Medical Center Rep

General Requirements

• Adheres to the hospital and departmental attendance and punctuality guidelines

• Performs all job responsibilities in alignment with the core values, mission and vision of the organization

• Performs other duties as required and completes all job functions as per departmental policies and procedures

• Maintains current knowledge in present areas of responsibility (i. e. , self education, attends ongoing educational programs)

• Attends staff meetings and completes mandatory in-services and requirements and competency evaluations on time.

• Demonstrates competency at all levels in providing care to all patients based on age, sex, weight, and demonstrated needs. non-clinical areas, has attended training and demonstrates usage of age specific customer service skills. Working Conditions

• General environment: Works in a well-lighted, air-conditioned area, with moderate noise levels.

• May be exposed to high noise levels and bright lights.

• May be exposed to limited hazardous substances or body fluids, or infectious organisms.

• May be required to change from one task to another of different nature without loss of efficiency or composure.

• Periods of high stress and fluctuating workloads may occur.

• May be scheduled as needed including overtime

OSHA Category OSHA Category II

- Employees will occasionally be exposed to hazards such as blood, body fluids, or tissues.

Qualifications Education Requirements

• High School Diploma or GED (Required)

• Non Degree Program in Training in accounting procedures and medical records (Preferred) Experience Requirements

• 1+ years Hospital, Physician office, or other health care organization experience (Required)

• 1+ years Experience with CPT and ICD-9 insurance coding (Preferred)

Certifications & Licensures

• No Certifications are Required or Preferred General Skills

• Organizational Skills • Communication Skills

• Interpersonal Skills

• Customer Relations

• Mathematical

• Grammar / Spelling

• Read / Comprehend Written Instructions

• Follow Verbal Instructions

• Basic Computer Skills

• General Clerical Skills

• Motivational skills

• Self-starter

Physical Requirements

Have near normal hearing - Hear alarms/telephone/tape recorder/normal speaking voice Have near normal vision

- Clarity of vision (both near and far), ability to distinguish colors

Have good - manual dexterity and eye-hand-foot coordination

Ability to perform - repetitive tasks/motion

Physical Demands

Demand Frequency Standing Frequently within shift (34-66%)

Walking Frequently within shift (34-66%)

Sitting Continuously within shift (67-100%)

Climbing Occasionally within shift (1-33%)

Bending/Stooping Occasionally within shift (1-33%)

Twist at waist Occasionally within shift (1-33%)

Pushing/Pulling Occasionally within shift (1-33%)

Reaching above shoulder Occasionally within shift (1-33%)

Lift and or carry up to 20 pounds Occasionally within shift (1-33%)

Lift and or carry 20 pounds or more with assistance Occasionally within shift (1-33%)

Job Specific Competencies

• PATIENT FLOW AND DATA COLLECTION:

 Maintain patient flow and collect necessary data.

 Manages 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.

 Collects data as assigned such as vital signs, height, weight, etc.

 Medical record management through established filing system.

 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.

 Inquires of established patients if all information currently in the database is correct.

 Takes appropriate actions to ensure patient is informed of scheduled appointment.

 Collects 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.

 Informs or purses patient's co-pays and other patient responsibilities at the date of service

 Operates the computer to enter patient's charges at time of completed services in a manner that will ensure accurate patient and insurance billing.

 Accurately deposits or posts all payments to appropriate cost center accounts in agreement with the explanation of benefits per departmental specifics  Performs all necessary actions to ensure all respective insurance information is obtained and documented appropriately.

 Accurately monitors or files all secondary insurance, workers compensation insurance and corporate services insurance claims in a timely manner.

 Performs a methodical review of explanation of benefits and follows all denials and delinquent pending claims.

 Investigates all patient billing inquiries.

• BUSINESS OFFICE FUNCTIONS:

 Perform all business office functions for the medical clinic.

 Screens and refers 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.

 Inquires into the physician's orders for next visit and schedules the patient's next appointment.

 Attach all transcription notes to the medical record and files all charts in a timely and appropriate manner.

 Enters into the database, all information received from the change of address forms received from the post office, in a timely manner.

 Assists 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.

 Responsible for preparing financial reports for respective area

.  Takes meeting minutes in accordance with department and hospital guidelines

• DOCUMENTATION:

 Documents and submits required information and data in a timely fashion.

 Clearly and accurately documents designated processes, policies, products, service offerings, etc.

 Ensures that documentation is tailored to expected readers / users.

 Uses correct terminology.

 Conforms to required style and format