SUMMARY

Once the provider and clinical staff has completed the patient visit, the patient is ready for check out.

The Checkout Specialist works in a fast-paced environment, providing outstanding customer service to all patients. General duties include insurance benefit review with the patient, collection of time of service balances and past due balances.

ESSENTIAL DUTIES AND RESPONSIBILITIES

•  Reviews services received by patients, checking to make sure that all services rendered have been recorded correctly
• Enters charges / approves claim creations in EMR system at Check-Out
•  Submits appropriate claims for Real Time Adjudication
•  Works “Day End Review” report and designated Tier-based HOLD Claim Worklist(s) on a daily basis
•  Accepts accountability for all Worklists on the dashboard or elsewhere based on assignment
•  Collect monies owed, to include co-pay’s, outstanding balances, and time of service collections
•  Posts monies and produces a receipt for the patient
•  Answers straightforward billing questions
•  Reconcile payment batch in EMR systems
•  Follows site specific end of day duties

QUALIFICATIONS

•  1+ years of medical office experience
•  Intermediate computer skills
•  Basic CPT and ICD-10 coding knowledge
•  Knowledge of billing procedures

PHYSICAL DEMANDS

While performing the duties of this job, employee is regularly required to sit, stand, walk, reach with hands and arms, and to talk and hear. Employee may be occasionally required to climb or balance, stoop, kneel, or crouch. Employee must occasionally lift, push and/or move up to 20 pounds. Specific vision abilities required by this job include close vision, distance vision, color vision, peripheral vision, depth perception and ability to adjust focus.

WORK ENVIRONMENT

While performing the duties of this job, employee may be exposed to risk of infectious diseases when interacting with patients and/or family members. The employee may be occasionally exposed to wet and/or humid conditions, moving mechanical parts, fumes or airborne particles, toxic or caustic chemicals and vibration. The noise level in the work environment is usually moderate.