Medical Center Rep

Qualifications

• High School Diploma or GED (Required)
• 1 Year of Medical Office Experience (Preferred)
• 1 year experience with CPT and ICD-9 insurance coding (Preferred)
• 1 Year of Customer Service Experience (Required)

Responsibilities

Patient Flow and Data Collection

• Maintain patient flow and collect necessary data to ensure the patient is seen quickly and all information is available for treatment.
• Create patient medical record folder for new patients and prepare medical record for use during physician visit.
• Collect data as assigned such as vital signs, height, weight, etc.
• Manage medical records through established filing system.
• Handle document management including transcription, incoming mail, diagnostic reports, and copy requests to ensure data is available for patient care.
• Verify and update information for established patients in the database.
• Inform patients of scheduled appointments and take appropriate actions.

Coordinate Patient Payments

• Collect, post, and investigate patient payments in accordance with contractual agreements and financial obligations.
• Inform or pursue patient's co-pays and other responsibilities at the date of service.
• Enter patient charges into the computer at the time of completed services to ensure accurate billing.
• Accurately deposit or post all payments to appropriate cost center accounts in agreement with the explanation of benefits.
• Obtain and document all respective insurance information appropriately.
• Monitor or file all secondary insurance, workers compensation insurance, and corporate services insurance claims in a timely manner.
• Review explanation of benefits methodically and follow up on denials and delinquent pending claims.
• Investigate all patient billing inquiries.

Business Office Functions

• Perform all business office functions for the medical clinic.
• Screen and refer all incoming calls and visits to ensure accurate and timely communications and present the Center positively.
• Inquire into the physician's orders for the next visit and schedule the patient's next appointment.
• Attach all transcription notes to the medical record and file all charts in a timely and appropriate manner.
• Update the database with all information received from change of address forms in a timely manner.
• Assist in stocking, care, and maintenance of department equipment and supplies.
• Inform management of defective office equipment using proper procedures and document all maintenance and repair.
• Prepare financial reports for respective areas.
• Take meeting minutes in accordance with department and hospital guidelines.

Documentation

• Document and submit required information and data in a timely fashion.
• Clearly and accurately document designated processes, policies, products, and service offerings.
• Ensure documentation is tailored to expected readers/users and uses correct terminology.
• Conform to required style and format.

Additional Duties

• Adhere to hospital and departmental attendance and punctuality guidelines.
• Perform all job responsibilities in alignment with the core values, mission, and vision of the organization.
• Perform other duties as required and complete all job functions as per departmental policies and procedures.
• Maintain current knowledge in present areas of responsibility through self-education and attending ongoing educational programs.
• Attend staff meetings and complete mandatory in-services, requirements, and competency evaluations on time.
• Demonstrate competency in providing care to all patients based on age, sex, weight, and demonstrated needs.
• For non-clinical areas, attend training and demonstrate usage of age-specific customer service skills.
• Wear protective clothing and equipment as appropriate.