Medical Receptionist (Clinics)

About the role

The Medical Receptionist is the first point of contact for new patients/families, the familiar voice for current patients/families and an appointment coordinator. The work environment is a combination of multi-line telephone use, insurance hub, receptionist and scheduling coordination. This position involves assisting with the check-in and checkout processes. Gathers and records required information about patients and routes it appropriately; provides specific customer services which include, confirming health insurance coverage and individuals obligations, obtaining necessary authorizations for care, scheduling appointments, and assisting patients in an office or clinic setting. This position requires out of the box thinking, strong ability to multi-task and above all else, exceptional customer service skills. Responsible for all front desk tasks in the office including but not limited to the following:

Responsibilities

• Checks in patients to include gathering patient information, entering into computer, collecting co-payments, creating new charts and handles insurance information appropriately.
• Checks out patients to include addressing any additional patient concerns or needs.
• Schedules patient correctly through EMR and within provider guidelines.
• Answers telephone and triages calls to determine urgency; transfers and/or leaves messages for MA/RN staff (including voice mail) and follows-up on telephone inquiries; directs callers to other providers, staff or departments when appropriate.
• Triages and documents accurately telephone calls from patients including requests for medication refills, complaints, general information inquiries, and urgent health care concerns.
• Delivers such information or requests promptly to the appropriate providers or their designees.
• Monitors missed appointments and handles per protocol.
• Obtains prior medical records and studies if appropriate.
• Appropriately routes faxes, prescription refills, test result requests and insurance inquires.
• Updates financial record for customers, entering all information from patients directly into computer in a concise and professional manner regarding patient concerns, questions and agreements regarding their bill statements, payments and insurance information.
• Collects, sorts and distributes mail daily.
• Responds to correspondence as appropriate, by telephone and/or in writing.
• Maintains organized work area.
• Closes clinic by balancing cash drawer, completing deposit and pulling next day’s charts.
• Completes insurance referrals by referring patient to proper specialist, preparing paperwork, obtaining authorization from insurance company and handling denials and problems.
• Sends copies of chart notes to primary care physicians and patient accounting as needed.
• Attends monthly full staff meeting.
• Communicates supply needs in a timely manner to the ordering person.
• Attends insurance workshops and reads insurance updates.
• Completes all mandatory education and licensure requirements to meet state, professional and regulatory requirements.

Decision Making And Budget Responsibilities: Impact limited to the employee. No budget responsibility. Assigned Direct Reports: N/A.

Qualifications

Education: Required N/A; Preferred High school graduate or GED.

Experience: Preferred Prior medical clinic experience; Experience using an EMR.

Licenses, Certifications and/or Registrations: Current BLS certification.

Skills

• Demonstrates proper appearance and personal conduct for the employee's particular job.
• Uses effective communication skills taking into consideration body language, filters, listening, paraphrasing, and