Mālama I Ke Ola Health Center (Community Clinic of Maui) is a Federally Qualified Health Center (FQHC) and a fully integrated behavioral health, dental, and primary care system. Our nearly 100 professionals and providers serve the people of Maui at three clinics—two locations in Wailuku and one in Lahaina. We have behavioral health providers who partner with the primary care clinicians to assist in a vast number of activities including warm handoffs for acute behavioral health crisis management, substance abuse counseling, tobacco cessation counseling, chronic disease self management counseling, and long-term individual and family therapy. In 2015, we served over 11,000 patients of which 97% are living at or below 200% of the Federal poverty level. Join our growing team of caring, competent, and committed professionals in serving the underserved communities on Maui.

 The Revenue Cycle Pharmacy Coordinator serves as the liaison between the Clinic and Walgreens 340B Pharmacy Program. Also serves as an adjunct medical/dental revenue cycle Coordinator, responsible for activities related to billing, third party and patient follow up and customer service, ensuring optimal billing and follow up standards are maintained. Main responsibility is to assure the pharmacy revenue cycle process is maintained on a daily basis.

ESSENTIAL DUTIES AND FUNCTIONS
  • Reconciles pharmacy prescriptions to provider orders in GE Centricity electronic health record.
  • Verifies eligibility of patients receiving 340B prescriptions.
  • Codes pharmacy invoices to appropriate department and accounting object code.
  • Reconcile pharmacy EFTs for purchased drugs to pharmacy prescriptions in GE Centricity.
  • Conducts audits to determine compliance with 340B regulations.
  • Contact person for contract pharmacy.
  • Maintains list of eligible providers submitted to contract pharmacy.
  • Responsible for training providers and clinic staff on 340B program.

ADJUNCT MEDICAL/DENTAL REVENUE CYCLE COORDINATION
  • Together with Revenue Cycle Coordinator, prepares daily cash log for each site, and verifying cash and check receipt totals per front desk daily closing reports.
  • Prepares separate daily cash log for payments received by mail and EFT, and scan cash log to PMG for posting.
  • Oversee payment posting of PMG, and print daily reports when posting is completed.
  • Responsible for submitting paper claims to carriers which require the attachment of an EPSDT form.
  • Responsible for oversight of other private and public insurance program billing, i.e. HSPAMM, Hansen Disease and Workers’ Compensation and MVA claims.
  • Responsible for reconciliation of missing orders and routinely maintain billing encounters.
  • Responsible for reviewing overpaid status and processing refunds.
  • Responsible for all patient phone calls related to billing.
  • Work closely with front desk staff to ensure patient demographic and insurance data is accurately entered/updated in the system.
  • Oversee entry/updating/documentation of patient proof of income (POI).
  • Oversee revenue cycle trainings and individual development.
  • Work closely with providers and other clinical staff to ensure accuracy of billing.
  • Responsible for entry of all Medical Record charges.
  • Responsible for scanning of hospital encounters for PMG to post.
  • Communicate as needed with insurance plans on billing issues.
  • Communicate information regarding revenue cycle activities and issues to the Assistant CFO and/or Revenue Cycle Team.
  • Develop and maintain an ongoing relationship with PMG managers and representatives, routinely providing information and communicating concerns or issues to seek resolution.
  • Maintain a working knowledge of all operational aspects of the practice Revenue Cycle
  • Demonstrate ability to be viewed as a subject matter expert in their current role.
  • Organize work/resources to accomplish objectives and meet deadlines.
  • Demonstrate personal responsibility for job performance.
  • Maintain relationships with health plans, healthcare providers, other professionals, coworkers and patients.
  • Crossover duties to fill in for front desk
  • Participate in quality improvement activities.
  • Demonstrates a cooperative team approach in activities.
  • Maintain smooth patient flow.
  • Attends and participates in meetings, committees, and training sessions as directed
  • Other duties as assigned.

QUALIFICATIONS
Education: High School diploma or GED. Business school or equivalent preferred. Certified Pharmacy Technician preferred.
Experience: Minimum one year experience in a medical/hospital setting and familiarity with medical terminology preferred AND/OR Medical Office Assistant Certificate.
Skills: Computer skills required. Knowledge of Microsoft Word and Excel required. Knowledge of use of adding machine, copier, fax machine, etc. Familiarity with Hawaii insurance, including managed care plans.

Physical Demands: Frequent sitting at a desk for office work. Occasional driving of automobile for outside training and meetings. Occasional climbing stairs, stepstools; occasional stooping, kneeling, crouching, crawling, reaching and turning. Continuous use of corrected vision; depth perception; wide field of vision and color. Continuous use of olfactory, auditory and tactile senses. Occasional pushing/pulling to 100 lbs.; lifting up to 50 lbs. and carrying up to 25 lbs. Occasional use of wheelchair and other patient assisted devices for patient access into the clinic. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions.


Equipment Use: Frequent use of telephone system and office equipment i.e. computer, printer, FAX machine, copier, and general office supplies.
Work Hours: Eight hour work days with variable/flexible hours depending on patient needs. Overtime may be required. Rotation on weekends and evening shifts as necessary.

Mental Demands: Duties require attention to detail, alertness, problem-solving, tolerance to stress, and exercising sound judgment. Also requires mathematical ability, scientific-logic, abstract thinking, and intuitive sense.

Communication Demands: Frequent conversing with public, patients, physicians, community agencies and professionals. Talking on telephone, training/giving instructions; receiving instructions and composing written language (English). Ability to work with diverse elements of Maui community and target groups including the mentally ill, alcohol and substance abusers, homeless and non-English speaking individuals.

 
Mālama I Ke Ola Health Center (Community Clinic of Maui) is an equal opportunity employer and prohibits discrimination and harassment of any kind. We are committed to the principle of equal employment opportunity for all employees and to providing employees with a work environment free of discrimination and harassment. We embrace a friendly, warm, and welcoming environment so that we can deliver on our promise to provide quality care to our community. E komo mai.

Equal Employment Opportunity Statement
We are an equal opportunity employer. We do not discriminate on the basis of age, race, sex, religion, color, national origin, ancestry, marital status, disability, sexual orientation, lactation, arrest and court record or any other protected category recognized by state and federal laws.

This is a non-management position
This is a full time position

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