Williamson Health & Wellness Center

IF CRISIS SERVICES ARE NEEDED, PLEASE CALL (304) 235-4444.

(304) 236 – 5902

Job Type: Full Time

  • Billing Specialist

    Status: Full-time

    Supervisor/Accountability:  Reports to Billing Manager; Collaborates across the agency

    Position Summary

    The Billing Specialist is responsible for serving as an integral part of a clinical team with the core responsibilities of collecting, posting, and managing account charges and payments. The Billing Specialist is also responsible for the submission of medical claims and must be well-versed in insurance matters. The Billing Specialist is responsible for performing clerical procedures related to verifying insurance information and benefits verification and obtaining authorization for behavioral health and SUD/OUD services in accordance with established rules procedures, specified time frames, and regulatory requirements. The Specialist processes clinical information in a timely manner to prevent treatment delays and to avoid denials from third-party payers and maintain confidentiality of patient information.

    Duties and Responsibilities

    • Processes benefit verification and authorization for all new referrals with speed and accuracy.
    • Process PA renewal requests by matching existing patient data with system data for clinical review
    • Enter authorization into EMR
    • Confirm eligibility of clients with the insurance company
    • Manage correspondence with insurance companies and consumers as required
    • Review accuracy and completion of authorizations to ensure all supporting documents are present.
    • Collaborate with other departments to assist in obtaining pre-authorizations accordingly.
    • Review denials and submit appeals to get them approved by insurance companies
    • Implement prior authorization workflow, policies, and procedures.
    • Gathering, coding, and transmitting patient care information.
    • Collects, posts, and manages account changes and payments.
    • Ensures adherence to HIPAA guidelines and clinic procedures.
    • Participates in continuing education in the field.
    • Prepares and submits clean claims to various insurance entities in compliance with Medicare, Medicaid and Third party payer guidelines by electronic or paper submission.
    • Update patient’s records in facility systems as needed
    • Processes payments from insurance companies in a timely manner.
    • Identifies and resolves patient billing issues.
    • Assists patients with understanding their billing process.
    • Prepares patient statements.
    • Informs the Clinical Director or Medical Director of any issues pertinent to billing.
    • Participates in staff meetings, training sessions, and other meetings as directed.
    • Perform additional duties as assigned
    • Serves as a resource regarding insurance resolutions and coding questions
    • Other duties as assigned

    Qualifications

    • High school or equivalent (Required)
    • Medical Billing: 1 year (Required)

    Skills/Knowledge

    Data entry skills

    Analytical skills

    Quality Focus

    Time management skills

    Professionalism

    Attention to details

    Financial skills

    Documentation skills

  • Licensed Practical Nurse

    Licensed Practical Nurse

    Status:         Full-Time

    qualifications

     The person in this position is part of the team concept in the Williamson Health and Wellness Center’s (WHWC) health delivery system, which is devoted to the delivery of primary care in an ambulatory setting with emphasis on prevention and health maintenance. Assist the Provider and the clinical staff in performing their duties and carrying on the necessary functions required in accordance with established policies and procedures.

    Essential Functions:

    • Prepare the patient for examination.
    • Note brief history or the reason for the visit in the patient’s chart.
    • Take and record height, weight, and blood pressure, pulse rate, respiration, temperature.
    • Assist the clinical staff in completing examinations and procedures as instructed.
    • Completely fill out lab slips and other forms, when necessary.
    • Administer medications and injections as ordered.
    • Follow universal precautions to protect self and patients.
    • Assist the medical staff in patient education.
    • Stock exam rooms with supplies.
    • Environmental and infection control cleaning duties for all patient care areas according to state and federal guidelines.
    • Complete MA/LPN Performance Criteria training sheet.
    • Perform CLIA Waived Testing
    • Under the direction of the nurse or provider in charge, takes responsibility for medical supplies and cleaning of the medical instruments and equipment.
    • Obtain laboratory samples and complete paperwork as ordered by the provider.
    • Any other duties or responsibilities the clinical staff may assign from time to time and when the need arises.
    • Referrals and Medication precertification’s when needed.

    Desired Qualifications

    • Must have successfully completed and graduated from an LPN program
    • Must have current State of WV LPN License.
    • Must have thorough education or training in the basics of medical terminology.
    • Must have a High school diploma or equivalent.
    • Prior experience as a medical assistant/LPN is helpful.
    • Ability to work with clinical staff and handle pressure from more than one provider.
    • Commitment to the concepts of preventive health care programs and team approach to health care delivery.
    • Ability to learn about patients and their problems.
    • Phlebotomy drawing certificate may be required.
    • Must have a current CPR Certificate.
    • Must have updated vaccinations or titers.

  • Medical Assistant

    Qualifications:

    The person in this position is part of the team concept in the Williamson Health and Wellness Center’s (WHWC) health delivery system, which is devoted to the delivery of primary care in an ambulatory setting with emphasis on prevention and health maintenance. Assist the R.N., L.P.N., and the clinical staff in performing their duties and carrying on the necessary functions required in accordance with established policies and procedures.

    Essential Functions:

    • Prepare patient for examination.
    • Note brief history or the reason for visit in the patient’s chart.
    • Take and record height, weight, blood pressure, pulse rate, respiration, and temperature.
    • Assist the clinical staff in completing examinations and procedures as instructed.
    • Take the health history of pre-natal and family planning patients.
    • Completely fill out lab slips and other forms, when necessary.
    • Administer medications and injections as ordered.
    • Follow universal precautions to protect self and patients.
    • Assist the medical staff in patient education and family planning counseling.
    • Stock exam rooms with supplies.
    • Environmental and infection control cleaning duties for all patient care areas according to state and federal guidelines.
    • Complete MA Performance Criteria training sheet.
    • Perform CLIA Waived Testing
    • Interpret for the clinical staff when necessary, “Spanish/English”.
    • Under the direction of the nurse or provider in charge, takes responsibility for medical supplies and cleaning of the medical instruments and equipment.
    • Provide HIV/Antibody counseling in accordance with established protocols and in compliance with State and Federal requirements.
    • Obtain laboratory samples and complete paperwork as ordered by the provider.
    • Any other duties or responsibilities the clinical staff may assign from time to time and when the need arises.

    Desired Qualifications:

    • Must have successfully completed and graduated from a medical assistant program.
    • Must have thorough education or training in the basics of medical terminology.
    • Must have a High school diploma or equivalent.
    • Bilingual in English/Spanish may be required.
    • Prior experience as a medical assistant is helpful.
    • Ability to work with clinical staff and handle pressure from more than one provider.
    • Commitment to the concepts of preventive health care programs and a team approach to health care delivery.
    • Ability to learn about patients and their problems.
    • Must have current CPR Certification.

    Working Conditions

    There may be exposure to airborne and blood-borne pathogens and hazardous materials. This position is not eligible to be a telecommute position.

  • Medical Receptionist

    Position:      Medical Receptionist

    Status:         Full-Time                                    

    Position Summary

    The Medical Receptionist is responsible for greeting and registering patients in a professional and timely manner. The receptionist is responsible for responsible and efficient use of electronic medical records in the clinic setting. The receptionist ensures that accurate demographic and insurance information is collected, creates patient charts/accounts, and collects and applies patient payments, all in accordance with accepted clinic procedures.

    Duties and Responsibilities

    • Communicates with patients in a welcoming, courteous, and professional manner
    • Schedules patients in accordance with established provider schedules and clinic protocols
    • Records no‐shows and cancellations in the system and inpatient records, and routes patient messages to appropriate clinical staff
    • Obtains and/or verifies that current demographic information is accurate and up to date within the system
    • Obtains and/or verifies insurance status and updates information in the system as needed
    • Verifies insurance eligibility in accordance with established clinic procedures
    • Routes phone calls to the appropriate party or takes complete, accurate messages
    • Maintains strict patient confidentiality. Complies with OSHA regulations as well as all clinic safety standards
    • Advises patients of clinic policies regarding scheduling, payments, no‐shows, etc. and answers questions as appropriate, advises patients to bring in necessary financial and/or insurance documentation as indicated
    • Checks patients in and out, collects patient payments. Creates accounts for new patients
    • Assists with filing, copying, faxing, and other clerical duties when time is available and at the direction of the supervisor
    • Assists in maintaining the waiting room in a clean and orderly manner
    • Participates in staff meetings, training sessions, and other meetings as directed
    • Prints and copies Medical Records as requested by patients, insurance agencies, attorneys, etc.
    • Other duties as assigned

    Minimum Qualifications

    • High school diploma or equivalency
    • Experience with standard equipment including computers, copier, fax, multi‐line telephone, printers, etc.
    • Strong math skills and ability to manage multiple tasks
    • Excellent customer service skills and ability to effectively and respectfully handle dissatisfied patients
    • Ability to work independently and to use good judgment
    • Ability to work effectively and harmoniously with co‐workers and function as a team member

    Preferred Qualifications

    • Associates degree in a related field
    • Experience in a medical office setting
    • Experience working with low‐income populations
    • Knowledge of Microsoft Office software products
    • Medical terminology