Firelands Regional Medical Center Medical Office Specialist: FT Days in Sandusky, Ohio
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
Obtains, verifies, updates and scans patient information and provides support services to patients and medical staff
Verifies patient’s current insurance coverage through insurance websites
Collects and posts co-pays and past due balances, and completes any necessary forms obtaining signatures as necessary
Obtains prior authorizations and pre-certifications as needed
Manages referrals through EMR
Follows all incentive guidelines by helping the practice meet a variety of incentive program goals, including Meaningful Use and Patient Centered Medical Home
Performs daily banking through Virtual Merchant and FRMC cashiers
Prepares a daily financial spreadsheet for practice
Ensure the submission of timely, accurate and complete information to the Central Billing Office
Uses collection management reports to keep accounts receivable current
Looks for instances of Red Flag Identity theft patterns and reports potential threats to Privacy Officer
Requests, locates, sends and receives patient medical records according to federal, state or local guidelines
Maintains medical appointments for patients
Answers phones in a pleasant manner, screens calls following clinic guidelines to appropriately and expeditiously direct caller
Maintains clean, orderly waiting area including patient message board, children’s area, and reading materials
Organizes and maintains an inventory system to ensure adequate levels of supplies with emphasis on patient care and cost containment
Demonstrates Competence related to the application of our core values.
Practices all facets of Health & Safety
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.
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.
Equal Opportunity Employer/Protected Veterans/Individuals with Disabilities
The contractor will not discharge or in any other manner discriminate against employees or applicants because they have inquired about, discussed, or disclosed their own pay or the pay of another employee or applicant. However, employees who have access to the compensation information of other employees or applicants as a part of their essential job functions cannot disclose the pay of other employees or applicants to individuals who do not otherwise have access to compensation information, unless the disclosure is (a) in response to a formal complaint or charge, (b) in furtherance of an investigation, proceeding, hearing, or action, including an investigation conducted by the employer, or (c) consistent with the contractor’s legal duty to furnish information. 41 CFR 60-1.35(c)