Job Description

Job Description

Job Description

Insurance Specialist/Medical Office Assistant  

part-time, with potential to increase hours 

POSITION SUMMARY:  

The Insurance Specialist/Medical Office Assistant at WHS provides administrative support to the Director of Financial Services. The initial and primary focus of the position will be on insurance verification and maintenance of systems of data gathering and organization from intake through patient visits to establish efficient and accurate collection of insurance copays and payment for billable services. Other responsibilities will be established over time. 

RESPONSIBILITIES:  

• Ensure that payment information (self-pay, insurance, funding) is completely and accurately collected for each patient scheduled for care 
• Contact insurance companies in advance of visits to confirm patient eligibility and establish benefits and coverage 
• Communicate with patients about the expected out-of-pocket costs for care and insurance coverage, if applicable 
• Ensure required forms are completed and in the patient record 
• Prepare daily schedule printouts (including controlled substances log, provider billing sheets) 
• Troubleshoot insurance questions at the time of patients’ visits 
• Gather missing data from visits before claims filed 
• Communicate with patients about insurance issues after visits 
• Assist with sending bills as needed
• Reconcile procedures with providers’ productivity prior to month’s end 
• Assist with ordering and stocking office supplies 
• Ensure that “chart fillers” are prepared and collated, responsible for quality of patient-facing materials 
• Assist with phone intakes as needed (with particular attention to payment and insurance information) 
• Collect clinic statistics as required by the state and private entities 
• Assist with other administrative tasks as needed
• Potential to grow role to include must-do basics in a variety of areas managed by Director of Financial Services  
• Potential to grow role into supervisor of medical receptionist, including on-boarding and training as needed  

QUALIFICATIONS:

• Background in insurance verification or billing procedures essential 
• Strong willingness to work and ability to multi-task 
• Proficiency in Microsoft systems 
• Strong attention to detail and organizational skills
• Positive attitude and willingness to grow in role and responsibility 
• Commitment to customer service 
• Experience with Quickbooks, Tebra (electronic health record) and/or Tebra billing platform is a plus 
• Spanish, Haitian Creole, and Brazilian Portuguese language skills desirable 

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