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Medical Office Specialist: Gastroenterology

Company: Firelands Regional Medical Center
Location: Sandusky
Posted on: June 12, 2021

Job Description:

GENERAL SUMMARY AND SCOPE

Responsible for performing a variety of duties including but not limited to: greeting patients, vendors, and other visitors and notifying appropriate staff of their arrival, operating telephone console to route incoming calls and place outgoing calls, scheduling of patient appointments, obtaining current and accurate insurance information each visit, verifying coverage through insurance company, obtaining pre-certifications or prior authorizations as needed, maintaining daily accurate records for timely billing of accounts, notifying patients of account status and payments due using collection techniques to assist in keeping accounts receivable current. Assigned to a specific practice but may need to assist in covering other practice sites.

ESSENTIAL TASKS, DUTIES AND RESPONSIBILITIE

  1. Obtains, verifies, updates and scans patient information and provides support services to patients and medical staff

  2. Verifies patient's current insurance coverage through insurance websites

  3. Collects and posts co-pays and past due balances, and completes any necessary forms obtaining signatures as necessary

  4. Obtains prior authorizations and pre-certifications as needed

  5. Manages referrals through EMR

  6. Follows all incentive guidelines by helping the practice meet a variety of incentive program goals, including Meaningful Use and Patient Centered Medical Home

  7. Performs daily banking through Virtual Merchant and FRMC cashiers

  8. Prepares a daily financial spreadsheet for practice

  9. Ensure the submission of timely, accurate and complete information to the Central Billing Office

  10. Uses collection management reports to keep accounts receivable current

  11. Looks for instances of Red Flag Identity theft patterns and reports potential threats to Privacy Officer

  12. Requests, locates, sends and receives patient medical records according to federal, state or local guidelines

  13. Maintains medical appointments for patients

  14. Answers phones in a pleasant manner, screens calls following clinic guidelines to appropriately and expeditiously direct caller

  15. Maintains clean, orderly waiting area including patient message board, children's area, and reading materials

  16. Organizes and maintains an inventory system to ensure adequate levels of supplies with emphasis on patient care and cost containment

  17. Demonstrates Competence related to the application of our core values.

  18. Practices all facets of Health & Safety

  19. Demonstrates competence in communication, professionalism, organizational and analytical skills, and technical/professional skills and knowledge in performance of duties and responsibilities rendered to the customer population served.

KNOWLEDGE, SKILLS AND ABILITIES

  • Interpersonal: Development and maintenance of effective relationship with medical and administrative staff, patients and families, co-workers and the public.
  • Ability to communicate effectively in writing and verbally with medical and administrative staff, patients and families, co-workers and insurance companies.
  • Skill in preparation and presentation of reports to FPG management as requested. Ability to remain calm and poised in urgent situations.
  • Organization policies, procedures, systems and objectives. Knowledgeable in medical office procedures and medical terminology with computer and cash handling experience. Governmental regulations and compliance requirements. Computer systems and applications.

EDUCATION/EXPERIENCE/LICENSES/CERTIFICATES/ELIGIBILITY:

  • High school graduate; vocational education preferred.
  • Experience in medical ambulatory setting.
  • Current CPR certification or obtained within 3 months of employment and maintained.
  • Proficient in the use of personal computers with strong typing skills. Skilled in the use of Microsoft Outlook, Excel, and Word is desired.
  • Eligibility: All employees must be able to provide proof of their identity and their right to work in the United States. As a condition of employment, employee will have annual tuberculin testing. Initial testing upon hire will consist of a 2-step tuberculin test, symptom survey, or chest x-ray. Employees can elect to have the Hepatitis vaccine or sign a wavier to decline due to prior vaccination.
  • Must possess a valid State of Ohio motor vehicle operator's license and insurable under Firelands auto policy. Employee must provide proof of personal automobile liability insurance coverage upon request.
  • Successful completion of a 90 day get-acquainted period.

Keywords: Firelands Regional Medical Center, Toledo , Medical Office Specialist: Gastroenterology, Other , Sandusky, Ohio

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