Job Description

Under general supervision, coordinates staff operations within a physician practice. Schedules patient appointments, registers patients and facilitates accurate and timely charge entry of patient charges. Provides support for resident physicians.

Education:
High School or GED equivalency

Licensures/Certifications:
Not Applicable

Experience:
3 years related experience in a medical office.
Previous experience as a team or project leader highly desired

Skills:
• Knowledge of all HMO’s, PPO’s, Medicare, BC/BS and commercial restrictions in addition to department carve outs.
• Working knowledge of capitated verses fee for service restrictions.
• Knowledge of CPT & ICD9 codes and medical terminology
• Skill in using computerized medical record system, (scheduling, registration, billing) and personal productivity applications
• Skill in written and oral communication
• Skill in performing non-complex arithmetic calculations
• Ability to manage multiple tasks and deadlines.

Principal Duties and Responsibilities:
• Oversees and coordinates all facets of day-to-day operation of the reception area of the department, including reporting, policy development, procedure development, workflow, staffing, and equipment and supply maintenance.
• Assists with processing payroll and with accounts payable issues.
• Assists with analyzing budget variances on a monthly basis and implements action plans to correct negative variances. Assists with the development of the annual operational and capital budget
• Assists the manager in fostering a positive work environment as evidenced by staff morale, turnover rates and/or vacancy rates. Monitors and reviews work performance of the staff, such as monitoring absenteeism and lateness and performance improvement documentation. Assists with maintenance of employee competencies and with Key Performance Indicator audits.
• Assists the manager in improving and maintaining compliance with regulatory requirements such as JCAHO.
• Maintains multifaceted computerized scheduling and billing system. Schedules patient appointments and performs (pre) registration duties.
• Ensures completeness of physician charge sheets, verifies patient insurance information, and ensures appropriate CPT & ICD9 codes are on charge slips
• Schedules diagnostic tests and therapeutic procedures according to restrictions of HMO's, PPO's, etc., working in cooperation with physicians, patients and other hospital departments. Ensures that patients are notified and receive appropriate information regarding scheduled tests and procedures.
• Codes lab requisitions with necessary patient data for proper processing and charging of lab work.
• Receives and screens visitors and telephone calls. Responds to general inquiries by relating or referring to established policies and procedures. Provides customer service to patients by relaying information about the Medical Center, reminding patients of appointments, and acts as a resource for patient inquiries related to Part A and or Part B fees.
• Enters chart and billing information into computer system and assumes responsibility for all Part A, Invision and or Part B billing functions in SMS Signature within 24 hours from date of service.
• Conducts monthly chart audits to ensure compliance with various regulatory agencies.
• Collects patient co-payments and/or outstanding debts. Reconciles all cash collected, deposits, and maintains records of same.
• Maintains the current status of letters of Permit Exception; Center for Medicare and Medicaid; Certificate of Waiver (waived tests); Certificate of PPMP (waived tests).

All roles must demonstrate GBMC Values:

Respect

I will treat everyone with courtesy. I will foster a healing environment.

• Treats others with fairness, kindness, and respect for personal dignity and privacy

• Listens and responds appropriately to others’ needs, feelings, and capabilities

Excellence

I will strive for superior performance in every aspect of my work. I will recognize and celebrate the accomplishments of others.

• Meets and/or exceeds customer expectations
• Actively pursues learning and self-development
• Pays attention to detail; follows through

Accountability

I will be professional in the way I act, look and speak. I will take ownership to solve problems.

• Sets a positive, professional example for others
• Takes ownership of problems and does what is needed to solve them
• Appropriately plans and utilizes required resources for various job duties
• Reports to work regularly and on time

Teamwork

I will be engaged and collaborative. I will keep people informed.

• Works cooperatively and collaboratively with others for the success of the team
• Addresses and resolves conflict in a positive way
• Seeks out the ideas of others to reach the best solutions
• Acknowledges and celebrates the contribution of others

Ethical Behavior

I will always act with honesty and integrity. I will protect the patient.

• Demonstrates honesty, integrity and good judgment
• Respects the cultural, psychosocial, and spiritual needs of patients/families/coworkers

Results

I will set goals and measure outcomes that support organizational goals. I will give and accept help to achieve goals.

• Embraces change and improvement in the work environment
• Continuously seeks to improve the quality of products/services
• Displays flexibility in dealing with new situations or obstacles
• Achieves results on time by focusing on priorities and manages time efficiently

Pay Range

$19.92 - $29.87

Final salary offer will be based on the candidate's qualifications, education, experience and alignment with our organizational needs.

Equal Employment Opportunity

GBMC HealthCare and its affiliates are Equal Opportunity employers. All qualified applicants will receive consideration for employment without regard to race, color, religion, sex, sexual orientation, gender identity and expression, age, national origin, mental or physical disability, genetic information, veteran status, or any other status protected by federal, state, or local law.