Medical Receptionist

Pinnacle Claims Management, Inc. (PCMI) is an all-inclusive Third Party Administrator (TPA) that offers competitive, affordable health benefits services to self-funded employers. Unlike other TPAs Pinnacle was born from a member-driven organization (Western Growers) and understands our client’s significance as a business partner.  We place tremendous value in our relationships by offering TPA, PBM, ACA Compliance, and comprehensive Health Management services all in-house.

The Medical Receptionist works under the direction of the Manager, Clinical Services, and performs a variety of clerical duties and front office operations in support of the department. This position facilitates a positive patient experience, working in conjunction with clinic staff, by supporting administrative needs. The incumbent will answer incoming calls, make appointments, handle transactions, direct callers to the appropriate person(s), receive and distribute faxes.

• High school education or equivalent and two (2) to three (3) years of administrative support/receptionist experience or bachelor’s degree preferred.
• Bilingual in Spanish is required.
• Excellent verbal and written communication skills.            
• Ability to represent the company professionally.
• Strong ability to work efficiently and effectively on multi-phone lines and multi-projects in a high traffic environment with changing requirements.
• Comfortable enforcing policies and procedures regarding security and being responsible for all visitors.
• Proficient in Microsoft Office (Word, Excel, Outlook).
• Ability to navigate basic computer systems and website applications.
• Ability to apply critical thinking and demonstrate sound judgment to a variety of situations.
• Ability to understand policies and procedures and apply them to a variety of situations.
• Reliability and a strong work ethic are a must.
• Ability to work independently without direct supervision.
• SharePoint knowledge a plus.

Receptionist

• Answer incoming calls, transfer calls to the appropriate employees, and take comprehensive messages when necessary.
• Greet all visitors, direct them to sign-in, and notify the appropriate employees that their visitor has arrived.
• Accept deliveries and direct all other deliveries to the mailroom.
• Receive incoming faxes and distribute them to their appropriate recipients.
• Maintain a clean, orderly, and clutter-free front desk area.

Administrative

• Process insurance verifications and explain details to patients.
• Schedule patient appointments.
• Call patients for appointment reminders
• Provide administrative and project support to the Clinic department.
• Record and allocate incoming invoices from vendors.
• Draft professional letters and emails upon request.

Other

• Utilize all capabilities to satisfy one mission — to enhance the competitiveness and profitability of our members. Do everything possible to help members succeed by being curious and striving to understand what others are trying to achieve, planning, and executing work helpfully and collaboratively. Be willing to adjust efforts to ensure that work and attitude are helpful to others, being self-accountable, creating a positive impact, and being diligent in delivering results.
• All other duties as assigned.

The physical demands and work environment described here are representative of those that must be met by an employee to perform the essential functions of this job successfully. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. While performing the duties of this job, the employee is regularly required to communicate with others. The employee frequently is required to move around the office. The employee is often required to use tools, objects, and controls. This noise level in the work environment is usually moderate.