- Performs front office and other clerical duties including, but not limited to: answers phones in a courteous and professional manner; greets all patients and confirms their appointment time; directs patient flow to appropriate areas to assure smooth activity; monitors waiting room activities for safety and cleanliness; pulls the medical records for those calls requiring it; open and sorts mail; accepts and records payments for services rendered.
- Accurately schedules all patient appointments and return appointments based on Physician or student doctor and medical specialty; obtains, verifies and records patients demographic information including all insurance information required by the appointment system; verifies financial eligibility of all patients scheduled; obtains necessary authorization based on patient’s insurance requirements; confirms all appointments within 48 hours of scheduled time; makes referral appointments for patients; perform scheduling maintenance as required by the system; Explains walk-in and appoint procedure to prospective patients, referral sources and general public; provides limited explanation of levels of care available
- Pulls and prepares the unit medical record at least 72 hours in advance of the appointment; assists in locating medical records and list records; assembles, updates, copies and releases records according to medical record protocol.
- Prepares an E-ticket for the visit; submits all E-tickets on a daily basis to billing department or contracted vendor; reconciles no show patients and voided E-ticket with batch listing; corrects and resubmits returned E-tickets within 24 hours of receipt.; Responsible for collection activities in the service area to include co-payments, deductibles, non-covered services and self-pay balances. Receives and processes payments per cash management policy and procedure; balances cash drawer at the end of shift/day with daily balancing proof sheet;
- Proficient with computer software, and hardware, copier and fax machine.
- Familiar with substance abuse treatment. Ability to interact professionally with public, staff and clients.
- Professional and courteous telephone skills
- Excellent oral and written communication skills with ability to communicate clearly by telephone or in person
- Knowledge of CPT/CDT and ICD-9 coding
- Ability to file numerically and alphabetically
- Knowledge and thorough understanding of medical office procedures
- Knowledge of confidentiality and release of information
- Ability to work under pressure
- Skilled at managing multiple priorities
- Sufficient knowledge of insurance plans to correctly assess need for prior authorization of procedures and referrals and to interpret patient financial information
- Medical terminology sufficient to identify and explain medical procedures to patients, third party payers and medical facility personnel
High school diploma required. Minimum of two (2) years’ experience as a medical, dental or behavioral health receptionist, insurance processor or a similar position in a medical, dental or behavioral health office, hospital, or other health related facility. Experience with computerized registration and assessments programs; bilingual preferred.
Meharry Medical College