Job Description

Employment Type:

Part time

Shift:

Rotating ShiftProvide front desk administrative support to outpatient rehab therapy clinics, patients, colleagues, insurance providers and referral sources. Utilizing current EMR, will be responsible for independently scheduling new evaluations and return visits, patient check in, account registration, verification of patient demographics, copay collection and scanning. Will ensure revenue cycle optimization by obtaining, documenting, and tracking patient insurance authorization and benefit information, utilizing on-line websites, through telephone and fax communication and creating and processing departmental deposits. Responsible for answering multi-line phone system, triaging calls and assisting caller as needed. Will be responsible for maintaining medical records in accordance with HIPAA standards.

Education:

Required:

• Level of knowledge equivalent to that ordinarily acquired through completion of high school.

Preferred:

• Associate degree with medical certification.
• Medical terminology class or knowledge of medical terminology, anatomy, and physiology.

Related Experience:

• Preferred: 2 years' experience with insurance authorization / benefit verification in a healthcare office.
• American Heart Association BLS or equivalent

Other Qualifications:

• Competency of Microsoft suite of office products (Word, Excel, Outlook, Power Point, Teams)
• Excellent typing skills and well-developed communication skills both verbally and in writing
• Ability to communicate effectively with individuals and groups representing diverse perspectives
• Ability to work in a team environment
• Excellent customer service skills necessary to interact with patients, peers, and providers to maintain and promote positive relationships
• Ability to multi-task
• Ability to work independently in a fast-paced environment

Ability to problem solve effectively based on established policies and procedures

Working Conditions

Sitting for extended periods of time. Extensive computer work. Frequent standing, walking. Occasional bending, stooping, twisting. Ability to hear speech, speak, use near-far vision and fine motor skills. Ability to perform continuously detailed tasks with frequent interruptions and work prioritization.

Essential Functions

• Scheduling – schedule new evaluations, return visits, reschedule, and cancel visits in current scheduling system.
• Registration – register patients in current registration system, including verifying patient demographics and insurance information.
• Insurance – obtain, document and track patient insurance authorization and benefits.
• Phones – answer multi-line phone, route calls to appropriate colleague or take accurate messages to relay to colleague, handle voice messages and return phone calls.
• Faxing – send correspondence to insurance companies, physician offices, handle incoming department faxes, routing to appropriate colleague.
• Scanning – patient paperwork, physician orders, insurance authorizations and signed plans of care into current documentation system.
• Copying – patient paperwork for patient packets, patient records for medical requests and other things as needed.
• Copays – collecting patient copays and recording in current payment processing system. Creating, processing and making copay deposits utilizing appropriate reports from current payment processing system.
• Medical Record – process medical record requests and manage medical records in accordance with HIPPA standards.
• Create, update and interpret routine reports and correspondence as well as working documents such as safety rules, operating and maintenance instructions, procedure manuals and standard work documents.
• Perform all other duties as required.
• Follow all hospital policies and procedures relevant to the performance and participation in their role.
• Attend and participate in departmental and organization meetings.

Organizational Expectations:

• Flexibility – Demonstrates exceptional ability and willingness to take on new and additional responsibilities. Embraces new ideas and cultural differences while managing competing priorities. Provides coverage to other areas as assigned.
• Accountability – Willingly accepts personal responsibility for decisions, actions, attitudes and behaviors which contribute to the overall effectiveness of the organization. Communicates effectively, follows through on assignments, uses resources efficiently, participates in learning opportunities and treats others with respect and dignity.
• Excellence – Serves as a role model and performs job responsibilities to the highest standards in every situation. Delivers “Something More” that ensures a more complete and personally satisfying experience for every patient.
• Focus – Understands and demonstrates behaviors consistent with the mission and values of the organization while contributing to the overall success of the strategic plan. All actions are rooted in providing excellent customer service.

Trinity Health Mission Statement, Values, Vision and Guiding Behaviors

Our Mission: We, Trinity Health, serve together in the spirit of the Gospel as a compassionate and transforming healing presence within our communities.

Our Core Values:

• Reverence: We honor the sacredness and dignity of every person.
• Commitment to Those Who are Poor: We stand with and serve those who are poor, especially those most vulnerable.
• Safety: We embrace a culture that prevents harm and nurtures a healing, safe environment for all.
• Justice: We foster right relationships to promote the common good, including sustainability of Earth.
• Stewardship: We honor our heritage and hold ourselves accountable for the human, financial and natural resources entrusted to our care.
• Integrity: We are faithful to who we say we are.

Our Vision: As a mission-driven innovative health organization, we will become the national leader in improving the health of our communities and each person we serve. We will be the most trusted health partner for life.

Guiding Behaviors are the behaviors necessary for all of us to achieve our Vision. They are:

• We support each other in serving our patients and communities.
• We communicate openly, honestly, respectfully, and directly.
• We are fully present.
• We are all accountable.
• We trust and assume goodness in intentions.
• We are continuous learners.

Systems & Inform

To ensure appropriate utilization of Protected Health Information (PHI) associated with the Health Insurance Portability and Accountability Act (HIPAA) and Saint Mary’s Confidentiality of Information Standards, as well as other regulatory entities, individuals employed in this position will be granted systems and information access as appropriate for this position.

Disclaimer

The above statements are intended to describe the general nature and level of work being performed by the people assigned to this classification. They are not intended to be construed as an exhaustive list of all responsibilities, duties and skills required of personnel so classified. The listed duties may be changed at the discretion of the incumbent’s supervisor.

Our Commitment

Rooted in our Mission and Core Values, we honor the dignity of every person and recognize the unique perspectives, experiences, and talents each colleague brings. By finding common ground and embracing our differences, we grow stronger together and deliver more compassionate, person-centered care. We are an Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity, national origin, disability, veteran status, or any other status protected by federal, state, or local law.