Medical Office Specialist

DRISCOLL HEALTH PLAN

91d

About The Position

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.

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.
• BLS certified before hire.

Responsibilities

• Maintain utmost level of confidentiality at all times.
• Adhere to hospital policies and procedures.
• Demonstrate business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Adhere and comply with customer service standards and dress code as set forth by the hospital and the department.
• Demonstrate thoroughness and dependability.
• Demonstrate excellent organizational skills.
• Manage multiple tasks in a busy medical office environment.
• Effectively communicate and work with patients, family and physicians.
• Work effectively as a team member.
• 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 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.
• 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.
• 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.
• Ensure 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.

What This Job Offers

• Education Level: High school or GED
• Number of Employees: 51-100 employees