Medical Office Specialist

DRISCOLL HEALTH PLAN•Corpus Christi, TX

1d•Hybrid

About The Position

This position is responsible for the support functions necessary to accomplish the department's objectives. These include, but are not limited to, functions under telephone support, patient accounting, clinical support, patient scheduling, registration, and patient discharge. The Medical Office Specialist role requires flexibility to clinical operational hours, maintaining utmost confidentiality, and potentially traveling to satellite locations. Adherence to hospital policies, customer service standards, and ethical business practices is essential. The role demands strong organizational skills, attention to detail, the ability to manage multiple tasks in a busy medical office environment, and effective communication and teamwork with patients, families, and physicians.

Requirements

Must be flexible to clinical operational hours.
Always maintains the utmost level of confidentiality.
Travel to satellite locations may be required either by vehicle or plane.
Adheres to hospital policies and procedures, including flexing scheduled work hours.
May be required to float to other clinics as needed.
Demonstrates ethical business practices and personal actions that adhere to corporate compliance and integrity guidelines.
Adheres to and complies with customer service standards and dress code set forth by the hospital and the department.
Demonstrates thoroughness and dependability.
Demonstrates excellent organizational skills.
Must be detail oriented.
Must manage multiple tasks in a busy medical office environment.
Must communicate and work effectively with patients, family, and physicians.
Must be able to work as a team member effectively.
Other duties as assigned.
Maintain a valid driver's license.
Must be able to travel up to 4 times a week.
Close vision (clear vision at 20 inches or less).
Distance vision (clear vision at 20 feet or more).
Color vision (ability to identify and distinguish colors).
Peripheral vision (ability to observe an area that can be seen up and down or to the left and right while eyes are fixed on a given point).
Depth perception (three-dimensional vision, ability to judge distances and spatial relationships).
Ability to adjust focus (ability to adjust the eye to bring an object into sharp focus).
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.
Basic Life Support (BLS) is required within the first 90 days of 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.
Notify clinic or medical staff when appropriate.
Document telephone encounters as appropriate to the 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 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 a correct balance of petty cash daily.
Close recurring accounts when appropriate.
Reconcile insurance card copies with completed registrations.
Batch reminder letters for families and physicians, unit specific.
Disseminate incoming office mail.
Review schedules before the appointment date and assist in resolving scheduling conflicts.
Prepare medical records before appointment (i.e., request medical records from the file room, prepare form packets, gather and attach necessary diagnostic reports, etc.), unit specific.
Batch appointment cancellation/no-show letters to families and physicians, unit specific.
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 the payor.
Make a clear copy of the insurance card.
Ensures consent for the appropriate level of care is obtained, and any additional documentation necessary from the family is obtained and copied.
Issue patient identification card or wristband 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.