Medical Office Specialist-McAllen Medical Plaza

DRISCOLL HEALTH PLAN•McAllen, TX

6d•Onsite

About The Position

This position is responsible for the support functions necessary to accomplish 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. The Medical Office Specialist maintains utmost level of confidentiality, adheres to hospital policies and procedures, and demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines. They also adhere and comply with customer service standards and dress code, demonstrate thoroughness and dependability, excellent organizational skills, and are detail-oriented. The role requires the ability to manage multiple tasks in a busy medical office environment, effectively communicate and work with patients, family, and physicians, and work effectively as a team member. Fluency in Spanish is 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.
Must be able to understand and speak fluent Spanish.
BLS certified before hire.

Responsibilities

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.
Page medical staff when appropriate.
Document telephone encounters as appropriate to clinic/department.
Manage an appointment waiting list.
Contact patients for appointment scheduling from a follow-up list.
Call patients to confirm appointment times and offer any other pertinent information such as attendance requirements, education, directions, parking information, etc.
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 pre-registration.
Verify insurance eligibility and coverage for anticipated procedures.
Obtain insurance authorization 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 the correct balance of petty cash on a daily basis.
Close recurring accounts when appropriate.
Reconcile insurance card copies with completed registrations.
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.
Make a clear copy of insurance card.
Ensures consent for appropriate level of care is obtained and any additional documentation necessary from the family is obtained and copied.
Issue patient identification card or wrist-band as appropriate.
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.
Stocks supplies in the front desk area.
Assists with pick up and drop off at airport.