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1D
Medical Office Specialist-McAllen Medical Plaza-PRN
15 Driscoll Children's Hospital-Rio Grande Valley · McAllen, TX, United States
About The Role
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
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