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Description

Incumbent serves as Medical Clinic Coordinator for the Tippecanoe County Health Department, responsible for scheduling, billing, and updating immunization records, and assisting the public and other nursing services.

DUTIES:

Maintains and updates medical and immunization records, including scheduling appointments, and reviewing related medical records.

Coordinates off-site medical clinics including Community Corrections, Lafayette Transitional Housing, and Medication Assisted Therapy program, ensuring that correct billing information is collected. 

Maintains Hardship Policy and forms for the Department. 

Assists patients in completing federal Health Insurance Marketplace applications or Indiana Health Coverage Program applications, such as Medicaid, the Children's Health Insurance Program or Healthy Indiana Plan. Provides post-enrollment outreach and support as needed. 

Receives, processes, and receipts various fees, including recording payments and balancing with ledgers.

Answers telephone and greets office visitors, providing information, takes messages, and/or refers callers to appropriate person or department.  

Periodically assists other department personnel with preparing correspondence and assists nursing division as needed.

Maintains current knowledge on updates and guidelines for immunizations requirements.

Reviews and contacts insurance companies regarding any discrepancy in payments as needed. 

Maintains patient confidentiality and understands and follows Health Insurance Portability and Accountability Act (HIPAA) guidelines.

Manages claims including, following up with submitted claims, monitoring unpaid claims, initiating tracers, and resubmitting claims as necessary.

Interprets, processes, and posts Explanation of Benefits (EOB's).

Enters necessary information for insurance claims, such as patient, insurance ID, diagnosis and treatment codes and modifiers, and provider information. Ensures claim information is complete and accurate.

Submits insurance claims to clearinghouse or individual insurance companies electronically or via paper form.

Researches International Classification of Diseases (ICD) 9 diagnosis and Cognitive Processing Therapy (CPT) treatment codes from online services, and/or traditional coding references.

Performs related duties as assigned.

Requirements

I. JOB REQUIREMENTS AND DIFFICULTY OF WORK:

High school diploma or HSE with previous medical experience in Public Health or Health Sciences and medical billing.

Must be at least 18 years of age.

Possession of and/or ability to obtain and maintain certified Indiana Navigator with the Indiana Department of Insurance.

Working knowledge of Department and standard office policies and procedures and ability to apply such knowledge to a variety of interrelated processes, tasks, and operations.

Working knowledge of and ability to make practical application of state and local rules, regulations and procedures regarding health records.

Working knowledge of standard English grammar, spelling and punctuation, and ability to communicate with client and/or potential clients for scheduling appointments.

Working knowledge of basic bookkeeping principles, and ability to receive and receipt money, and make simple arithmetic calculations.

Ability to provide public access to or maintain confidentiality of Department information and records according to State requirements.

Shall comply with all employer and Department policies and work rules, including, but not limited to, attendance, safety, drug-free workplace and personal conduct and HIPAA guidelines.

Ability to type with speed and accuracy and properly operate standard office equipment, including computer, typewriter, calculator, fax machine, copier, and telephone.

Ability to effectively communicate orally and in writing with co-workers, other County departments, IDOH, Lafayette Transitional Housing, various therapy programs, insurance companies, and the public, including being sensitive to professional ethics, gender, cultural diversities, and disabilities.

Ability to work alone with minimum supervision and with others in a team environment, work on several tasks at the same time and complete assignments effectively amidst frequent distractions and interruptions, often under time pressure.

Ability to compare and observe similarities and differences in data, analyze and evaluate, and compile, collate, or classify data.

Ability to apply knowledge of people and/or locations, and plan and layout assigned work projects.

Ability to read and interpret diagnoses, treatment codes, and EOB's. 

Ability to understand, memorize, retain, and carry out written or oral instructions and present findings in oral or written form.

Ability to assist nursing division when necessary.

Ability to occasionally work extended hours and travel out of town for meetings, but not overnight.

Possession of a valid driver's license and a demonstrated safe driving record.

II. RESPONSIBILITY:

Incumbent performs standard, recurring duties according to well-established guidelines, with work priorities determined by supervisor. Incumbent receives general supervision with assignments guided by broad policies and/or general objectives. Decisions are always determined by specific instructions or existing, well-established policies and procedures. Errors in incumbent's work are usually prevented by legally defined procedures and detected through standard bookkeeping checks. Undetected errors may result in loss of time to correct error, loss of money to the department, and/or inconvenience to other agencies and/or the public.

III. PERSONAL WORK RELATIONSHIPS:

Incumbent maintains frequent contact with co-workers, other County departments, IDOH, Lafayette Transitional Housing, various therapy programs, insurance companies, and the public, for the purpose of exchanging information and explaining policies and procedures.

Incumbent reports directly to Public Health Nurse Supervisor.

IV. PHYSICAL EFFORT AND WORK ENVIRONMENT:

Incumbent performs duties in a standard office environment, involving sitting/walking at will, sitting for long periods, lifting/carrying objects weighing less than 25 pounds, keyboarding, driving, close/far vision, speaking clearly, and hearing sounds/communication.  

Incumbent is occasionally required to work extended hours and travel out of town for meetings, but not overnight.