Business Associate, Integrative Med - Montvale Square Location, Full time, Day

Position Summary

Performs a variety of front desk activities that support the Practice and professional staff to include patient registration, billing, insurance, and safe visit protocols as directed or requested by Practice Manager/Supervisor. Maintains close working relationships with all practice staff to ensure proper workflow and care.

Education

High school diploma or equivalent required. Associates degree preferred.

Experience

Minimum one (1) year previous customer service, administrative/office management/clerical experience, and computer literacy required. EMR experience preferred.

Skills

Strong communication both oral and written to convey information in a clear and concise manner to persons of varied age groups, customers and/or groups.

Competencies

• Greets patients and visitors upon arrival, receives, screens, and responds to calls and visits from patients, family members and outside agency representatives. Determines the urgency of caller`s/visitor`s requests. Directs caller/visitor to the appropriate person.
• Registers patient according to approved practice and departmental procedures. In keeping with Valley`s policy on patient confidentiality/patient`s rights, obtains all relevant information and signatures of patient and/or legally responsible individual on all necessary documents (i.e. consents, insurance documents, etc.) according to approved departmental policy and procedures.
• Distributes appropriate registration form (s) to the new patient. Receives and reviews form (s) and relevant information for accuracy and completeness to prevent duplication of medical records. Obtains applicable signatures, scans insurance card and legal form of identification for inclusion in the patient's record. Verify patient demographic and insurance information verbally with the patient on each visit. Enters and updates relevant information including required billing/collection data in electronic medical record prior to visit.
• Obtains ambulance as directed in an expeditious manner and notifies ER prior to the referred patient's arrival, as directed. May also need to notify building security and property management.
• May answer heavy volume of phone calls and respond in a courteous and professional manner. When taking messages, record the caller's name, phone number, nature of the call, the pharmacy, and patient's allergies if Job Description applicable. Returns calls to patients pertaining to provider response to messages. Utilizes the practice's appointment scheduling system, for initial and follow visits according to practice protocol.
• Verify if referral is needed, document referral source and confirm insurance eligibility; update care team, preferred lab, and pharmacy in EMR.
• Responds to patient's concerns/complaints. Refers more complex and emotionally charged issues/concerns/complaints to the Practice Manager for effective problem-resolution and service recovery interventions.

• Schedules patients for initial or follow up office visits (within one week after discharge), ensures availability of pertinent referral information and communicates pertinent information to patients.
• May function as a centralized scheduler: coordinate modifications to schedules when they occur daily; contacts patients to reschedule as necessary. Accurately documents schedule in EMR according to established departmental policy and procedures.
• Coordinates provider schedule to include awareness of on-call, block schedule accordingly and communicate schedule and/or any changes to departments.

• Demonstrates knowledge of insurance plans/policies regarding laboratory services. Adhere to billing procedures for commercial and managed care patients according to VMG protocols and contract guidelines.
• Obtains applicable signatures, scans insurance card and legal form of identification for inclusion in the patient's record. Verify patient demographic and insurance information verbally with the patient at each visit. Enters and updates relevant information to include email address, portal account registration, contact information, and required billing/collection data in EMR prior to visit.
• Adhere to billing procedures for commercial and managed care patients according to Valley Medical Group protocols and contract guidelines.
• Collects co-pays and open balances for services, processes charge card transactions, print receipt and obtain patient signature. Adhere to billing procedures for commercial and managed care patients according to Valley Medical Group protocols and contract guidelines.
• Receives and reviews patient's information at check-out to ensure the patient has all necessary information. Schedules follow up appointments and assists patients with information on how to obtain a specialist appointment and/or diagnostic appointment.
• Works effectively with insurance companies and our division liaison for managed care to obtain needed precertification for diagnostic imaging testing and surgery prior to procedure to ensure physician and hospital reimbursement.

• Ensure prescription requests, medical record requests and/or medical reports are directed to appropriate personnel in a timely manner.
• Develops and oversees the maintenance of all patient charts and files in an organized and easily retrievable manner. Distributes incoming documents and correspondence according to approved departmental processes (both electronic and paper).

Job Location

Shift

EEO Statement

Valley Health System does not discriminate on the basis of ancestry, age, atypical hereditary cellular or blood trait, civil union status, color, creed, disability, domestic partnership, gender, gender identity or expression, familial status, genetic information, liability for service in the Armed Forces of the United States, marital status, medical condition or illness, mental or physical handicap, national origin, nationality, perceived disability, pregnancy, race, refusal to submit to genetic testing or make available results of such tests, religion, sex, sexual orientation, veteran's status or any other protected basis, in accordance with all applicable Federal, State and Local laws. This applies to all areas of employment, including recruitment, hiring, training and development, promotion, transfer, termination, layoff, compensation, benefits, social and recreational programs, and all other conditions and privileges of employment.