Medical Center Rep

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.
• 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 pursues 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.

Additional Duties

• 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.
• For non-clinical areas, has attended training and demonstrates usage of age-specific customer service skills.
• Wears protective clothing and equipment as appropriate.