Medical Center Rep- Gastro

Qualifications

• High School Diploma or GED (Required)

Work Experience

• 1 year of medical office experience is required (Preferred)
• 1 year experience with CPT and ICD-9 insurance coding (Preferred)
• 1 year of customer service experience (Required)

Licenses and Certifications

• No Certifications are Required or Preferred

Essential Functions

PATIENT FLOW AND DATA COLLECTION

• Maintain patient flow and collect necessary data.
• Manage patient flow to ensure that the patient is seen quickly and all information is available for treatment.
• Create patient medical record folder for new patients and prepare medical record for use during physician visit.
• Collect data as assigned such as vital signs, height, weight, etc.
• Manage medical records through established filing system.
• Handle document management including, but not limited to transcription, incoming mail, diagnostic reports, copy requests, etc., to ensure data is available as needed to provide patient care.
• Inquire of established patients if all information currently in the database is correct.
• Take appropriate actions to ensure patient is informed of scheduled appointment.
• Collect data as assigned such as vital signs, height, weight, etc. which applies to specific departments.

COORDINATE PATIENT PAYMENTS

• Collect, post and investigate patient payments in accordance with contractual agreements and financial obligation of the patient.
• Inform or pursue patient's co-pays and other patient responsibilities at the date of service.
• Operate the computer to enter patient's charges at time of completed services in a manner that will ensure accurate patient and insurance billing.
• Accurately deposit or post all payments to appropriate cost center accounts in agreement with the explanation of benefits per departmental specifics.
• Perform all necessary actions to ensure all respective insurance information is obtained and documented appropriately.
• Accurately monitor or file all secondary insurance, workers compensation insurance and corporate services insurance claims in a timely manner.
• Perform a methodical review of explanation of benefits and follow all denials and delinquent pending claims.
• Investigate all patient billing inquiries.

BUSINESS OFFICE FUNCTIONS

• Perform all business office functions for the medical clinic.
• Screen and refer all incoming calls and visits to ensure that accurate and timely communications are facilitated and that the Center is always presented in a positive manner.
• Inquire into the physician's orders for next visit and schedule the patient's next appointment.
• Attach all transcription notes to the medical record and file all charts in a timely and appropriate manner.
• Enter into the database all information received from the change of address forms received from the post office in a timely manner.
• Assist in stocking, care and maintenance of department equipment and supplies.
• Use proper procedures to inform management of defective office equipment.
• Document all maintenance and repair to office equipment.
• Prepare financial reports for respective area.
• Take meeting minutes in accordance with department and hospital guidelines.

DOCUMENTATION

• Document and submit required information and data in a timely fashion.
• Clearly and accurately document designated processes, policies, products, service offerings, etc.
• Ensure that documentation is tailored to expected readers/users.
• Use correct terminology.
• Conform to required style and format.

Additional Duties

• Adhere to the hospital and departmental attendance and punctuality guidelines.
• Perform all job responsibilities in alignment with the core values, mission and vision of the organization.
• Perform other duties as required and complete all job functions as per departmental policies and procedures.
• Maintain current knowledge in present areas of responsibility (i.e., self-education, attend ongoing educational programs).
• Attend staff meetings and complete mandatory in-services and requirements and competency evaluations on time.
• Demonstrate competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs.
• For non-clinical areas, attend training and demonstrate usage of age-specific customer service skills.
• Wear protective clothing and equipment as appropriate.