Qureos Mentor

Family HealthCare Network

<div><p>Primary Accountability
</p><p>The Referral Representative is responsible for assisting with patient referrals.
</p><p>Description of Primary Responsibilities
</p><div><ul><li>Responsible for assisting patients with the completion of referrals including multiple service lines.
<div><ul><li>Coordinates and communicates with various insurance carriers to obtain necessary pre-authorizations for patients to receive needed specialty services.
</li></ul><ul><li>Appropriately verifies patient eligibility to determine the best options for specialty access.
</li></ul><ul><li>Coordinates, communicates and schedules patient appointments with external and internal specialists and provides communication to the patients regarding the process and referral status.
</li></ul><ul><li>Ensures proper use of CPT and current ICD-10 codes to meet the requirements of third party payers and specialty offices to ensure minimal delay in securing referral appointments or pre-authorizations.
</li></ul><ul><li>Prepares comprehensive referral packet, including referral order, pre-authorization paperwork, patient demographics, eligibility verification, primary care provider notes, diagnostics and/or lab work pertinent to the specialty referral.
</li></ul><ul><li>Submits required referral packet and documentation to the specialist to ensure timely processing of the referral.
</li></ul><ul><li>Ensures the efficient and timely processing of open referrals, including facilitating missing information, and that all referrals are appropriately closed and communicated to provider team.
</li></ul><ul><li>Addresses incoming calls and questions from patients and specialists regarding referral orders, care coordination and ensures the appropriate follow up is completed.
</li></ul><ul><li>Coordinates surgeries with designated hospitals, specialists and patients. Obtains hospital pre-admission from the various health insurances and health plans.
</li></ul><ul><li>Responsible for submitting referral activity reports to supervisor.
</li></ul></div></li></ul><ul><li>Responsible for utilizing the electronic health record system to obtain and document necessary information.
<div><ul><li>Monitors assigned worklist throughout the day to capture referral requests in real time and organize workload based on acuity.
</li></ul><ul><li>Documents all referral processing activity, including interactions with patients, providers and specialists.
</li></ul><ul><li>Utilizes third party payer/insurance portals appropriately to ensure adequate processing of referral orders.
</li></ul><ul><li>Follows-up on completion of the entire referral process, including closing referrals.
</li></ul><ul><li>Provides orientation on the referral process to new providers and periodic in-services to existing providers and staff regarding referral process.
</li></ul><ul><li>Assists with process analysis feedback to streamline internal referral processes.
</li></ul><ul><li>Achieves specific referral productivity metrics.
</li></ul></div></li></ul><ul><li>Performs other duties as assigned.
</li></ul></div><p>Description of Primary Attributes
</p><p>Professional &amp; Technical Knowledge:
</p><div><ul><li>Possesses work-related skills at a higher level than completion of high school, including formal written and verbal communications skills, computational and computer skills, mathematical, technical or health care related knowledge frequently acquired through completion of a trade school, para-professional, or certificate type program or at least 1 year of experience with employment in a medical office.
</li></ul></div><p>Technical Skills:
</p><div><ul><li>Ability to prepare more complex documents in Microsoft Word, including creating tables, charts, graphs and other elements.
</li></ul><ul><li>Ability to use Microsoft Excel to review and compile data, including the use of formulas, functions, lookup tables and other standard spreadsheet elements.
</li></ul><ul><li>Ability to create basic presentations in Microsoft PowerPoint.
</li></ul></div><p>Licenses &amp; Certifications: Medical Assistant certification preferred.
</p><p>Communications Skills:
</p><div><ul><li>Job duties require the compilation of information prepared in effective written form, including correspondence, reports, articles or other documentation.
</li></ul><ul><li>Effectively conveys technical information to non-technical audiences.
</li></ul></div><p>Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
</p><p>While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand or walk; and occasionally lift and/or move up to 20 pounds.<br>
</p><p></p><p>Pay Scale:
</p><p>Min Hourly Rate: $21.00
</p><p>Max Hourly Rate: $28.60</p></div>

Referral Representative (temp)

<div><p>Primary Accountability
</p><p>The Health Record Clerk is responsible for supporting all health record management activities for Family HealthCare Network.
</p><p>Description of Primary Responsibilities
</p><div><ul><li>Responds to requests for health record and dental information.
<div><ul><li>Provides assistance to patients, family members, legal guardians/representatives, referral sources, etc. who request assistance with records requests or other information in accordance with federal, state, and FHCN guidelines.
</li></ul><ul><li>Receives authorizations for release of records and determines HIPAA compliance; returns noncompliant authorizations to requesters, follows HIPAA privacy and confidentiality regulations at all times.
</li></ul><ul><li>Responds to phone inquiries and patients who present in person on the status of health records requests, including assisting patients with completion of authorization forms for release of information.
</li></ul><ul><li>Ensures requests are completed accurately and meet all FHCN and state mandated requirements.
</li></ul><ul><li>Coordinates with outside copy services, schedules copy/retrieval appointments, in accordance with required time frames.
</li></ul><ul><li>Verifies patient demographic information and facilitates corrections according to procedures.
</li></ul><ul><li>Maintains and operates a variety of health record indexes, storage, and retrieval systems.
</li></ul><ul><li>Ensures subpoena requests are completed in accordance with timeframes presented on the document.
</li></ul><ul><li>Collects fees for subpoenas (and some medical releases) and forwards to finance on a daily basis.
</li></ul></div></li></ul><ul><li>Responsible for supporting health care scanning and indexing activities.
<div><ul><li>Processes and properly stores health documents in the electronic health record system.
</li></ul><ul><li>Performs quality reviews of scanned images to ensure the integrity of information by reconciling documents available on paper to imaged counterpart.
</li></ul><ul><li>Forwards scanned documents (through EMR) for review and signature by provider staff.
</li></ul><ul><li>Closes referrals and other orders based on received consultation reports.
</li></ul><ul><li>Updates Clinical Decision Support System (CDSS) based on received consultation reports.
</li></ul><ul><li>Retrieves documents from hospitals&rsquo; records systems and transfers to FHCN&rsquo;s electronic health record.
</li></ul></div></li></ul><ul><li>Addresses issues of health records as they arise and makes decisions to appropriately resolve the issues.
<div><ul><li>Verifies authorization and prioritizes records requests. Problem solves record locations, while performing excellent customer service for internal and external customers.
</li></ul><ul><li>Includes appropriate people in decision making process.
</li></ul><ul><li>Makes timely decisions.
</li></ul></div></li></ul><ul><li>Performs other duties as assigned.
</li></ul></div><p>Description of Primary Attributes
</p><p>Professional &amp; Technical Knowledge:
</p><div><ul><li>Must possess a high school diploma or General Educational Development (GED) certificate.
</li></ul><ul><li>Job duties require specific knowledge of medical records processes and practices, typically learned on the job or which may include a series of training sessions that would comprise a few weeks if done consecutively.
</li></ul></div><p>Technical Skills:
</p><div><ul><li>Ability to prepare basic correspondence and simple reports in Microsoft Word.
</li></ul><ul><li>Ability to use Microsoft Excel to create tables and simple displays of information.
</li></ul><ul><li>Ability to create basic presentations in Microsoft PowerPoint.
</li></ul></div><p>Licenses &amp; Certifications: None required.
</p><p>Communications Skills:
</p><div><ul><li>Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others.
</li></ul><ul><li>Effectively communicates written information (including electronic correspondence) and verbal presentations.
</li></ul></div><p>Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
</p><p>While performing the duties of this position, the employee is regularly requires to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand or walk; and occasionally lift and/or move up to 20 pounds.<br>
</p><p></p><p>Pay Scale:
</p><p>Min Hourly Rate: $21.00
</p><p>Max Hourly Rate: $28.60</p></div>

Health Record Clerk (temp)

<div><p>Primary Accountability
</p><p>The Dispensary Clerk is responsible for supporting the daily dispensary operations.
</p><p>Description of Primary Responsibilities
</p><div><ul><li>Responsible for supporting the daily dispensary operations.
<div><ul><li>Receives new prescriptions and enters information into the Practice Management and Electronic Health Record System.
</li></ul><ul><li>Processes medication labels.
</li></ul><ul><li>Answers and directs phone calls.
</li></ul><ul><li>Handles prescription refill requests.
</li></ul><ul><li>Stocks and stores medications and vaccines.
</li></ul><ul><li>Regulates stock levels, including forms and supplies for the department, including prescription pads for medical providers, Liquid Nitrogen, Oxygen tanks, and Nitrous Oxide.
</li></ul><ul><li>Orders medications through the software system.
</li></ul><ul><li>Return of outdated/expired, recalled and overstocked items for credit and disposal.
</li></ul><ul><li>Handles and completes Prior Authorization and T.A.R. (Medication Treatment Authorization Request) with Medical Providers approval.
</li></ul><ul><li>Maintains the Log Binders for Sample Medications, Provider Administered Medications and the $10 Medication Program.
</li></ul><ul><li>Maintains accurate logs of transferred medications/vaccines and prescriptions.
</li></ul><ul><li>Inventory of stock medications at monthly intervals.
</li></ul></div></li></ul><ul><li>Responsible for performing customer service duties.
<div><ul><li>Updates the system with the appropriate patient information.
</li></ul><ul><li>Responsible for maintaining an accurate tracking system of the patient&rsquo;s application process, status and refills on the Patient Assistance Program.
</li></ul><ul><li>Prepares the Patient Assistance Program medications for patient to pick-up with Medical Providers.
</li></ul></div></li></ul><ul><li>Performs other duties as assigned.
</li></ul></div><p>Description of Primary Attributes
</p><p>Professional &amp; Technical Knowledge:
</p><div><ul><li>Must possess a high school diploma or General Educational Development (GED) certificate.
</li></ul><ul><li>Job duties require specific knowledge of pharmacy processes and practices, typically learned on the job or which may include a series of training sessions that would comprise a few weeks if done consecutively.
</li></ul></div><p>Technical Skills:
</p><div><ul><li>Ability to prepare basic correspondence and simple reports in Microsoft Word.
</li></ul><ul><li>Ability to use Microsoft Excel to create tables and simple displays of information.
</li></ul><ul><li>Ability to create basic presentations in Microsoft PowerPoint.
</li></ul></div><p>Licenses &amp; Certifications: None required.
</p><p>Communications Skills:
</p><div><ul><li>Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others.
</li></ul><ul><li>Effectively communicates written information (including electronic correspondence) and verbal presentation.
</li></ul></div><p>Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
</p><p>While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand or walk; and occasionally bend waist, twist waist, squat, climb, kneel, reach above and below shoulder height, and/or move items up to 30 pounds.<br>
</p><p></p><p>Pay Scale:
</p><p>Min Hourly Rate: $21.00
</p><p>Max Hourly Rate: $28.60</p></div>

Dispensary Clerk

<div><p>Primary Accountability
</p><p>The Dental Patient Representative I is responsible for providing information regarding FHCN dental services to patients and their families and administering daily activities of the office.
</p><p>Description of Primary Responsibilities
</p><div><ul><li>Responsible for running daily provider schedules and conducting all necessary follow-up.
<div><ul><li>Verifies insurance information is current prior to patient&rsquo;s visit (running eligibility).
</li></ul><ul><li>Confirms patients for following day during appointment confirmation phone call and informs patient of co-pay amount due at time of visit.
</li></ul><ul><li>Responsible for following up on &ldquo;no show&rdquo; patients, and maintaining recall system.
</li></ul><ul><li>Educating and signing patients into the FHCN portal.
</li></ul></div></li></ul><ul><li>Responsible for maintaining supplies and stocking items.
<div><ul><li>Maintains supplies of new storage and temporary charts along with necessary forms and identification cards.
</li></ul><ul><li>Maintains adequate inventory of all required supplies.
</li></ul></div></li></ul><ul><li>Responsible for collecting and attaching billing information from patients.
<div><ul><li>Balances cash payments on a daily basis.
</li></ul><ul><li>Assures accurate CPT and DX codes before submitting superbills.
</li></ul><ul><li>Provides financial counseling and referrals for program eligibility, sends patient&rsquo;s information to billing department for any needed pre-authorizations.
</li></ul></div></li></ul><ul><li>Responsible for providing customer service to patients.
<div><ul><li>Receives incoming calls and directs them to the appropriate party.
</li></ul><ul><li>Establishes, maintains and updates patient records and files.
</li></ul><ul><li>Generates paperwork to register patients for network services.
</li></ul><ul><li>Schedules, reschedules and screens appointments.
</li></ul><ul><li>Verifies insurance eligibility and patient financial status.
</li></ul><ul><li>Registers, inputs and updates patient information.
</li></ul><ul><li>Inputs provider schedules.
</li></ul><ul><li>Collects and attaches bills and billing information on a daily basis.
</li></ul><ul><li>Works with billing department to resolve patient&rsquo;s concerns.
</li></ul></div></li></ul><ul><li>Performs other duties as assigned.
</li></ul></div><p>Description of Primary Attributes
</p><p>Professional &amp; Technical Knowledge:
</p><div><ul><li>Must possess a high school diploma or General Educational Development (GED) certificate.
</li></ul><ul><li>Job duties require specific knowledge of office or administrative processes and practices, typically learned on the job or through a series of training sessions that would comprise a few weeks if done consecutively.
</li></ul></div><p>Technical Skills:
</p><div><ul><li>Ability to prepare basic correspondence and simple reports in Microsoft Word.
</li></ul><ul><li>Ability to use Microsoft Excel to create tables and simple displays of information.
</li></ul><ul><li>Ability to create basic presentations in Microsoft PowerPoint.
</li></ul></div><p>Licenses &amp; Certifications: Valid CA driver&rsquo;s license is required.
</p><p>Communications Skills:
</p><div><ul><li>Job duties require the employee to effectively communicate routine or non-technical information to co-workers and others.
</li></ul><ul><li>Effectively communicates written information (including electronic correspondence) and verbal presentations.
</li></ul></div><p>Physical Demands: The physical demands described here in this job description are representative of those that must be met by an employee to successfully perform the essential functions of this position. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.
</p><p>While performing the duties of this position, the employee is regularly required to sit and use repetitive hand movement to type and grasp. The employee is frequently required to stand or walk; and must occasionally bend waist, twist waist, squat, climb, kneel, reach above and below shoulder height, and/or move items up to 20 pounds.<br>
</p><p></p><p>Pay Scale:
</p><p>Min Hourly Rate: $21.00
</p><p>Max Hourly Rate: $28.60</p></div>

Dental Patient Representative

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Family HealthCare Network

About Company

Referral Representative (temp)

Referral Representative (temp)

Health Record Clerk (temp)

Health Record Clerk (temp)

Dispensary Clerk

Dispensary Clerk

Dental Patient Representative