Medical Center Rep
- Job Number: 31086
- Location: Sumter Campus
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Address:
126 US-280Americus,GA
- Postal Code: 31719
- Shift: First Shift (United States of America)
- Job Type: Full time
- Posted Date: 2/26/2025
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