Position Summary
Under direct supervision, provides secretarial, patient care coordination and related administrative support for one or more providers
Job Responsibilities
- Schedules, confirms, re-schedules and cancels appointments for both new and existing patients using the scheduling application.
- Fields telephone inquiries from patients and referring physician offices. Takes messages and / or triages calls to appropriate staff.
Escalates more complex issues to senior staff, clinical team members and / or department managers for resolution.
- Ensures patient charts and registration face sheets are available and prepared for visit.
- Schedules follow-up procedures, radiology and diagnostic tests.
- Maintains physicians’ administrative (research and academic) and clinical / surgical schedules.
- Processes medical record requests for provider(s), according to institutional and compliance standards.
- Obtains, reviews and updates patient demographic and insurance information within the practice management billing system.
- Verifies patient insurance eligibility and obtains necessary pre-authorization numbers, if required, prior to appointment date.
Facilitates the communication and collection of any fees due from patient.
Responsible for front-end revenue cycle processes, which may include but is not limited to, the check-in / check-out of patients and collection / reconciliation of time-of-service payments,as applicable.
May also discuss patient’s responsibility for payments
- If applicable, ensures that patients provide any pre-visit documentation, pre-certifications or authorizations for medical services as needed, and / or a referral, if required.
- Initiates and prepares written correspondence as needed and based on functional needs.
- May be responsible for chaperone duties during patient exams as needed.
Education
High school diploma or GED
Experience
Approximately 1 or more years of experience succeeding in a customer / patient service role over telephone and in-person
Knowledge, Skills and Abilities
- Previous experience using computerized appointment scheduling systems (EPIC preferred) and / or electronic Medical Record (eMR) system (ideally EPIC-Care).
- Knowledge of CPT, ICD-9, and ICD-10 coding.
- Working knowledge of third party payor reimbursement - Medicare, Medicaid, Managed Care and commercial insurance.
Licenses and Certifications
Working Conditions / Physical Demands
Standard office work
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