LEAD PATIENT SERVICES ASSOCIATE - UROLOGY

Independence Health System•Greensburg, PA

4d•Onsite

About The Position

Job Summary Perform secretarial and administrative functions in direct support of the department. Position has direct customer contact to obtain accurate demographic and insurance information. Responsible for entering information into the system to insure accurate billing. Communicate with internal and external customers. Facilitate referrals, authorizations, scheduling, and patient flow through the scheduling, billing, and referral process. Serve as a resource for the clinical/secretarial/clerical staff in the practice, keeping them current on changes in practices and procedures. Represent the office at the Lead Office staff meeting and serves as a contact between the office and the billing department. Essential Job Functions Ensure positive customer service atmosphere and interaction in reception area. Interact with co-workers and internal customers in a respectful and professional manner. Process telephone calls and messages promptly, accurately, courteously, and efficiently. Follow recommended department guidelines for triage and scheduling of patients. Process patient information. Interview and pre-register patients at the time of or prior to the visit date. Enter all information into the billing system per established policies and procedures. Accurately code visit based on diagnosis given. Identify coding discrepancies and seek clarification to maximize reimbursement/minimize rejections. Enter all charges/codes into billing system accurately. Support financial objectives. Make every effort to collect payment at the time of visit. Accurately complete cash sheets. Deliver cash and cash sheets daily to appropriate place. Assist in maintaining/decreasing organization/departmental costs. Facilitate patient access to care. Schedule patients for appropriate intervals and provider based on protocols. Assist patient to access specialty care and testing per physician order where applicable by office location. Provide instructions and directions based on protocols and physician order. Assist the patient to meet insurance requirements for continued care. Process referrals in a timely manner. Coordinate and submit necessary information to obtain timely authorizations. Demonstrate accountability for professional development. Act as a patient advocate. Perform effectively in the role of preceptor/mentor to new hires and/or students. Demonstrate the ability to solve problems and seek assistance from immediate supervisor when appropriate. Knowledge and/or ability schedule surgery, procedures, and testing for patients. This also includes management of provider schedule and collaboration with hospital and outpatient facilities where applicable for practice location. Assist in department's compliance with preparing for annual surveys and/or other regulatory agencies. Incorporate into practice performance improvement initiatives that have been implemented. Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level. Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job. Ability to think and concentrate for an entire shift. Other duties as assigned. Specialty Job Functions Serve as a resource to the clinical/secretarial/clerical staff. Attend Lead office staff meetings on a regular basis. Communicate changes in policies, processes and practices to all of the secretarial/clerical staff. Keep the office manager informed of any updates to front office processes and policies as communicated from the billing office. Respond to inquiries from the clinical/secretarial/clerical staff obtaining and communicating accurate information in a timely manner. Assist in department's compliance with regulatory agencies. Participate in continuous survey readiness for inspections and surveys. Support performance improvement initiatives within the physician practice. Assist in data collection as directed by the manager/physician. Incorporate into practice performance improvement initiatives that have been implemented Maintain the environment of care. Ensure that supplies are replenished daily. Consistently maintains a clean safe environment Assist patients with issues related to billing. Respond to patient's questions and issues related to billing and insurance within the scope of their practice, resolving the issue when possible or referring to appropriate department as indicated. Assist patients to understand insurance requirements within the scope of the office visit or referral. Assist with or manages medical record maintenance. Maintain accurate medical record filing per practice policy. Assist with record retention, purging and storage, maintaining accurate record of file storage per practice policies. Provide copies of medical records within appropriate release on information upon request maintaining logs of releases. Other related duties as assigned.

Requirements

High School Diploma or GED, or Higher Level of Education.
Completion of Post-Secondary course work or 3-5 years physician front office experience.
Strong leadership ability, good organizational skills, independent and critical thinking skills, and sound judgment.
Strong ability to communicate complex and/or controversial topics and concepts to a wide and diverse audience.
PA Act 34 Pennsylvania Access to Criminal History Clearance.

Nice To Haves

3-5 years outpatient physician office experience with progressively more responsible experience in a leadership role.
Medical terminology and third-party health care coverage experience preferred.
Current Basic Life Support (BLS) approved curriculum of the American Heart Association (CPR and AED) program completion preferred.

Responsibilities

Ensure positive customer service atmosphere and interaction in reception area.
Interact with co-workers and internal customers in a respectful and professional manner.
Process telephone calls and messages promptly, accurately, courteously, and efficiently.
Follow recommended department guidelines for triage and scheduling of patients.
Process patient information.
Interview and pre-register patients at the time of or prior to the visit date.
Enter all information into the billing system per established policies and procedures.
Accurately code visit based on diagnosis given.
Identify coding discrepancies and seek clarification to maximize reimbursement/minimize rejections.
Enter all charges/codes into billing system accurately.
Support financial objectives.
Make every effort to collect payment at the time of visit.
Accurately complete cash sheets.
Deliver cash and cash sheets daily to appropriate place.
Assist in maintaining/decreasing organization/departmental costs.
Facilitate patient access to care.
Schedule patients for appropriate intervals and provider based on protocols.
Assist patient to access specialty care and testing per physician order where applicable by office location.
Provide instructions and directions based on protocols and physician order.
Assist the patient to meet insurance requirements for continued care.
Process referrals in a timely manner.
Coordinate and submit necessary information to obtain timely authorizations.
Demonstrate accountability for professional development.
Act as a patient advocate.
Perform effectively in the role of preceptor/mentor to new hires and/or students.
Demonstrate the ability to solve problems and seek assistance from immediate supervisor when appropriate.
Knowledge and/or ability schedule surgery, procedures, and testing for patients.
Assist in department's compliance with preparing for annual surveys and/or other regulatory agencies.
Incorporate into practice performance improvement initiatives that have been implemented.
Cognitive ability to function and concentrate on the essential and specialty functions of the job at a high level.
Achieves thoroughness and accuracy when accomplishing an essential or specialty function of the job.
Ability to think and concentrate for an entire shift.
Serve as a resource to the clinical/secretarial/clerical staff.
Attend Lead office staff meetings on a regular basis.
Communicate changes in policies, processes and practices to all of the secretarial/clerical staff.
Keep the office manager informed of any updates to front office processes and policies as communicated from the billing office.
Respond to inquiries from the clinical/secretarial/clerical staff obtaining and communicating accurate information in a timely manner.
Assist in department's compliance with regulatory agencies.
Participate in continuous survey readiness for inspections and surveys.
Support performance improvement initiatives within the physician practice.
Assist in data collection as directed by the manager/physician.
Incorporate into practice performance improvement initiatives that have been implemented
Maintain the environment of care.
Ensure that supplies are replenished daily.
Consistently maintains a clean safe environment
Assist patients with issues related to billing.
Respond to patient's questions and issues related to billing and insurance within the scope of their practice, resolving the issue when possible or referring to appropriate department as indicated.
Assist patients to understand insurance requirements within the scope of the office visit or referral.
Assist with or manages medical record maintenance.
Maintain accurate medical record filing per practice policy.
Assist with record retention, purging and storage, maintaining accurate record of file storage per practice policies.
Provide copies of medical records within appropriate release on information upon request maintaining logs of releases.