Job Description
Job Duties
Registration & Pre-Certification
- Provide courteous, respectful, and helpful service to patients, visitors, staff, and physicians seeking information and/or treatment: office, phone, email communications.
- Responsible for the patient registration process (check in and check out) for a unit or department.
- Assist patients with forms obtaining all necessary insurance information and signatures as needed.
- Obtain pre-certification and/consent for services and billing.
- Monitor and follow-up on additional pre-authorizations for on-going patient services needed.
- May collect co-pay/co-insurance/deductible based on insurance plan(s).
- Specifically, answering phones, assisting patients with questions and problems, and accepting/relaying messages.
- Ensures compliance with federal, state, and local laws and regulations pertaining to patient privacy and confidentiality, i.e., HIPPA laws.
Customer Service & Problem Resolution
- Resolve routine patient problems and complaints on a timely basis.
- Handles conflict with customers constructively and appropriately.
- Initiate further follow-up with appropriate staff member(s).
Scheduling
- Schedule surgical/non-surgical procedures, tests, therapy, referrals, appointments, and services ensuring accuracy of data entered into scheduling system in a timely manner.
- Support patient scheduling systems in conjunction with clinical and medical staff and patient information.
- Communicate schedule updates, i.e., cancellations, changes, and delays to appropriate staff/patients/family members/visitors.
- Responsible for cancelling and rescheduling patients when necessary to ensure appropriate medical treatment and/or testing.
Insurance Pre-Certification & Collection
- Accurately completes or assures completion of registration process and facilitates revenue enhancement through insurance verification, pre-authorization, verification of medical necessity and follow up of denials.
- Obtains treatment authorization(s).
- May collect patient co-pays, co-insurance, and/or deductible and follow up with insurance companies for payment, enter patient charges, and maintain monthly/quarterly record statistics, and code services/procedures for charge reconciliation purposes.
Coordination of patient information and services
- Coordinate multiple phone lines and or InBasket communications, take messages, screen calls, receive information and transfer calls to appropriate extension.
- Relay messages to appropriate staff in order to facilitate communication and assure quality of care.
- Support co-workers in operational functions of the office including: front desk coverage, answering phones, running errands, and transporting patients.
- May coordinate translation arrangements for day and time of patient services.
Medical Records
- Perform medical records tasks timely and accurately including: chart retrieval, storage, filing, and scanning in correct location of EMR.
- Maintains appropriate computer downtime procedures for clinical documentation.
Clerical
- Prepares and types correspondence, memos, reports, minutes, and letters.
- Position may require data entry into multiple databases.
Other
- Performs other duties as assigned.
- Maintains work area in a neat and clean manner.
- Ensure supplies and materials are available as needed
Qualifications
MINIMUM
DESIRABLE
Education, Credentials, Licenses:
- HS Graduate or GED
- Secretarial related courses
- BLS required for Cardiac Rehab and Surgery Centers
- Associates Degree or certificate
Specialized Knowledge:
- Medical terminology
- Computer fluency/literacy
- Communication skills (verbal and written)
- Maintain patient confidentiality
- Organization and prioritization skills
- Computers and Electronic Medical Records
- Microsoft Office Word, Excel, Outlook
Kind and Length of Experience:
- 1 year related experience in a medical office setting including:
- Customer service/receptionist/ registration
- scheduling
- filing
- telephone etiquette
- patient billing
- computer service
- Experience with electronic medical records software, ie. EPIC
If, for any reason, you are having difficulties applying, please contact our recruitment team at recruiting@stelizabeth.com