Clinical Services Support Specialist - San Francisco, United States - University of the Pacific

Description

Primary Purpose

Reporting to the Clinic Director and in consultation with the Department Chair, the Clinical Services, the Support Specialist plays a pivotal role in the advancement of the Department of Audiologys mission. This position is instrumental in ensuring the seamless integration of clinical operations and financial management. This role demands a high degree of organizational skill, precision, and autonomy in navigating a complex, high-volume environment, thereby directly impacting the departments ability to deliver superior patient care and educational outcomes.

Essential Functions

• Oversee and refine billing and insurance claims processes. This includes determining specific insurance coverage and patient eligibility, obtaining authorizations, preparing and reconciling insurance claims, and managing physician referrals.
• Ensure adherence to all insurance rules and regulations during bill collection, prepare patient bills, and conduct point-of-sale collections as needed.
• Track, receive, and post payments, maintaining polite, prompt, and persistent communication with insurance carriers and patients to pursue payments.
• Escalate overdue invoices to collection agencies when necessary.
• Develop and manage reports to ensure billing accuracy for supervisors and/or faculty.
• Conduct quarterly financial reporting to provide insights into clinic financial health.
• Manage and maintain insurance and third-party provider and facility credentialing, including Medicare and Medi-Cal, ensuring compliance, and facilitating seamless billing processes.
• Manage ProCard purchases and payments, ensuring efficient management of clinical supplies and financial transactions.
• Implement and maintain systems for the streamlined processing of workers compensation and medical-legal cases.
• Maintain responsibility for administrative tasks, including clinical supplies purchasing, equipment, and facility maintenance.
• Perform other related duties as assigned including occasional front-desk reception duties, including answering phones, emails, and patient check-in.

University of the Pacific recognizes that diversity, equity, and inclusion is foundational to the success of our valued students and employees. We prioritize policy and decision-making that demonstrates awareness of, and responsiveness to, the ways socio-cultural forces related to race, gender, ability, sexuality, socio-economic status, etc. impede or propel students, faculty, and staff.

Minimum Qualifications

• Two (2) years of post-high school education. (Two (2) years of full-time experience in same/similar position is equal to one (1) year of post-high school education).
• Two (2) years of responsible administrative experience, with billing processes, insurance verification, and financial management.
• Experience in Microsoft office (Word, PowerPoint, Excel, and Outlook email).

Preferred Qualifications

• Certification in medical billing and coding or similar credentials.
• Ability to assume responsibility and work effectively with minimum supervision.
• Strong experience in point-of-sale systems or billing software.
• Excellent customer service skills and experience in patient service.
• Intermediate to advanced skills in MS Office suite with the ability to adapt to emerging technology.
• Familiarity with basic budget and bookkeeping procedures, legal compliance with HIPAA, insurance collection policies, and all other practice-related protocols.
• Experience and sensitivity in working with people of diverse backgrounds and cultures.
• Demonstrated experience in advancing social justice, equity, and inclusion in a university setting.
• Ability to engage and integrate culturally responsive practices and knowledge in their work.

Physical Requirements

The physical demands described here are representative but not definitive of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.

Requires extended periods of sitting and repetitive hand/wrist motion while using computer keyboard and phone. Occasional standing, walking (or walking across campus, if applicable), climbing stairs, bending, stooping, and reaching. Occasional lifting up to twenty-five (25) pounds.

Work Environment/Work Week/Travel:

Work performed during standard business hours. May require occasional evening and weekend hours to complete tasks.