Adjustment Clerk jobs in San Antonio, TX

Duties:

1. Maintain accurate database of GMG capitated patients, update database monthly from enrollment and disenrollment reports.
2. Accurately update the database to track each stage of the RMH process. This is vital to an effective process and accurate reports.
3. Prepare audit documents as defined; create logical batches for reviewers.
4. Process completed audits for timely data entry into EMR.
5. Assist with teaching clinical staff how to identify patients needing RMH review, preparing RMH notes for the provider, and processing RMH encounter notes; also teach how and when to schedule future RMH appointments.
6. Keep PCP, clinical staff and Managed Care team members informed of pertinent findings/issues uncovered.
7. Track & report completed RMH DOS for CMS submission.
8. Produce accurate reports from database.
9. Demonstrate excellent customer service: Assist patients and staff to set up services or resolve concerns.
10. Track noncontact events and send appropriate correspondence.
11. Document appropriately in GMG computer systems, RMH database and other associated systems.
12. Successfully meet production goals
13. Exercise tact and courtesy when dealing with patients, visitors, physicians, and co-workers.
14. Able to work efficiently under pressure.
15. Maintain strict confidentiality.
16. Other duties as assigned.

Education and Experience Minimum high school education or equivalent.  Prior managed care or medical group experience preferred.  MA Certificate preferred.  Some college business courses a plus.  Must be able to use basic office equipment.  Knowledge of medical terminology and ICD-10 codes preferred. Must have excellent customer service skills.

Computer Skills: Knowledge of Word Processing software, database software, spreadsheet  and Internet software

Supervisory Responsibilities:  This job has no supervisory responsibilities.

Work Environment: Office setting in a clinical environment.  Exposure to communicable diseases, bodily fluids, toxic substances, ionizing radiation, medicinal preparations, and other conditions common to a clinic environment.

Physical Demands:  Requires manual dexterity, sitting, standing, stooping, reaching, kneeling, crouching, bending, walking, lifting up to  30 lbs. Close vision and ability to adjust focus.

The above job description is not intended to be an all-inclusive list of duties and standards of the position.  Incumbents will follow any other instructions, and perform any other related duties, as assigned by their supervisor.  Reasonable accommodations may be made to enable otherwise qualified individuals with disabilities to perform the essential functions of the job.