Lead MOS

DRISCOLL HEALTH PLAN•Corpus Christi, TX

About The Position

Where compassion meets innovation and technology and our employees are family. Thank you for your interest in joining our team! Please review the job information below. General Purpose of Job: Reporting to the department manager/director, this position is responsible for the support functions necessary to accomplishing the objective of the department. These include, but are not limited to functions under the categories of telephone support, patient accounting, clinical support, patient scheduling, registration and patient discharge. Essential Duties and Responsibilities: To perform this job successfully, an individual must be able to perform each essential duty satisfactorily. The requirements listed below are representative of the knowledge, skill, and/or ability required. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. This job description is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

Requirements

High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

Responsibilities

Maintains utmost level of confidentiality at all times.
Adheres to hospital policies and procedures.
Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
Adheres and complies with customer service standards and dress code as set forth by the hospital and the department.
Demonstrates thoroughness and dependability.
Demonstrates excellent organizational skills.
Must be detail-oriented.
Must be able to manage multiple tasks in a busy medical office environment.
Must be able to effectively communicate and work with patients, family and physicians.
Must be able to effectively work as a team member.
Ensure all charts are prepped for clinic .
Other duties as assigned.
Point person for any requested changes in clinic appointment template.
Update fellow MOS’s on EPIC changes
Review and complete NO SHOW report and forward to office Manger
Correct any billing errors in registration work queue
Review daily schedules and confirm accuracy
Confirm appointments for all physicians and obtain insurance/demographics prior to appointments
Point of contact for front office staff
Preceptor for MOS team.
Monitor appointment schedule to ensure accuracy for clinic/non clinic days.
Keep track of template times (lag times from check-in to check out)
Attend monthly MOS meetings.
Attend weekly staff meetings
Attend weekly Lead meetings with office manager
Coordinates lunch hour accordingly with fellow MOS staff
Coordinates fellow MOS schedules for surgery/urology
Opens and distributes incoming mail on daily basis
Coordinates with fellow MOS to prepare charts for clinic the day before to include any and all information outside of EPIC.
Works with billing coordinator to ensure that co-pays and or deductibles are being captured
Schedule patients for necessary procedures using the appropriate scheduling system.
Gather pre-registration/pre-admission information.
Reschedule patients upon patient/physician request.
Document cancellations/no-shows in the appropriate scheduling system.
Document telephone encounters as appropriate to clinic/department.
Review schedule/pre-registrations to identify potential duplicate medical record numbers.
Identify patients with multiple same-day visits to match demographic and insurance data for each preregistration.
Verify insurance eligibility and coverage for anticipated procedures.
Obtain insurance authorizations from referring physicians when necessary/appropriate.
Obtain insurance authorizations from payors when necessary/appropriate.
Identify co-payment agreements in preparation for collection at the time of service.
Maintain correct balance of petty cash on a daily basis.
Close recurring accounts when appropriate.
Batch reminder letters for families and physicians.
Disseminate incoming office mail.
Review schedules prior to appointment date and assist in resolving scheduling conflicts.
Prepare medical records prior to appointment (i.e. request medical records from file room, prepare forms packets, gather and attach necessary diagnostic reports, etc.).
Batch appointment cancellation/no-show letters to families and physicians.
Accurately register patients according to training guidelines when the patient presents for services.
Collect and record co-payments or prompt payment agreements and issue receipt of payment to payor.
Scan all insurance cards into EPIC
Ensures consent for appropriate level of care is obtained and any additional documentation necessary from the family is obtained and copied.
Perform necessary follow-up scheduling at discharge.
Reconcile medical records.
Process physician orders and/or referrals.
Mark no-shows and no-shows to reschedule in the appropriate scheduling system.