OSR

About the role

Under the general supervision of the Clinical Manager or their designee, but according to established policies and procedures, the incumbent performs various administrative duties to expedite each patient's visit for clinical care. Brown University Health employees are expected to successfully role model the organization's values of Compassion, Accountability, Respect, and Excellence as these values guide our everyday actions with patients, customers and one another. In addition to our values, all employees are expected to demonstrate the core Success Factors which tell us how we work together and how we get things done, including Instill Trust, Value Differences, Patient and Community Focus, and Collaborate.

Responsibilities

• Schedules patients using the hospital's scheduling system, including appointment type, specific provider clinic, and appointment time; schedules follow-up appointments and may schedule appointments for lab work, diagnostic imaging, or referrals to other medical providers.
• Refers technical or clinical inquiries to appropriate personnel.
• Uses the online billing system to enter diagnosis/service codes from encounter sheets, ensuring accurate code entry.
• Completes pre-registration and registration processes using the online billing system, verifying demographic data, insurance authorization information, co-pays, and physician details.
• Collects co-payments and provides patients with receipts; produces registration cards and photocopies front and back of insurance cards.
• Confirms patient eligibility with insurance carriers and obtains visit authorizations as necessary.
• Provides mature, quality customer service to patients, their families, and representatives.
• Mails informational material to new patients in advance of scheduled appointments.
• Contacts agencies outside the hospital to obtain pertinent patient information and coordinate clinic/treatment programs; contacts third-party payors to obtain required pre-authorizations.
• Acts as an outpatient center receptionist, including making telephone calls for appointment reminders, answering incoming calls, returning calls to patients, physician offices, and other medical providers (e.g., laboratory and radiology facilities).
• Greets arriving patients, verifies pertinent information and physician using the online billing system, and orients patients to the specific outpatient center as a hospital-based service.
• Handles coding/billing within department guidelines, including entering diagnosis/service codes from encounter sheets, verifying code appropriateness, and interacting with patients and Patient Financial Services to resolve billing issues, including denials; refers patients to patient advocate for financial counseling as needed.
• Obtains and organizes medical records for use by physicians and nurses; ensures patient's file is complete prior to treatment/clinic visit, including appropriate records, lab test results, and x-rays; evaluates file prior to scheduled visit and follows up with other hospital departments to obtain missing data.
• Prints reports using both the online scheduling and billing systems.
• Performs all duties in accordance with Rhode Island Hospital's mission, the defined role of ambulatory care, and defined administrative/clerical rules, procedures, and policies.
• May respond to telephone inquiries by rotating into a centralized call room setting.

Minimum qualifications

• High School Diploma or equivalent.
• Demonstrated knowledge of PC skills using the Windows operating system environment and accompanying software packages.
• Knowledge of medical billing routines for physician office practice.
• Knowledge of medical terminology, diagnosis codes, and procedure codes.
• Knowledge of courteous telephone techniques and good customer service skills.
• Six months of experience coding and billing using an online billing system.

Work environment and physical requirements

• Walking, sitting, and standing throughout the day in a clinic setting.

Pay

$21.90–$22.91 per hour.