Previous experience as a team or project leader highly desired
Knowledge of all HMO's, PPO's, Medicare, BC/BS and commercial restrictions in addition to department carve outs.
Working knowledge of capitated verses fee for service restrictions.
Knowledge of CPT & ICD9 codes and medical terminology
Skill in using computerized medical record system, (scheduling, registration, billing) and personal productivity applications
Skill in written and oral communication
Skill in performing non-complex arithmetic calculations
Ability to manage multiple tasks and deadlines.
Principal Duties and Responsibilities:
Oversees and coordinates all facets of day-to-day operation of the reception area of the department, including reporting, policy development, procedure development, workflow, staffing, and equipment and supply maintenance.
Assists with processing payroll and with accounts payable issues.
Assists with analyzing budget variances on a monthly basis and implements action plans to correct negative variances. Assists with the development of the annual operational and capital budget
Assists the manager in fostering a positive work environment as evidenced by staff morale, turnover rates and/or vacancy rates. Monitors and reviews work performance of the staff, such as monitoring absenteeism and lateness and performance improvement documentation. Assists with maintenance of employee competencies and with Key Performance Indicator audits.
Assists the manager in improving and maintaining compliance with regulatory requirements such as JCAHO.
Maintains multifaceted computerized scheduling and billing system. Schedules patient appointments and performs (pre) registration duties.
Ensures completeness of physician charge sheets, verifies patient insurance information, and ensures appropriate CPT & ICD9 codes are on charge slips
Schedules diagnostic tests and therapeutic procedures according to restrictions of HMO's, PPO's, etc., working in cooperation with physicians, patients and other hospital departments. Ensures that patients are notified and receive appropriate information regarding scheduled tests and procedures.
Codes lab requisitions with necessary patient data for proper processing and charging of lab work.
Receives and screens visitors and telephone calls. Responds to general inquiries by relating or referring to established policies and procedures. Provides customer service to patients by relaying information about the Medical Center, reminding patients of appointments, and acts as a resource for patient inquiries related to Part A and or Part B fees.
Enters chart and billing information into computer system and assumes responsibility for all Part A, Invision and or Part B billing functions in SMS Signature within 24 hours from date of service.
Conducts monthly chart audits to ensure compliance with various regulatory agencies.
Collects patient co-payments and/or outstanding debts. Reconciles all cash collected, deposits, and maintains records of same.
Maintains the current status of letters of Permit Exception; Center for Medicare and Medicaid; Certificate of Waiver (waived tests); Certificate of PPMP (waived tests).
All roles must demonstrate GBMC Values:
Respect
I will treat everyone with courtesy. I will foster a healing environment.
Treats others with fairness, kindness, and respect for personal dignity and privacy
Listens and responds appropriately to others' needs, feelings, and capabilities
Excellence
I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.
Meets and/or exceeds customer expectations
Actively pursues learning and self-development
Pays attention to detail; follows through
Accountability
I will be professional in the way I act, look and speak. I will take ownership to solve problems.
Sets a positive, professional example for others
Takes ownership of problems and does what is needed to solve them
Appropriately plans and utilizes required resources for various job duties
Reports to work regularly and on time
Teamwork
I will be engaged and collaborative. I will keep people informed.
Works cooperatively and collaboratively with others for the success of the team
Addresses and resolves conflict in a positive way
Seeks out the ideas of others to reach the best solutions
Acknowledges and celebrates the contribution of others
Ethical Behavior
I will always act with honesty and integrity. I will protect the patient.
Demonstrates honesty, integrity and good judgment
Respects the cultural, psycho
Benefits
Vision insurance
Additional Information
Under general supervision, coordinates staff operations within a physician practice. Schedules patient appointments, registers patients and facilitates accurate and timely charge entry of patient charges. Provides support for resident physicians. Education:
High School or GED equivalency
Licensures/Certifications:
Not Applicable
Gbmc · Physicians Pavilion East