Are you looking for a career that offers both purpose and the opportunity for growth? Parkland Community Health Plan (PCHP) is a proud member of the Parkland Health family. PCHP is a Medicaid Managed Care Organization servicing Texas Medicaid and CHIP in the Dallas Service Area. PCHP works to fulfill of our mission by empowering members to live healthier lives. By joining PCHP, you become part of a team focused on innovation, person-centered care, and fostering stronger communities. As we continue to expand our services, we offer opportunities for you to grow in your career while making a meaningful impact. Join us and work alongside a talented team where healthcare is more than just a job—it’s a passion to serve and improve lives every day.
Primary Purpose
Provides communication and clerical support to patients and clinical staff to facilitate the effective operation of outpatient clinics and ensure that Parkland’s financial viability is secured at the most basic level.
Shift :
The shift is four 10-hour shifts per week.
Schedule is Monday-Tuesday-Thursday and Friday (but this is subject to change based on department needs).
No weekends, no holidays.
Education
Experience
Equivalent Education and / or Experience
Certification / Registration / Licensure
Skills or Special Abilities
Responsibilities
1.Greets patients, confirms appointment date and time, verifies and / or obtains demographic information and insurance identification to ensure patient information is documented in a timely and effective manner. Offers explanations for all required forms and Parkland Health & Hospital System policies to patients as needed. May direct or assist in transporting patients to clinic areas. Reviews and updates the patient’s account to ensure Parkland has accurate and current information to process claims and obtain payment.
2.Identifies and refers non-funded patients to a Financial Counselor. Informs patients of their financial responsibility and collects unpaid co-payments or balances. Enters patient charges and payments into the computer system to document financial transactions and complete accounting of patient revenues. Balances cash drawer at the end of each day.
3.Retrieves, coordinates, and / or sets up medical records for scheduled daily appointments; orders tests and coordinates test results for physicians or providers; utilizes ICD-9-CM Coding and HCPCS-CPT-4 procedure codes to enter patient visit into the system; and processes paperwork for registrations, discharges and referrals to assure accurate and timely medical record management.
4.Explains physician ordered protocol to follow for diagnostic tests, explains post protocol after receiving specific test or lab results, explains physician referrals to specialist, and provides information and direction for specialist and / or ancillary services to ensure customer understanding and provide optimal customer service.
5.Schedules follow-up patient appointments and performs no-show and cancellation procedures to optimize available appointment times.
6.Corresponds with clinics and third party payors to coordinate patient appointments, referrals, required authorizations, pre-certifications or orders. May verify insurance benefits as necessary by utilizing online eligibility systems.
7.Sorts and processes all incoming and outgoing mail. Maintains and issues supplies and forms for medical staff to ensure the timely delivery of essential materials.
8.Acts as primary contact for unit, responds to information requests from doctors, nurses, patients, patient families and others to provide an information resource within the unit. Communicates effectively and maintains a positive working relationship with patients, management, clinical staff and other employees to promote teamwork, cooperation, and a positive public image for Parkland.
9.Assists in the training of entry level employees to provide instruction on unit-specific operations.
10.Tracks productivity and patient data and provides cumulative reports on a daily, weekly, or monthly basis, as required.
Job Accountabilities
Parkland Community Health Plan (PCHP) prohibits discrimination based on age (40 or over), race, color, religion, sex (including pregnancy), sexual orientation, gender identity, gender expression, genetic information, disability, national origin, marital status, political belief, or veteran status.
Clinical Staff • Dallas, TX, US