Job Description

Job Description

Job Description

Description:

Purpose:

The primary purpose of the Patient Administrator is to maintain office functions of the Center, which include answering phone calls; verifying insurance and Medicare; obtaining authorizations and scheduling patients; keeping records medical by Federal,

State, and County guidelines, as well as by the Company’s established policies and procedures.

The position creates an atmosphere of warmth, personal interest, positive emphasis, and a calm attitude when visiting with staff, patients, and visitors.

Duties:

The Patient Administrator will efficiently assist patients in navigating the check-in and check-out processes and address patients' needs related to these functions.

Collaborates with the Office Manager in all decision-making regarding special circumstances that may present with patients. Collecting and correctly recording all payment and billing transactions, using established payment methods and insurance billing protocols.

Physical, Emotional Demands, and Work Conditions:

• Work is sedentary and ambulant with occasional physical exertion (lifting 30 or more pounds, walking, standing, etc.) ability to support patient weight in case of emergency or disability requiring assistance. Must be able to see, stoop, sit, stand, bend, reach, and be mobile (whether natural or with accommodation).
• Quality of hearing (whether natural or with accommodation) must be acceptable.
• Must be able to communicate both verbally and in writing. Must be able to relate to and work with mentally and physically ill, disabled, emotionally upset, and hostile patients.
• Must be emotionally stable and exhibit the ability to display coping skills to deal with multiple situations. Risk of exposure to infections, bloodborne pathogens, and other potentially infectious materials or contagious diseases. For this reason, "Universal Precautions" must always be followed.
• The Patient Administrator should understand, support, and comply with the established workplace violence, ADA, EEOC, and Corporate Compliance program and commit to worker safety, health, and patient safety. Subject to work schedule and shift changes.
• Supervision/ competency evaluations: Supervision and competency evaluations are

provided through facility monitoring activities, direct observation, staff meetings, in-services, management meetings, individual meetings, Employee Improvement processes, reporting, interactions, strategic planning, outcomes, and annual competency review.

Competencies:

• Collects payment for services rendered.
• Accurately records payments received.
• Verifies patients' demographics on each visit, including checking ID and insurance eligibility/information.
• Accurately enters demographic and accounting information.
• Reconciles end of day reports
• Answers phone calls professionally and promptly.
• Schedules all patient follow-up visits.
• Submits prior authorizations as required for all treatment services.
• Responds to all requests for medical records and processes by HIPAA and Part 42 CFR confidentiality requirements.
• Coordinates the delivery of prescriptions as authorized by the treating physician.
• Accurately compiles medical records, adhering to state and federal regulations and best practice guidelines.
• Demonstrates competency in Microsoft Word and Excel.
• Types and enters data with accuracy and attention to detail.
• Actively proofreads and edits written communication and patient documentation.
• Maintains accuracy of credit card transactions and entering payments.
• Effectively directs and organizes daily responsibilities and workflow.
• Establishes and maintains appropriate boundaries with patients, Multidisciplinary Treatment Team, and colleagues.
• Always exhibits a professional demeanor

Patient Administrator Requirements:

• Education: High School Diploma or equivalent
• Experience: Must have experience working in a medical office environment, preferably in the mental health and substance abuse fields.
• Competent in using computers, email, printers, scanners, facsimile, and multiline phone systems. Previous experience with electronic health records is preferred.

Special Requirements:

Knowledge of applicable State Code of Regulations and 42 Code of Federal Regulations (CFR) Part 2. Compliance with accepted professional standards and practices; Ongoing adherence to the NAADAC Code of Ethics and any other applicable Codes of Ethics for their respective profession.

Continuing Education & Professional Licensing/Certification Requirements: The employee is expected to participate in appropriate continuing education as requested and required by their immediate supervisor. In addition, the employee is expected to accept personal responsibility for other educational activities to enhance job-related skills and abilities. The employee must attend mandatory educational programs and maintain current professional certifications as delineated above in their state, in good standing.

While this job description is intended to reflect the job requirements, management reserves the right to add or remove duties from jobs when circumstances (e.g., emergencies, changes in workload, rush jobs, or technological developments) dictate. Furthermore, they do not establish an employment contract and are subject to change at the employer’s discretion.

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