• Maintain Patient Medical Records in a confidential setting.
• Retrieve and distribute medical records, loose notes and reports in accordance with established priorities and procedures.
• Sort, file and collate a variety of medical records i.e. laboratory reports, clinic notes, etc. in appropriate sequence and in accordance with established procedures.
• Research lost or missing records.
• Generate new patient medical records as needed.
• Data entry of medical records.
• Purge files and separate according to needed material (make inactive file for old data).
• Assist with patient calls.
• Customer service.
• Screen and sort mail and documents.
• Answer telephone, screen calls, respond to routine questions and take messages in accordance with clinic's protocol.
• Collect, records and distribute faxes accordingly.
• Maintain office file system of patient records, reports, correspondence and miscellaneous information in an organized fashion.
• Collect payments.
• Assembles patients' health information including medical history, exam results, X-ray reports, lab tests, diagnosis and treatment plans. Checks to ensure all forms are completed properly identified, and signed. Ensure all information is entered in patients' electronic medical record.
• Confirms appointments, verifies demographic and insurance. Verifies that all other pertinent medical information is updated in patients' chart. Accurately posts labs manually if not received electronically.

• Requests, sends and receives patient medical records within HIPPA guidelines.
• Uses customer service principles and techniques to deal with patients calmly and pleasantly.
• Assists in the care and maintenance of office equipment.
• Other duties as assigned.
• Assist Customer with billing questions.
• Research and resolve claim issues: unpaid claims, denial, appeals etc.
• Performs various collection actions including contacting patients by phone and resubmitting claims to third-party payers.
• Knowledge of Medicare and Medicare advantage plans.
• CPT & ICD 9 /ICD 10 code/modifier knowledge.
• Bilingual a plus.
• Perform other related duties as assigned by the supervisor or doctors.
• Prepares and submits clean claims to various insurance companies either electronically or by paper
• Answers questions from patients, clerical staff and insurance companies.
• .Identifies and resolves patient billing complaints.
• Performs various collection actions including contacting patients by phone, correcting and resubmitting claims to third party payers.
  
• Processes payments from insurance companies and prepares a daily deposit.
• Conducts self in accordance with HPA's employee manual.
• Maintains strictest confidentiality; adheres to all HIPAA guidelines/regulations.

     Knowledge

• Knowledge of basic medical terminology and office procedures.
• Knowledge of grammar, spelling and punctuation to type from draft, copy and review and edit reports and correspondence.
• Knowledge of basic arithmetic to make calculations, balance and reconcile figures and make changes accurately.
• Knowledge of computerized scheduling systems.
• Knowledge of medical practice protocols related to scheduling appointments.
• Knowledge of legal and ethical considerations related to patient information.
• Knowledge of customer service principles and techniques.

     Skills

• Skill in operating office equipment.
• Skill in using computer and medical records software.
• Skills in organizational matters, including time management, prioritization, multitasking and problem solving.
• Skill in putting information in preferred medical record system, meeting clinic standards.
• Skill in dealing with masses of information in organized manner.
• Skill in communicating effectively with physicians/clinicians about scheduling preferences.
• Skill in generating reports from EMR as needed.

     Abilities

• Ability to effectively communicate, read, understand and follow oral and written instructions.
• Ability to establish and maintain effective working relationships with patients, physicians, other clinical staff and the public.
• Ability to multitask effectively, dealing with phone calls, patients, staff and others calmly and pleasantly in all circumstances.
• Ability to analyze situations and respond appropriately.
• Ability to analyze medical records for completeness and accuracy, paying attention to detail.