Medical Center Rep- Gastro

Phoebe Putney Health System•Albany, OR

1d•Onsite

About The Position

This position, a Medical Center Representative, involves screening and referring all incoming calls and customers/patients, managing patient flow, maintaining medical records, and handling various financial tasks such as filing secondary insurance, entering charges and payments, pursuing collections, and investigating billing inquiries. The role also includes ordering supplies and preparing computer-generated reports. The representative performs essential business office functions within a medical clinic, encompassing appointment scheduling, patient registration, claims management, cash collection, and medical records maintenance. There may be a requirement to float to other PPG clinics during periods of high patient volume or to assist with coverage.

Requirements

High School Diploma or GED
1 year of customer service experience

Nice To Haves

1 year of medical office experience
1 year experience with CPT and ICD-9 insurance coding

Responsibilities

Screens and refers all incoming calls and customers and or patients
Manages customer and or patient flow
Maintains current medical records
Files secondary insurance
Enters charges and payments
Files secondary insurance, workers compensation claims, and corporate services claims
Pursues collections daily
Investigates patient billing inquiries
Orders supplies and prepares mandatory computer generated reports
Performs business office functions within a medical clinic related to appointment scheduling, registration, claims management, cash collection, and medical records maintenance
May be asked to float to other PPG clinics during times of high patient volume and/or to assist with coverage
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
Collect, post and investigate patient payments in accordance with contractual agreements and financial obligation of the patient
Informs or purses 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
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
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
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