Customer Care Associate (Outpatient)

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Adventist Health Lodi Memorial, one of the region's premier nonprofit healthcare providers, comprises a 190-bed hospital, 17 medical practice locations and wellness programs. Since we opened our doors in 1952, we have been committed to those who seek our care. Through the decades, Lodi Memorial became not just a hospital, but a pillar for the surrounding community and the people whose pasts and families are intertwined with the organization. In the decades since we opened, our healthcare organization has expanded remarkably. What was known as Lodi Memorial Hospital for four decades is now Adventist Health Lodi Memorial, a system that encompasses not just a full-functioning hospital, but the vast scope of services available throughout Lodi and surrounding communities.

Job Summary:

Performs general administrative duties and customer service. Assists in all aspects of front office functions to provide quality service to patients and staff. Provides communication, information, assistance and coordination for all customer requests in designated facility location. Provides patient care support. Maintains excellent customer service.

Job Requirements:

Education and Work Experience:

• High School Education/GED or equivalent: Preferred
• Associate's/Technical Degree or equivalent combination of education/related experience: Preferred

Essential Functions:

• Answers phone, takes messages and directs call to the appropriate person. Admits patients into clinic. Pulls charts, processes encounter forms, verifies insurance and patient information in computer. Makes appropriate updates, copies/scans insurance information for clinic registration. Prepares charts with appropriate forms necessary to complete the visit. Prepares and completes referrals for patients, obtaining authorizations, and assisting patients and physicians with referral coordination.
• Provides technical support services and functions under supervision of a clinician/specialty team. Provides back-up for admitting clerks as needed. Performs registration process, obtaining all pertinent demographic and insurance information required, including authorizations when necessary.
• Runs report(s) for overdue balances for next day appointments and relays via fax to clinics before next day. Monitors computer data for accounts needing collection interaction. Utilizes and updates departmental databases. Verifies insurance coverage and eligibility for all patients according to procedures. Coordinates and monitors insurance information for outpatient billing purposes. Verifies insurance coverage and eligibility for all patients according to procedures. Balances over-the-counter daily receipts. Opens and/or locks up the building.
• Performs quality control checks of general front desk and waiting areas to ensure hospital cleanliness. Keeps waiting rooms neat and orderly. Assists in cleaning rooms between cases according to established protocols. Opens and/or closes unit. Monitors daily level of stock supplies for assigned area of responsibility and ensures levels are adequate. Monitors panels for alarms and reports to appropriate department.
• Receives payments from patients. Balances cash drawer and credit card receipts. Manages office duties including money deposits to cashier, typing documents, entering data into the computer, medical record management and billing management. Collects statistics and manages data entry of daily charges. Monitors computer data for accounts needing collection interaction. Communicates to clinic leadership ideas to improve clinic operations. Participates in ongoing cross-services performance improvement teams.
• Performs other job-related duties as assigned.

Organizational Requirements:

Adventist Health is committed to the safety and wellbeing of our associates and patients. Therefore, we require that all associates receive all required vaccinations, including, but not limited to, measles, mumps, flu (based on the seasonal availability of the flu vaccine typically during October-March each year), COVID-19 vaccine (required in CA, HI and OR) etc., as a condition of employment, and annually thereafter. Medical and religious exemptions may apply.