet internal and external customer expectations
- Takes initiative to redo inadequate or incomplete work
- Meets or exceeds attendance guidelines and consistently starts work on time
- Assures accuracy, thoroughness, and reliability of results for the job. Takes ownership for mistakes
- Attends (or has an excused absence) for all mandatory in-services i.e., safety/health fairs, employee meetings, and specific departmental in-services
CUSTOMER SERVICE
- Consistently demonstrates a commitment to Access Family Care’s Mission, to Serve the Underserved
- Follows dress code and appears professional while on duty
- Provides high quality customer services to internal and external customers
- Retrieves and responds to voice messages timely
- Greets everyone with friendliness and respect and resolves problems to the best of their ability or refers customers cordially to management
- Answers and manages telephone calls with pleasant telephone etiquette
SAFETY AND SECURITY
- Reads and understands HIPAA regulations and applies security measures to protect the privacy of patient information
- Reads and understands ACCESS Family Care’s Policies and Procedures
- Observes safety and security procedures and uses equipment and materials properly
- Responds quickly and appropriately to all drills and codes conducted by management staff
- Reports unsafe working conditions in timely manner to management
- Adheres to program guidelines, policies and procedures, and reports all work related incidents/accidents timely to appropriate management and human resources
- Participates in safety in-services
- Follows proper reporting procedures for actual or potential incidents so follow up and or prevention can occur
WORKING ENVIRONMENT & PHYSICAL REQUIREMENTS
The individual in this position will work in a normal office environment with minimal exposure to temperature changes, noise, dust, or chemicals. Normal working hours are from 8:00am to 5:00pm, Monday through Friday, with one hour off for lunch each day. Occasional travel is required to our clinics in all locations. As ACCESS Family Care expands our territories, this individual will travel to all worksites. While performing the duties of this position the employee is required to stand, sit, walk, use hands to finger, handle or feel, reach with hands and arms, kneel, crouch, talk, and hear.