Medical Office Specialist-Edinburg ENT

is not intended to be all-inclusive; employees will perform other reasonably related business duties as assigned by the immediate supervisor and/or hospital administration as required.

General Requirements

• Maintains utmost level of confidentiality at all times.
• Adheres to hospital policies and procedures.
• Demonstrates business practices and personal actions that are ethical and adhere to corporate compliance and integrity guidelines.
• Adheres and complies with customer service standards and dress code as set forth by the hospital and the department.
• Demonstrates thoroughness and dependability.
• Demonstrates excellent organizational skills.
• Must be detail-oriented.
• Must be able to manage multiple tasks in a busy medical office environment.
• Must be able to effectively communicate and work with patients, family and physicians.
• Must be able to effectively work as a team member.
• Other duties as assigned.

Scheduling/Telephone Support

• Schedule patients for necessary procedures using the appropriate scheduling system.
• Gather pre-registration/pre-admission information.
• Reschedule patients upon patient/physician request.
• Document cancellations/no-shows in the appropriate scheduling system.
• Page medical staff when appropriate.
• Document telephone encounters as appropriate to clinic/department.
• Manage an appointment waiting list.
• Contact patients for appointment scheduling from a follow-up list.
• Call patients to confirm appointment times and offer any other pertinent information such as attendance requirements, education, directions, parking information, etc.

Patient Accounting

• Review schedule/pre-registrations to identify potential duplicate medical record numbers.
• Identify patients with multiple same-day visits to match demographic and insurance data for each pre-registration.
• Verify insurance eligibility and coverage for anticipated procedures.
• Obtain insurance authorizations from referring physicians when necessary/appropriate.
• Obtain insurance authorizations from payors when necessary/appropriate.
• Identify co-payment agreements in preparation for collection at the time of service.
• Maintain correct balance of petty cash on a daily basis.
• Close recurring accounts when appropriate.
• Reconcile insurance card copies with completed registrations.

Clinical Support

• Batch reminder letters for families and physicians.
• Disseminate incoming office mail.
• Review schedules prior to appointment date and assist in resolving scheduling conflicts.
• Prepare medical records prior to appointment (i.e. request medical records from file room, prepare forms packets, gather and attach necessary diagnostic reports, etc.).
• Batch appointment cancellation/no-show letters to families and physicians.

Patient Registration

• Accurately register patients according to training guidelines when the patient presents for services.
• Collect and record co-payments or prompt payment agreements and issue receipt of payment to payor.
• Make a clear copy of insurance card.
• Ensures consent for appropriate level of care is obtained and any additional documentation necessary from the family is obtained and copied.
• Issue patient identification card or wrist-band as appropriate.

Patient Discharge

• Perform necessary follow-up scheduling at discharge.
• Reconcile medical records.
• Process physician orders and/or referrals.
• Mark no-shows and no-shows to reschedule in the appropriate scheduling system.

Education and/or Experience

• High school diploma or general education degree (GED); or one to three months related experience and/or training; or equivalent combination of education and experience.

Certificates

• BLS certified within 90 days of hire