Virginia Premier Health Plan, Inc.

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Medical Office Associate II

Medical Office Associate II

Job Locations 
US-VA-Roanoke
Job ID 
2017-4179

Job Description

Overview

The Medical Office Associate II will be responsible for the claims submission process for the Medical Home. The Medical Office Associate II will ensure providers are capturing accurate codes for treatment provided. They will also be responsible for importing payments and posting the payments to the patient’s account. In addition they will process all medical record requests and perform front office duties inclusive of checking patients in and out for their appointments, answering incoming calls, scheduling appointments, and verifying patient eligibility.

Responsibilities

  • Responsible for claims processing including converting encounters into claims, running claims through eCW scrubber, correcting claim errors, and batching and creating file for claims processing.
  • Responsible for payment processing including importing Electronic Remittance and posting payments within eCW. This includes editing denials or write-offs in the system.
  • Assist the Practice Manager with Revenue Cycle Management as needed.
  • Processes all medical record requests.
  • Welcome patients and visitors by greeting patients and visitors, in person or on the telephone, answering or referring inquiries.
  • Demonstrates ability to effectively deal with difficult customers (e.g., patients, co-workers, physicians and visitors).  Effectively defuses problems and escalates issues as appropriate.  
  • They will work to check-in patients as they arrive and check-out patients upon departure.
  • Comforts patients by anticipating patients' anxieties; answering patients' questions; maintaining the reception area.
  • Maintains patient accounts by obtaining, recording, and updating personal information.
  • Keeps patient appointments on schedule by notifying provider of patient's arrival; reviewing service delivery compared to schedule; reminding provider of service delays.
  • Optimize patient satisfaction, provider time, and treatment room utilization by scheduling appointments in person or by telephone.
  • Maintain strict confidentiality and adhere to all HIPAA guidelines and regulations.
  • Will be responsible for verifying insurance coverage of patients via the DMAS Medicaid Web Portal. t
  • Works with Practice Manager to maintain business office inventory and equipment by checking stock to determine inventory level; anticipating needed supplies; and verifying receipt of supplies.
  • Protects patients' rights by maintaining confidentiality of personal and financial information
  • Maintains operations by following policies and procedures; reporting needed changes.
  • Assist patients with necessary paperwork.
  • Maintain security by following safety and security procedures and issuing visitor badges.
  • Maintains a safe and clean reception area by complying with procedures, rules and regulations.
  • Participates in data collection for quality control and quality assurance.
  • Answers patient phone calls while following clinic protocol in order to gather important information relating to the reason for the call in order to react appropriately.
  • Demonstrates compassion and empathy to their patients with a strong customer oriented focus.

Qualifications

 MINIMUM EDUCATION REQUIREMENTS

  • High school diploma required; some college preferred.
  • College level coursework in medical terminology, medical billing and coding is strongly preferred.
  • Will be required to obtain/maintain BLS.

SPECIAL KNOWLEDGE AND/OR SKILLS

  • Exceptional customer service and phone etiquette.
  • Must have knowledge and experience in medical coding and/or claims.
  • Excellent verbal and written communication skills.
  • Proficient in Microsoft Office.
  • Organizational skills.
  • Must successfully complete orientation and any competency requirements.
  • Typing and computer skills required for automated computer and medical work environment systems, including use of our EMR, eClinicalWorks.  
  • Must be able to meet essential job functions.
  • Ability to work in a fast paced environment.
  • Friendly and professional attitude, ability to provide a high level of customer service at all times.
  • Critical thinking skills.
  • Ability to stand and sit for hours at a time.
  • Ability to work flexible hours. 

WORK BACKGROUND/EXPERIENCE

  • 3-5 years of experience working in medical coding, medical billing and/or medical claims in a fast paced, medical office environment is required.
  • Experience in a Family Medicine, Emergency Medicine, or Urgent Care environment is strongly preferred.
  • Experience and education in medical terminology, medical billing and coding is strongly preferred.
  • Experience and passion for working with an underserved population of patients.

 PHYSICAL REQUIREMENTS

 

  • Physical health sufficient to meet the ergonomic standards and demands of the position.

About Us

 

Virginia Premier Health Plan, Inc. is a managed care organization which began as a full-service Medicaid MCO in 1995. Partnered with VCU Medical Systems we strive to meet the needs of the underserved and vulnerable populations in Virginia by delivering quality driven, culturally sensitive and financially viable Medicare and Medicaid healthcare programs.  Headquartered in Richmond, VA we also have offices in Roanoke, Tidewater and Bristol with additional satellite locations allowing us to serve over 200,000 members across eighty counties throughout Virginia. 

 

We offer competitive salaries and a comprehensive benefits package to include excellent Medical, Dental and Vision Plans, Tuition Assistance, Infant-At-Work Program, Remote Work options and generous vacation and sick leave policies. Our culture supports an environment where employees can continuously learn and gain professional growth through various development programs, education, exciting projects and career mobility.  

 

All qualified applicants will receive consideration for employment without regard to age, race, color, religion, sex, sexual orientation, gender identity, national origin, disability, or protected veteran status. EOE

 

Our mission is to inspire healthy living within the communities we serve!

 

 

 

 

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